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    Updated BSSC Application Form

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    surajbhan1008
    This document contains an application form for a job opening with details about the applicant such as personal details, address, education qualifications, documents uploaded, payment details and declaration. The form requires information to process the applicant's bid for the job opening.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Updated BSSC Application Form

    Uploaded by

    surajbhan1008
    142 views2 pages
    This document contains an application form for a job opening with details about the applicant such as personal details, address, education qualifications, documents uploaded, payment details and declaration. The form requires information to process the applicant's bid for the job opening.

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    © © All Rights Reserved

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    This document contains an application form for a job opening with details about the applicant such as personal details, address, education qualifications, documents uploaded, payment details and declaration. The form requires information to process the applicant's bid for the job opening.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    142 views2 pages

    Updated BSSC Application Form

    Uploaded by

    surajbhan1008
    This document contains an application form for a job opening with details about the applicant such as personal details, address, education qualifications, documents uploaded, payment details and declaration. The form requires information to process the applicant's bid for the job opening.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 2

    3/18/24, 11:55 PM Updated Application Form 2302665009

    CLICK HERE TO PRINT THIS PAGE CLOSE

    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.: 2302665009
    FORM NO. : 3302665009
    NAME OF APPLICANT : SURAJ BHAN
    FATHER'S NAME : BINAY YADAV
    MOTHER'S NAME : REKHA DEVI
    GENDER : MALE
    MOBILE NO. : 7870254796
    EMAIL ID : BHANSURYAKHESAR@GMAIL.COM
    DATE OF BIRTH : 10-03-2002 LIVE PHOTO

    AGE AS ON 01-08-2023 : 21 YEARS, 4 MONTHS, 22 DAYS


    NATIONALITY : INDIAN
    CATEGORY : BC
    DO YOU BELONG TO NON-CREAMY LAYER ? : YES
    (EBC/BC-NCLC CERTIFICATE NUMBER) / (SC/ST-CASTE
    NCLCO/2023/1635136
    CERTIFICATE NUMBER) / (EWS-CERTIFICATE NUMBER) :
    ISSUE DATE OF CERTIFICATE : 14-11-2023
    CERTIFICATE ISSUING AUTHORITY : RO
    DOMICILE OF BIHAR STATE : YES
    ISSUE DATE OF DOMICILE CERTIFICATE: 22-06-2023 PHOTO

    ISSUE NUMBER OF DOMICILE CERTIFICATE : BRCCO/2023/4913573


    DOMICILE CERTIFICATE ISSUING OTHER COMPETENT
    RO
    AUTHORITY :
    SIGNATURE IN ENGLISH
    ARE YOU PERSON WITH DISABILITY? : NO

    SIGNATURE IN HINDI

    DO YOU HAVE AADHAR CARD? : YES (AADHAR CARD NUMBER: 921328890119)


    ID PROOF : AADHAAR CARD ID PROOF NO : 921328890119
    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 ON THE LEFT HAND
    IDENTIFICATION MARK OF THE CANDIDATE :
    MIDDLE FINGER
    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


    AT-NAGEL POST OFFICE-BISHANPUR AT-NAGEL POST OFFICE-BISHANPUR
    ADDRESS: POLICE STATION-BELHAR DIST-BANKA ADDRESS: POLICE STATION-BELHAR DIST-BANKA
    STATE-BIHAR PIN CODE-813207 STATE-BIHAR PIN CODE-813207
    VILLAGE/MOHALLA: NAGEL VILLAGE/MOHALLA: NAGEL
    POST OFFICE: BISHANPUR POST OFFICE: BISHANPUR

    POLICE STATION: BELHAR POLICE STATION: BELHAR


    DISTRICT: BANKA DISTRICT: BANKA
    STATE: BIHAR STATE: BIHAR

    PIN CODE: 813207 PIN CODE: 813207


    EDUCATIONAL QUALIFICATIONS
    EDUCATION SUBJECT BOARD / TOTAL MARKS PERCENTAGE PASSINGDATE CERTIFICATE
    UNIVERSITY / MARKS OBTAINED NUMBER
    INSTITUTE
    BIHAR SCHOOL
    HNB SNB MTB
    10TH / EQUIVALENT EXAMINATION 500 229 45.80 22-06-2017 171010367616
    SSB SCB ENB
    BOARD PATNA

    https://www.onlinebssc.com/interleveledit24/confirmation.php 1/2
    3/18/24, 11:55 PM Updated Application Form 2302665009
    NRB MBALT
    ENGLISH LL
    12TH / EQUIVALENT BIHAR SCHOOL
    ENGLISH
    12TH/INTERMEDIATE EXAMINATION 500 266 53.20 24-03-2020 207215174
    PHYSICS
    (SCIENCE) BOARD PATNA
    CHEMISTRY
    MATHEMATICS
    TECHNICAL SKILL
    HAVE YOU DONE ANY COMPUTER COURSE? NO
    PAYMENT DETAILS:
    PAYMENT BANK : SBI
    TRANSACTION ID : 6363149237035
    TRANSACTION DATE : 2023-12-09 21:40:02
    REGISTRATION FEE (RS.) : 540
    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
    VIEW UPLOADED NON CREAMY LAYER 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 : 18-03-2024 23:55:23
    NOTE: PLEASE KEEP YOUR REGISTRATION NO.,PASSWORD,MOBILE NO AND EMAIL-ID CAREFULLY FOR FURTHER REFERENCE.

    https://www.onlinebssc.com/interleveledit24/confirmation.php 2/2

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