Candidate's Registration Number : 1019122669

I have read and understood the instructions. I have downloaded the form filled up by me and taken its print out. I have also gone through the particulars as
mentioned in the form filled up by me/on my behalf and found the same correct and in accordance with documents/my certificate issued by
Board/College/University and all the particulars are correct as per record. I fully understand that no application for correction of particulars shall be entertained
by the commission in this regard. I give my acceptance for uploading the form after going through the particulars and I agree to abide by the terms and
conditions of General Instructions and other instructions. I fully understand that no separate information shall be given to me individually and all the
information shall be given on website or in the newspapers.

म�न� सभ� �नयम एवम �नद� श पढ़ और समझ �लए ह� | म�न� अपन� ��र� भर� गय� ए��क�शन ��म� क� ���ट ल� �लय� ह� , स�थ ह� म�न� सभ� भर� गय� ज�नक��रय�� प�र� तरह ज�� च ल�
ह� ज� म�र� ��र� अथव� म�र� �नर� द� ��न�स�र �कस� और क� ��र� ए��क�शन ��म� म� द� गय� ह� . म�न� प�य� ह� क� सभ� ज�नक��रय�� म�र� द��व�ज�� ज� क� म�झ� म�र� ��ल, क�ल�ज अथव�
य��नव�स�ट� स� ��प्त ह� , उनस� म�ल ��त� ह� . म�झ� ��त ह� क� इसक� ब�द ड�ट� ��क करन� ह� त� �कस� भ� तरह क� ए��क�शन HSSC ��र� ��क�र नह�� क� ज�एग�. म� सभ�
ज�नक��रय�� ज�� च ल� ह� और म� सभ� �नयम�� व� �नद� श�� स� सहमत हू� तथ� स�थ ह� अपन� सहम�त स� य� अ���क��तय� ��म� अपल�ड करव� रह�/ रह� हू | म�झ ��त ह� क� क�ई भ�
अलग स� ज�नक�र� म�झ� नह�� द� ज�एग� और सभ� ज�नक��रय�� व�बस�इट व� सम�च�र पत्र म� द� ज�एग� |

AKASH KUMAR SINHA

Signature of the Candidate :