@php $dob = session()->get('dob'); $rolluser = session()->get('rolluser'); // $roll = session()->get('roll'); @endphp
West Bengal Board of Primary Education
{{--
--}}
@csrf
*Details are mandatory
PREFERRED DISTRICT FOR COUNSELLING, RECOMMENDATION & APPOINTMENT (IF EMPANELED)
*
--Select Preferred District--
@foreach ($drist as $drists)
{{ $drists->drist_name }}
@endforeach
@error('pfref_dist') {{ $message }} @enderror
PERSONAL DETAILS
First Name
*
@error('fname') {{ $message }} @enderror
Middle Name
Last Name
Father's/ Mother's Name
*
@error('fmname') {{ $message }} @enderror
Date of Birth
*
@error('dob') {{ $message }} @enderror
Mobile No
*
@error('mobile') {{ $message }} @enderror
Roll Number
*
Tet Marks
*
@error('tet_marks') {{ $message }} @enderror
Email Id
*
@error('email') {{ $message }} @enderror
Gender
*
--Select Gender--
FEMALE
MALE
OTHER
@error('gender') {{ $message }} @enderror
Category
*
--select Social Category--
GENERAL
OBC-A
OBC-B
SC
ST
@error('social_category') {{ $message }} @enderror
Sub Category
--Select Sub Category--
DEATH-IN-HARNESS
EX-SERVICEMEN
EXEMPTED CATEGORY
PARA TEACHER (PRIMARY)
Aadhaar No
*
@error('aadhaar_no') {{ $message }} @enderror
Medium of instruction
*
--Select Medium of instruction--
BENGALI
HINDI
NEPALI
ODIYA
SANTHALI
TELUGU
URDU
@error('first_language') {{ $message }} @enderror
Physically Handicapped
*
--Differently Abled--
YES
NO
@error('handicapped') {{ $message }} @enderror
PERMANENT ADDRESS
House No
Village/Street Name
*
@error('village_street_name') {{ $message }} @enderror
Block
Post Office
*
@error('post_office') {{ $message }} @enderror
Police Station
*
@error('police_station') {{ $message }} @enderror
District
*
--Select District--
@foreach ($drist as $drists)
{{ $drists->drist_name }}
@endforeach
@error('district') {{ $message }} @enderror
State/Union Territory
*
--Select State--
WEST BENGAL
@error('state') {{ $message }} @enderror
Pin Code
*
@error('pincode') {{ $message }} @enderror
POSTAL ADDRESS
Same As Permanent Address
House No
Village/Street Name
*
@error('p_village_street_name') {{ $message }} @enderror
Block
Post Office
*
@error('p_post_office') {{ $message }} @enderror
Police Station
*
@error('p_police_station') {{ $message }} @enderror
District
*
--Select District--
@foreach ($drist as $drists)
{{ $drists->drist_name }}
@endforeach
@error('p_district') {{ $message }} @enderror
State/Union Territory
*
--Select State--
WEST BENGAL
@error('p_state') {{ $message }} @enderror
Pin Code
*
@error('p_pincode') {{ $message }} @enderror
ACADEMIC QUALIFICATION
Name of Examination/Course
Board/Council/University
Year of Passing
Full Marks
Mark Obtained(With Additional Subject) [A]
Percentage (%) On [A]
Name of Examination/Course
Board/Council/University
Year of Passing
Full Marks
Obtained Marks
Percentage
{{--
Graduation Type
--Select Graduation Type--
HONOURS
GENERAL
--}} {{--
*Details are mandatory
**Details are mandatory only if the candidate is B.Ed qualified
**Honours graduates will enter mark obtained in honours papers only
--}}
TRAINING QUALIFICATION
Name of Examination/Course
*
--Select Course--
2 YEAR DIPLOMA IN EDUCATION (SPECIAL EDUCATION)
2 YEAR DIPLOMA IN ELEMENTARY EDUCATION (D.EL.ED)
4 YEAR BACHELOR IN ELEMENTARY EDUCATION (B.EL.ED)
@error('name_of_examination_Course') {{ $message }} @enderror
Appeared State From
*
--Select Appeared State--
@foreach ($state as $states)
{{ $states->state_name }}
@endforeach
@error('appeared_state_from') {{ $message }} @enderror
Examining Body/ Affiliating Body
*
@error('examining_affiliating_body') {{ $message }} @enderror
Session
*
@error('session') {{ $message }} @enderror
Passed/ Appeared/ Pursuing
*
--Select Passed/Appeared/Pursuing--
Appeared
Passed
Pursuing
@error('passed_appeared_pursuing') {{ $message }} @enderror
year of Passing
*
@error('year_of_Passing_Course') {{ $message }} @enderror
Full Mark
*
@error('year_of_Passing_Course_fullmark') {{ $message }} @enderror
Obtained Marks
*
@error('year_of_Passing_Course_obtained_marks') {{ $message }} @enderror
UPLOAD DOCOUMENT
Candidate's Photo and Signature be of file format JPG, JPEG or PNG with size between 5 KB-100 KB
CANDIDATE'S PHOTO
*
@error('candidate_photo') {{ $message }} @enderror
CANDIDATE'S SIGNATURE
*
@error('candidate_signature') {{ $message }} @enderror
The documents mentioned below should be of file format PDF, JPG, JPEG or PNG upto 1mb
TRAINING DOCUMENTS
*
@error('training_documents') {{ $message }} @enderror
AADHAAR CARD IMAGE (FRONT SIDE)
*
AADHAAR CARD IMAGE (BACK SIDE)
*
AGE PROOF DOCUMENTS
*
{{--
DISCLAIMER
I do hereby declare that the information given above are true and I fulfill the eligibility conditions for appearing in Primary Teacher Recruitment, 2022. I further declare that in case of declaration and statements given by me in the application form are found to be false or any ineligibility being detected before or after the test, my candidature for Primary Teacher Recruitment, 2022 is liable to be cancelled.
--}} {{--
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--}}
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{{-- --}}
 }}/assets/images/logo.png){kind=logo}