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    Registration Slip 2300611067

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    sahilshahzada24

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    © All Rights Reserved
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    Registration Slip 2300611067

    Uploaded by

    sahilshahzada24
    47 views2 pages

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    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
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    Download as pdf or txt
    47 views2 pages

    Registration Slip 2300611067

    Uploaded by

    sahilshahzada24

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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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.: 2300611067
    FORM NO. : 3300611067
    NAME OF APPLICANT : SAQUIB SHAHZADA
    FATHER'S NAME : MD SALAHUDDIN
    MOTHER'S NAME : RIZWANA KHATOON
    GENDER : MALE
    MOBILE NO. : 8298441097
    EMAIL ID : SHAHZADASAQUIB@GMAIL.COM
    DATE OF BIRTH : 07-02-1995 LIVE PHOTO

    AGE AS ON 01-08-2023 : 28 YEARS, 5 MONTHS, 25 DAYS


    NATIONALITY : INDIAN
    CATEGORY : EBC
    DO YOU BELONG TO NON-CREAMY LAYER ? : YES
    (EBC/BC-NCLC CERTIFICATE NUMBER) / (SC/ST-CASTE CERTIFICATE
    NCLCO/2023/1600249
    NUMBER) / (EWS-CERTIFICATE NUMBER) :
    ISSUE DATE OF CERTIFICATE : 09-11-2023
    CERTIFICATE ISSUING AUTHORITY : RO
    DOMICILE OF BIHAR STATE : YES
    PHOTO
    ISSUE DATE OF DOMICILE CERTIFICATE: 28-10-2021
    ISSUE NUMBER OF DOMICILE CERTIFICATE : BRCCO/2021/6125964
    DOMICILE CERTIFICATE ISSUING OTHER COMPETENT AUTHORITY : RO
    ARE YOU PERSON WITH DISABILITY? : NO
    SIGNATURE IN ENGLISH

    SIGNATURE IN HINDI

    DO YOU HAVE AADHAR CARD? : YES (AADHAR CARD NUMBER: 454447567353)


    ID PROOF : AADHAAR CARD ID PROOF NO : 454447567353
    BIHAR GOVERNMENT EMPLOYEE WHO HAS RENDERED NOT LESS THAN 3 YEARS REGULAR AND
    NO
    CONTINUOUS SERVICE? :
    WHICH ATTEMPT IS OF INTER LEVEL EXAMINATION? : 02
    IDENTIFICATION MARK OF THE CANDIDATE : A CUT MARK ON LEFT EYEBROW
    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)? :
    WORKED/WORKING AS CONTRACTUAL EMPLOYEE IN BIHAR GOVERNMENT: NO
    ADDRESS DETAILS

    CORRESPONDENCE ADDRESS PERMANENT ADDRESS

    AT MAYAGANJ NEAR R.E.O OFFICE PO AT MAYAGANJ NEAR R.E.O OFFICE PO


    ADDRESS: ADDRESS:
    BARARI PS BARARI DIST BHAGALPUR BARARI PS BARARI DIST BHAGALPUR

    VILLAGE/MOHALLA: MAYAGANJ VILLAGE/MOHALLA: MAYAGANJ


    POST OFFICE: BARARI POST OFFICE: BARARI
    POLICE STATION: BARARI POLICE STATION: BARARI
    DISTRICT: BHAGALPUR DISTRICT: BHAGALPUR
    STATE: BIHAR STATE: BIHAR

    PIN CODE: 812003 PIN CODE: 812003


    EDUCATIONAL QUALIFICATIONS
    EDUCATION SUBJECT BOARD / TOTAL MARKS MARKS PERCENTAGE PASSINGDATE CERTIFICATE
    UNIVERSITY / OBTAINED NUMBER
    INSTITUTE
    10TH / EQUIVALENT ALL SUBJECTS CBSE 500 408.5 81.60 28-05-2010 465532
    12TH / EQUIVALENT
    12TH/INTERMEDIATE PCM BSEB 500 340 68.00 30-10-2015 330951
    (SCIENCE)
    TECHNICAL SKILL
    HAVE YOU DONE ANY COMPUTER COURSE? YES
    NAME OF INSTITUTE COURSE DETAILS PASSING DATE CERTIFICATE NO.
    BRIGHT STAR CAREER COMPUTER CENTER ADCA 05-03-2014 11133
    PAYMENT DETAILS:
    PAYMENT BANK : SBI
    TRANSACTION ID : 6127907428526
    TRANSACTION DATE : 2023-11-28 14:43:26
    REGISTRATION FEE (RS.) : 540
    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 : 28-11-2023 16:07:59
    PLACE: BHAGALPUR
    DECLARATION ACCEPTED : YES

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

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