Government of West Bengal Kolkata Police Recruitment Board 112, Ripon Street, Kolkata- 700016 [ To The Member Secretary, Kolkata Police Recruitment Board, 112, Ripon Street, 3rd Floor, Kolkata – 700 016. Space for pasting of recent passport size photograph of the candidate (4.5 cm Height x 3.5 cm Width) Sub: - Application for the post of Wireless Supervisors (Technical), Grade-II in Kolkata Police in c/w special recruitment drive for SC/ST Sir, I hereby apply for the post of Wireless Supervisors (Technical), Grade-II. Necessary particulars are furnished below:Name in Full Gender Category Date of Birth Father’s Name in full Mother’s Name in full Complete Mailing Address: Permanent Address: POST OFFICE: POST OFFICE: POLICE STATION: POLICE STATION: DISTRICT: DISTRICT: STATE: STATE: PIN CODE: PIN CODE: Mobile Educational qualification: Name of Examination Class-X Class – XII Graduation Documents Submitted (Give details) Category Documents Submitted (Give details) Year of Passing (YYYY) Name of the Board (Abbreviation Only) Technical qualification: Particulars Name of the Institution/Firm Theoretical Knowledge in respect of Radio Communication Engineering. Practical experience (minimum 02 years) of repairing of various types of low power transmitters and receivers & repairing of V.H.F. transmitters and receivers. Have you ever been subjected to a criminal investigation as an accused involving moral turpitude? (Write – Yes /No): If Yes, please fill-up the below details Police Station Name in Full FIR No. FIR Date Place: Section of Laws Yours faithfully, Date: Full signature of the candidate Page-1 Declaration: (i) I possess all the Essential Qualifications for the Post. (ii) I solemnly declare that all statements made in this application form are true, complete and correct to the best of my knowledge and belief. In the event of any information being found suppressed/false or incorrect, or if my ineligibility is detected before, during or after the tests and medical examination or appointment, my candidature/appointment will stand cancelled and my claim to recruitment will stand forfeited. I also declare that I have submitted no other application form for this examination. (iii) I have never been debarred from any examination conducted by any Service Commission/Recruitment Board of the Government of West Bengal. (iv) I have not been subjected to a criminal investigation. (Strike off if not applicable) Yours faithfully, 1. 2. 3. 4. 5. 6. SALIENT GUIDELINES FOR THE CANDIDATES: Candidates must furnish along with the application photo copy of certificates in respect of educational & technical qualification, proof of age and caste proved certificate of SC/ST Category. Form must be printed on 75 GSM A4 size white paper (both side printing / two separate printing). Candidate in service of Government/a local or statutory body/Public Undertaking must send his application to the Kolkata Police Recruitment Board within the closing date under intimation to his/her employer. Application shall be rejected / candidature will be cancelled if employer does not permit the candidate to apply. The Application must be submitted along with (i) One copy of recent Passport size photograph (3.5 cm x 3.5 cm) signed by the candidate and pasted on the application form and two more identical extra copies of signed photographs. (ii) Two self addressed envelopes (24.5 cms X 10.5 cms), with posted stamp worth Rs. 5/- affixed on each of them. Application submitted keeping any of the field blank would lead to summarily rejection without any intimation to the applicant. Application without full signature of the applicant on the designated box shall be rejected summarily. 7. Application without photograph of the applicant in the designated box shall be summarily rejected. 8. The envelope containing the filled in application should be super scribed as “APPLICATION FOR THE POST OF WIRELESS SUPERVISORS (TECHNICAL), GRADE-II IN KOLKATA POLICE, 2016”. 9. Submission of more than one (1) application is strictly forbidden. Closing time & date for receipt of application: - 05:00 P.M. date: 01/02/2016. Page-2