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Government of West Bengal

Office of the PO cum DWO, PURBA MEDINIPUR


APPLICATION FOR INCENTIVE OF INTER-CASTE MARRIAGE
Acknowledgement

Application Number : WBICM227042

Applicant's Name : SUBHASHISH MANDAL

Father's Name : SUDHIR CHANDRA MANDAL

Co-Applicant's Name: DIPIKA NANDI MANDAL

Date of Application : 13-10-2020

Applicant Status : PENDING

N.B :-
(1) Applicant will download the filled in application form and submit the same to the PO cum DWO/DWO PURBA MEDINIPUR duly signed with self
attested copy of certificates/documents uploaded, one joint photograph as uploaded is to be pested to the application form at the space provided.

(2) Applicants have to produce originals of all certificates/documents for verification.

(3) List of documents uploaded:


Joint Photo
Marriage Certificate
Caste Certificate of Applicant
Identity Proof of Applicant

Age Proof of Applicant


Certificate of Spouse

Age Proof of Spouse

(4) The hand copy of the applicants has to be submitted by 13-11-2020

(5) This is a computer generated receipt. No official seal/signature is required.

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