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BSSC

This document provides details of an application for the Bihar Staff Selection Commission exam. It includes personal details, educational qualifications, payment details, uploaded documents, and a declaration by the applicant. The applicant's name is Amrita Kumari and she is applying for the Second Inter Level Combined Competitive Exam-2023.

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rounitraj747
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0% found this document useful (0 votes)
261 views2 pages

BSSC

This document provides details of an application for the Bihar Staff Selection Commission exam. It includes personal details, educational qualifications, payment details, uploaded documents, and a declaration by the applicant. The applicant's name is Amrita Kumari and she is applying for the Second Inter Level Combined Competitive Exam-2023.

Uploaded by

rounitraj747
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

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BIHAR STAFF SELECTION COMMISSION


P.O.-VETERINARY COLLEGE, PATNA - 800014
ADVERTISEMENT NO. 02/2023
SECOND INTER LEVEL COMBINED COMPETITIVE EXAM-2023
PERSONAL DETAILS
REGISTRATION NO.: 2303084909
FORM NO. : 3303084909
NAME OF APPLICANT : AMRITA KUMARI
FATHER'S NAME : SHARWAN SHARMA
MOTHER'S NAME : NUTAN DEVI
GENDER : FEMALE
MOBILE NO. : 8920658572
EMAIL ID : BITUSHARMA2327@[Link]
DATE OF BIRTH : 04-12-2003 LIVE PHOTO

AGE AS ON 01-08-2023 : 19 YEARS, 7 MONTHS, 28 DAYS


NATIONALITY : INDIAN
CATEGORY : EBC
DO YOU BELONG TO NON-CREAMY LAYER ? : NO
DOMICILE OF BIHAR STATE : YES
ISSUE DATE OF DOMICILE CERTIFICATE: 18-09-2018
ISSUE NUMBER OF DOMICILE CERTIFICATE : 041617212061802578
DOMICILE CERTIFICATE ISSUING OTHER COMPETENT
CO
AUTHORITY :
PHOTO
ARE YOU PERSON WITH DISABILITY? : NO

SIGNATURE IN ENGLISH

SIGNATURE IN HINDI

DO YOU HAVE AADHAR CARD? : YES (AADHAR CARD NUMBER: 739332484559)


ID PROOF : AADHAAR CARD ID PROOF NO : 739332484559
BIHAR GOVERNMENT EMPLOYEE WHO HAS RENDERED NOT LESS THAN 3 YEARS
NO
REGULAR AND CONTINUOUS SERVICE? :
WHICH ATTEMPT IS OF INTER LEVEL EXAMINATION? : 01
A MOLE MARK ABOVE LEFT
IDENTIFICATION MARK OF THE CANDIDATE :
EYEBROW
ARE YOU AN EX-SERVICEMAN? : NO
WARD OF FREEDOM FIGHTER? : NO
HAVE YOU EVER BEEN DEBARRED FROM ANY COMPETITIVE EXAMINATION
NO
(UPSC/BOARD/STATE COMMISSION/ANY OTHER)? :
WORKED/WORKING AS CONTRACTUAL EMPLOYEE IN BIHAR GOVERNMENT: NO
ADDRESS DETAILS

CORRESPONDENCE ADDRESS PERMANENT ADDRESS


D/O SHARAVAN KUMAR D/O SHARAVAN KUMAR
ADDRESS: SHARMA,VISHWAKARMA ADDRESS: SHARMA,VISHWAKARMA
NAGAR,PAKRAIL,KHAGARIA NAGAR,PAKRAIL,KHAGARIA

VILLAGE/MOHALLA: PAKRAIL VILLAGE/MOHALLA: PAKRAIL


POST OFFICE: MAHESHKHUNT POST OFFICE: MAHESHKHUNT
POLICE STATION: MAHESHKHUNT POLICE STATION: MAHESHKHUNT
DISTRICT: KHAGARIA DISTRICT: KHAGARIA
STATE: BIHAR STATE: BIHAR
PIN CODE: 851213 PIN CODE: 851213
EDUCATIONAL QUALIFICATIONS
EDUCATION SUBJECT BOARD / TOTAL MARKS PERCENTAGE PASSINGDATE CERTIFICATE
UNIVERSITY / MARKS OBTAINED NUMBER
INSTITUTE
10TH / EQUIVALENT HINDI SANSKRIT BIHAR SCHOOL 500 238 47.60 26-06-2018 0227794
MATHEMATICS EXAMINATION
SCIENCE SOCIAL BOARD PATNA
SCIENCE
ENGLISH
NRB PHYSICS
12TH / EQUIVALENT CHEMISTRY BIHAR SCHOOL
12TH/INTERMEDIATE BIOLOGY LL EXAMINATION 600 286 47.67 24-03-2020 1052893
(SCIENCE) ENGLISH MB ALT BOARD PATNA
ENGLISH
TECHNICAL SKILL
HAVE YOU DONE ANY COMPUTER COURSE? NO
PAYMENT DETAILS:
PAYMENT BANK : SBI
TRANSACTION ID : 8560893027535
TRANSACTION DATE : 2023-12-09 [Link]
REGISTRATION FEE (RS.) : 135
VIEW UPLOADED 10TH MARKS SHEET PDF: CLICK HERE TO VIEW DOCUMENT
VIEW UPLOADED 10TH PASS CERTIFICATE PDF: CLICK HERE TO VIEW DOCUMENT
VIEW UPLOADED 12TH MARKS SHEET PDF: CLICK HERE TO VIEW DOCUMENT
VIEW UPLOADED 12TH PASS CERTIFICATE PDF: CLICK HERE TO VIEW DOCUMENT
VIEW UPLOADED VALID PHOTO ID PROOF PDF: CLICK HERE TO VIEW DOCUMENT
VIEW UPLOADED BIHAR DOMICILE CERTIFICATE PDF: CLICK HERE TO VIEW DOCUMENT
DECLARATION DETAILS:
I HEREBY DECLARE THAT THE FINAL INFORMATION FILLED UP ABOVE BY ME ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. I
ALSO DECLARE THAT I HAVE FILLED UP ONLY ONE APPLICATION FORM. I ALSO UNDERTAKE THAT IF ANY INFORMATION IS FOUND
OTHERWISE, I SHALL BE LIABLE FOR ANY LEGAL ACTION AND CANCELLATION OF MY CANDIDATURE BY THE COMMISSION.
DATE : 02-03-2024 [Link]
NOTE: PLEASE KEEP YOUR REGISTRATION NO.,PASSWORD,MOBILE NO AND EMAIL-ID CAREFULLY FOR FURTHER REFERENCE.

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