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    BSSC

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    Mr Shorts

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    © All Rights Reserved
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    BSSC

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    BSSC

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    Mr Shorts

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    1/22/24, 12:02 PM Updated Application Form 2301009947

    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.: 2301009947
    FORM NO. : 3301009947
    NAME OF APPLICANT : SAROJ KUMAR CHOUDHARY
    FATHER'S NAME : MUKUND CHOUDHARY
    MOTHER'S NAME : RAMREKHA DEVI
    GENDER : MALE
    MOBILE NO. : 6201238498
    EMAIL ID : SAROJCHOUDHARY020888@GMAIL.COM
    DATE OF BIRTH : 02-08-1988 LIVE PHOTO

    AGE AS ON 01-08-2023 : 34 YEARS, 11 MONTHS, 30 DAYS


    NATIONALITY : INDIAN
    CATEGORY : GEN
    DO YOU BELONG TO EWS? : YES
    (EBC/BC-NCLC CERTIFICATE NUMBER) / (SC/ST-CASTE
    BCCCO/2023/4308866
    CERTIFICATE NUMBER) / (EWS-CERTIFICATE NUMBER) :
    ISSUE DATE OF CERTIFICATE : 01-07-2023
    CERTIFICATE ISSUING AUTHORITY : RO
    DOMICILE OF BIHAR STATE : YES
    ISSUE DATE OF DOMICILE CERTIFICATE: 01-07-2023 PHOTO

    ISSUE NUMBER OF DOMICILE CERTIFICATE : BRCCO/2023/5803464


    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: 524018143572)


    ID PROOF : AADHAAR CARD ID PROOF NO : 524018143572
    BIHAR GOVERNMENT EMPLOYEE WHO HAS RENDERED NOT LESS THAN 3 YEARS
    NO
    REGULAR AND CONTINUOUS SERVICE? :
    WHICH ATTEMPT IS OF INTER LEVEL EXAMINATION? : 01
    IDENTIFICATION MARK OF THE CANDIDATE : MOLE ON LEFT SOULDER
    ARE YOU AN EX-SERVICEMAN? : NO
    WARD OF FREEDOM FIGHTER? : NO
    HAVE YOU EVER BEEN DEBARRED FROM ANY COMPETITIVE EXAMINATION
    YES
    (UPSC/BOARD/STATE COMMISSION/ANY OTHER)? :
    WORKED/WORKING AS CONTRACTUAL EMPLOYEE IN BIHAR GOVERNMENT: NO
    ADDRESS DETAILS

    CORRESPONDENCE ADDRESS PERMANENT ADDRESS


    ADDRESS: VILL-LADARI POST-S.LALGANG PS-KEOTI ADDRESS: VILL-LADARI POST-S.LALGANG PS-KEOTI
    VILLAGE/MOHALLA: LADARI VILLAGE/MOHALLA: LADARI

    POST OFFICE: SAMAILALAL GANG POST OFFICE: SAMAILALAL GANG


    POLICE STATION: KEOTI POLICE STATION: KEOTI
    DISTRICT: DARBHANGA DISTRICT: DARBHANGA

    STATE: BIHAR STATE: BIHAR


    PIN CODE: 847121 PIN CODE: 847121
    EDUCATIONAL QUALIFICATIONS
    EDUCATION SUBJECT BOARD / TOTAL MARKS PERCENTAGE PASSINGDATE CERTIFICATE
    UNIVERSITY / MARKS OBTAINED NUMBER
    INSTITUTE
    HINDI ENGLISH
    10TH / EQUIVALENT MATH SCIENCE BSEB 700 440 62.86 25-07-2003 0099549
    SST SANSKRIT
    12TH / EQUIVALENT PHYSICS BSEB 900 447 49.67 30-11-2005 3031434
    12TH/INTERMEDIATE CHEMISTRY
    (SCIENCE)

    https://www.onlinebssc.com/interleveledit24/confirmation.php 1/2
    1/22/24, 12:02 PM Updated Application Form 2301009947
    BIOLOGY HINDI
    ENGLISH
    TECHNICAL SKILL
    HAVE YOU DONE ANY COMPUTER COURSE? NO
    PAYMENT DETAILS:
    PAYMENT BANK : SBI
    TRANSACTION ID : 7388156168436
    TRANSACTION DATE : 2023-10-27 15:06:40
    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 EWS 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 : 22-01-2024 12:02:34
    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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