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Registration Slip 6250093659

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0% found this document useful (0 votes)
180 views2 pages

Registration Slip 6250093659

Uploaded by

perwejshahjahan
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
ADV NO.-06/25
OFFICE ATTENDANT/ATTENDANT(SPECIAL) COMBINED COMPETITIVE EXAM
कार्यालय परिचरी/परिचरी (विशेष) संयुक्त प्रतियोगी परीक्षा
PERSONAL DETAILS
REGISTRATION NO.: 6250093659
FORM NO. : 7250093659
NAME OF APPLICANT : SALONI KUMARI
FATHER'S NAME : BALRAM SINGH
MOTHER'S NAME : SIMA DEVI
GENDER : FEMALE
MOBILE NO. : 6207124377
EMAIL ID : SALONIKUMARI1573@[Link]
DATE OF BIRTH : 12-02-2004 LIVE PHOTO

AGE AS ON 01-08-2025 : 21 YEARS, 5 MONTHS, 20 DAYS


NATIONALITY : INDIAN
CATEGORY : UR
DOMICILE OF BIHAR STATE : YES
ISSUE DATE OF DOMICILE CERTIFICATE: 25-08-2024
ISSUE NUMBER OF DOMICILE CERTIFICATE : BRCCO/2024/10973080
DOMICILE CERTIFICATE ISSUING COMPETENT AUTHORITY : RO
ARE YOU PERSON WITH DISABILITY? : NO

PHOTO

SIGNATURE IN ENGLISH

SIGNATURE IN HINDI

DO YOU HAVE AADHAR CARD? : YES (AADHAR CARD NUMBER: 905678251168)


ID PROOF : AADHAAR CARD ID PROOF NO : 905678251168
BIHAR GOVERNMENT EMPLOYEE WHO HAS RENDERED NOT LESS THAN 3 YEARS REGULAR AND
NO
CONTINUOUS SERVICE? :
NUMBER OF ATTEMPTS AFTER BIHAR GOVERNMENT EMPLOYEE?
00
(AFTER DATE: 12-12-2022) :
IDENTIFICATION MARK OF THE CANDIDATE : CUT MARK ON FOREHEAD
ARE YOU AN EX-SERVICEMAN? : NO
WARD OF FREEDOM FIGHTER? : NO
HAVE YOU EVER BEEN DEBARRED FROM ANY COMPETITIVE EXAMINATION (UPSC/BOARD/STATE
NO
COMMISSION/ANY OTHER)? :
HAVE YOU WORKED UNDER BIHAR GOVERNMENT AFTER BEING RELEASED FROM NCC AFTER
NO
JANUARY 1, 1963?:
ADDRESS DETAILS

CORRESPONDENCE ADDRESS PERMANENT ADDRESS

BELAHARI, POST-BELAHARI, P.S-SIKRAUL, ADDRESS: DIWANGANJ DUMRAON


ADDRESS:
DIST-BUXAR
VILLAGE/MOHALLA: DUMRAON
VILLAGE/MOHALLA: BELAHARI
POST OFFICE: DUMRAON
POST OFFICE: BELAHARI
POLICE STATION: DUMRAON
POLICE STATION: SIKRAUL
DISTRICT: BUXAR
DISTRICT: BUXAR
STATE: BIHAR
STATE: BIHAR
PIN CODE: 802119
PIN CODE: 802129
EDUCATIONAL QUALIFICATIONS
EDUCATION SUBJECT BOARD / TOTAL MARKS MARKS OBTAINED PERCENTAGE PASSINGDATE CERTIFICATE
UNIVERSITY NUMBER
10TH / MATHEMATICS BIHAR SCHOOL 500 353 70.60 06-04-2019 750034124
EQUIVALENT SCIENCE HINDI EXAMINATION
BOARD PATNA
SANSKRIT SOCIAL
SCIENCE
PAYMENT DETAILS:
PAYMENT BANK : SBI
TRANSACTION ID : 0662391705919
TRANSACTION DATE : 2025-08-28 [Link]
REGISTRATION FEE (RS.) : 100
DECLARATION DETAILS:

I HEREBY DECLARE THAT THE INFORMATIONS 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.
DATE : 28-08-2025 [Link]
DECLARATION ACCEPTED : YES

NOTE: PLEASE KEEP YOUR REGISTRATION NO.,PASSWORD,MOBILE NO AND EMAIL-ID CAREFULLY FOR FURTHER REFERENCE.

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