Government of Bihar

Bihar Combined Entrance Competitive Examination Board

Online Application Form for Bihar Combined Entrance Competitive Examination (BCECE)- 2025 for admission to First Year
Degree Courses.

Registration No. Please do not send this Confirmation Page to BCECE Board
2511207000788

Personal Details:
Name of Examination : BCECE-2025

Course Group Applied For : PCM (Physics + Chemistry + Maths)

Candidate's Name: URUBA JAHAN

Father's Name: MD SHAH JAHAN

Mother's Name: SHAHEEN KHATOON

Date Of Birth: 14-03-2006

Gender: Female

Category: UNRESERVED [UR]

Mobile No.: 628****264

Email Id: Sha***************com

Class 10th Roll No. (As printed on Admit Card): 221**958

Note : Please Affix your same photo and put
Permanent resident of Bihar: Yes your full signature in English and Hindi in space
provided above
Residential Eligibility:

Disabled Quota: NO
If you unable to write due to permanent loss of limbs / suffering from Cerebral NA
palsy, then do you claim for providing Scribe:
District Name of the Institution of Passed / Appearing at I.sc or Equivalent: GAYA

Mark of Identification: A MOLE ON FACE

Is your Family [Father/Mother] annual income is less than 8 Lakhs: YES

Subject Group Passed / Appeared: PCM (PHYSICS + CHEMISTRY + MATHS)

Do you Claim for Service Men's Quota [SMQ]: No
Are you Son / Unmarried Daughter of Ex-Servicemen / Retired / Serving NA
Military Personnel :
Do you claim for Self-Financed Scheme seat?: NO

Do you claim for NRI Quota?: NO

Educational Details:

Level School/ College Board/ University Passing Passing Marks Total Marks % of marks /
Name Name Status Year Obtained CGPA
Class 10th or Equivalent N.S MEMORIAL CENTRAL BOARD OF Passed 2021 352 500 70.4
LOYALA CONVENT SECONDARY
SCHOOL EDUCATION
Class 12th or Equivalent MIRZA GHALIB BIHAR SCHOOL Passed 2023 400 500 80
COLLEGE, GAYA EXAMINATION
COLLEGE IN GAYA, BOARD
BIHAR OVERVIEW

Registration No.: 2511207000788 Generated On: 14-04-2025 12:35:04 PM Page No. 1

 Government of Bihar

Bihar Combined Entrance Competitive Examination Board

Online Application Form for Bihar Combined Entrance Competitive Examination (BCECE)- 2025 for admission to First Year
Degree Courses.

Subject Wise Marks Details:

Name of Subject Max Marks Obtained Marks

English 100 84
Physics 100 83
Chemistry 100 65
Mathematics 100 92
% of Marks Obtained in English :84| % of Marks Obtained in PCM (Physics + Chemistry + Maths):80

Payment Details:
Payment Mode Journal No./Transaction No. Deposit Date Amount (in Rs.)

UPI: Bank Account BHD5B420I9O970 2025/04/14T12:33:46 Rs. One Thousand Only

Address Details:

A. Permanent Address: B. Correspondence Address:

LAXMIPUR BELAGUNJ GAYA LAXMIPUR BELAGUNJ GAYA
GAYA GAYA

District: GAYA District: GAYA

State: Bihar State: BIHAR

Pin Code: 804404 Pin Code: 804404

Declaration by the Candidate:

I URUBA JAHAN declare that the informations furnished above are correct and I shall forfeit my candidature and will be liable for legal action in case of
any of them is proved to be false at any stage inclusive of admission or thereafter.

Date : .......................

Place : ...................... (Signature in English) (Signature in Hindi)

Registration No.: 2511207000788 Generated On: 14-04-2025 12:35:04 PM Page No. 2

 Government of Bihar

Bihar Combined Entrance Competitive Examination Board

Online Application Form for Bihar Combined Entrance Competitive Examination (BCECE)- 2025 for admission to First Year
Degree Courses.

(A) Declaration of the Candidate (Not in Capital letters)

I URUBA JAHAN Son/Daughter of MD SHAH JAHAN hereby solemnly and sincerely affirm the statements made and information furnished above by me
and in the enclosures hereby submitted by me are true and correct. I have not kept my information secret. If, however, it is found that any information
furnished therein is fraudulent, incorrect or untrue in materials / particulars, I realize that I am liable criminal prosecution and agree to forego my seat in the
college and further that the selection and admission to this course is liable to be canceled. I agree to abide by the rules and regulations governing this
Examination and as contained in the prospectus of BCECE - 2025

Repeat below in your handwriting (not in capital letters) the above mentioned Declaration and put your signature in English and Hindi at the
specified spaces as signed in Part A of the Online Application Form. If you fail to do so, your Candidature shall be rejected:

.........................................................................................................................................................................................................................................

.........................................................................................................................................................................................................................................

.........................................................................................................................................................................................................................................

.........................................................................................................................................................................................................................................

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Place : .............................. (Signature in English) ..............................

Date : .............................. (Signature in Hindi) ..............................

......................................
(Counter signature of the Father/Mother/Guardian)

List of Enclosures:

1. ............................................................... 2. ...............................................................

3. ............................................................... 4. ...............................................................

5. ............................................................... 6. ...............................................................

7. ............................................................... 8. ...............................................................

Registration No.: 2511207000788 Generated On: 14-04-2025 12:35:04 PM Page No. 3

 Government of Bihar

Bihar Combined Entrance Competitive Examination Board

Online Application Form for Bihar Combined Entrance Competitive Examination (BCECE)- 2025 for admission to First Year
Degree Courses.

(AT THE TIME OF COUNSELLING / INTERVIEW ONLY)

(I.) Full Signature of Candidate (English) ........................ (II.) L.T.I. of the Candidate

(Hindi) ...........................

FOR OFFICE USE OF THE CONCERNED INSTITUTE

Roll No. .............................................. Category .............................................. Merit Serial .............................................. of BCECE-2025 in the First

Year of .............................................. Course / Branch of the Institute .............................................. as He/She fulfilled all the requirements of being

admitted.

SEAL OF THE INSTITUTE SIGNATURE OF THE DIRECTOR / PRINCIPAL

Registration No.: 2511207000788 Generated On: 14-04-2025 12:35:05 PM Page No. 4