Mock Test Registration SSC Combined HS Level
2.
Select District-in-Charge

3.
Select Center

4.
Candidate Name

Note : Name as recorded in the Matriculation / Secondary Examination Certificate. Please do not use any prefix such as Mr. or Ms. etc.
5.
Father Name

Please do not use any prefix such as Shri or Dr. etc.
6.
Mother Name

Please do not use any prefix such as Smt or Dr. etc.
7.
Date of Birth

Date of Birth as recorded in the Matriculation/Secondary Examination Certificate
8.
Community

9.
Marital Status

10.
Gender


11.
Email ID
 
Please fill valid Email Id Eg yourname@xyz.com
12.
Mobile No

Please fill valid mobile no. Any kind of changes will be notified over the phone only
13.
Postal Address

Do not enter your name again in the address field
14.
Post Office

15.
City

16.
District

17.
District

18.
State

19.
Pin Code

20.
Employment Exchange or Employment Bank no

21.
Educational
QualificationUniversity / BoardPercentage of MarksYear of Passing
Madhyamik
Higher Secondary or Equivalent
28.
Photo

Pic Size shood be 122px X 160px within 150kb
29.
Declaration

I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I undertake to inform you of any changes therein, immediately. In case any of the above information is found to be false or untrue or misleading or misrepresenting, I am aware that I may be held liable for it. I hereby authorise sharing of the information furnished on this form with the Directorate of Employment, Government of West Bengal.