OFFICE OF THE DISTRICT MAGISTRATE , PURULIA Student Signup Name / নাম : Date of Birth / জন্ম তারিখ: Sex / লিঙ্গ: Please Select Male / পুরুষ Female / মহিলা Other / তৃতীয় লিঙ্গ User Type / পেশা : Please Select Student / ছাত্র ছাত্রী Teacher / শিক্ষক Other / অন্যান্য School/ বিদ্যালয় : District / জেলা : ALIPURDUAR BANKURA BIRBHUM COOCHBEHAR DAKSHIN DINAJPUR DARJEELING HOOGHLY HOWRAH JALPAIGURI JHARGRAM KALIMPONG KOLKATA NORTH KOLKATA SOUTH MALDAHA MURSHIDABAD NADIA NORTH 24 PARGANAS OTHER PASCHIM BARDHAMAN PASCHIM MEDINIPUR PURBA BARDHAMAN PURBA MEDINIPUR PURULIA SOUTH 24 PARGANAS UTTAR DINAJPUR Subdivision / মহকুমা : Please Select SADAR JHALDA MANBAZAR RAGHUNATHPUR Block / Municiplaity / ব্লক / পৌরসভা: Please Select Course Enrolled for / কোর্স : JEE & NEET Contact Number / মোবাইল নম্বর: (Will be used as Login id , Can not be changed in future / লগইন আইডি হিসাবে ব্যবহৃত হবে, ভবিষ্যতে পরিবর্তন করা যাবে না ) Email / ইমেল: Password / পাসওয়ার্ড : At least one letter At least one special charecter among @ % # _ * ! At least one number Be at least 8 characters Confirm Password / পাসওয়ার্ড নিশ্চিত করুন : Terms & Conditions: All the information given by me is true to the best of my knowledge. I undertake not to use the information provided in the website for any purpose other than the purpose for which this website is created Posting of irrelevant, defamatory, obscene, communal, racist, offensive, abusive, hateful, discriminatory contents or resume, whether implicitly or explicitly is strictly prohibited. It should not be used for creating social tension, anxiety, harassment, inconvenience or embarrassment, or disturbing the spirit of national integration to any person or group of person in any form whatsoever. No one shall use this portal for immoral or illegal purpose with malafide intentions and ulterior motive. Providing false, fabricated, forged, inaccurate, objectionable or misleading information or/and document shall attract penal action as per law. For settlement of any legal dispute, the jurisdiction shall be the Hon’ble High Court, Calcutta or subordinate judiciary, as the case may be. I have read and understood the content and purport of the terms and condition noted above and I completely agree to these terms and conditions. Enter Security Code: Back