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Common Application Form 19J15658090

For Admission to Intermediate Courses Session 2019-21
Bihar School Examination Board, Government of Bihar
Sunday, Jun 9, 2019 00:04:12 AM
Intermediate
1 Details of 10th Examination. / दसवी ं परी ा की िववरणी |
Name of the Examination Board Year of Passing Exam Type
िव ालय परी ा बोड का नाम आपने िकस साल परी ा उ ीण की है | आपने कौन सी परी ा पास की है
BSEB, BIHAR 2019 Annual

Date of Birth / ज ितिथ Roll Code / रोल कोड Roll Number / रोल नंबर
01-Jan-2003 31097 1910484

Applicant's Name
2 SAKET KUMAR
आवेदक का नाम
Father's Name
3 JAYPRAKSH PASWAN
आवेदक के िपता का नाम
Mother's Name
4 SUNITA DEVI
आवेदक की माता का नाम

5.
Details of Mark/Grade Secured in 10th Maximum Mark Total Mark Secured
a. Board Examination /
500 221
दसवी म ा िवषयवार ा ांक की िववरणी
Note : Selection of the students will be done based on the Total Marks obtained in the Qualifying Board Examination.
ान द : छा ों का चयन सूची म चयन बोड परी ा म कुल ा ां क के आधार पर होता है |
Have you passed 10th Board Exam
Compartmentally or through
b. Improvement Examination? / No / नही ं
ा अपने दसवी की परी ा पूरक-परी ा
अथवा समु त परी ा म उतीण की ह ?

Record of educational institution last attended from which you have passed 10th Examination
6.
आपने िजस ू ल से दसवी की परी ा उतीण की है उसकी िववरणी |
Name of the School /
a. M S HIGH SCHOOL BIHPUR BHAGALPUR
िव ालय का नाम
Location of the School /
b. BIHPUR c. District / िजस िजले म आपका िव ालय है BHAGALPUR
िव ालय का पता
Year of Joining / आपने िकस साल Year of Leaving / आपने िकस साल िव ालय
d. 2017 e. 2019
उस िव ालय म नामां कन िलया था से परी ा उतीण की है

Personal Details Gender / िलंग Mother Tongue / मातृभाषा Nationality / नाग रकता Religion / धम Blood Group / र समूह
7.
आवेदक की िववरणी MALE HINDI INDIAN HINDU

8. Address for Correspondence / प ाचार का पता

Block / Municipality /
a. State / रा BIHAR b. District / िजला BHAGALPUR c. BIHPUR
खंड / नगर प रषद् े
d. Address / पता AT BIKRAMPUR PO BIHPUR PS BIHPUR e. PIN Code / िपन कोड 853201

Mobile No. Telephone No.

f. 9546381873 g. e-Mail / ई-मेल siratzerox@gmail.com h.
मोबाइल नंबर दू रभाष सं ा |

9. Reservation Details / आर ण की िववरणी

General / सामा वग No Schedule Caste (SC) / अनुसूिचत जाित Yes Schedule Tribe (ST) / अनुसूिचत जनजाित No
a.
Backward Class(BC) / अ Extremly Backward Class (EBC) / अ ंत Women Backward Class (WBC) / िपछड़े वग की
No No No
िपछड़ा वग िपछड़ा वग मिहलाये

b. Specially Added ( िद ां ग ) No EWS (Economically Weaker Section) No

11. Option(s)/Choice(s) Details

Option College Name Stream
FIRST BANARSI LAL SARAF VANIJYA COLLEGE,NAWGACHIA,BHAGALPUR Commerce
SECOND NAKCHHEDI KUNWAR HIGH SCHOOL, JHANDAPUR, BHAGALPUR Commerce
THIRD MARWARI COLLEGE, BHAGALPUR Commerce
FOURTH SABOUR COLLEGE, SABOUR, BHAGALPUR Commerce
FIFTH +2 HIGH SCHOOL, NAUGACHHIA, BHAGALPUR Commerce
SIXTH +2 MARWARI PATHSHALA BHAGALPUR Commerce

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6/9/2019 https://online.ofssbihar.in/ONLINE_CAF/CAFJr.aspx?enc=Zh0FA9fEZ5pQR90vKS5vNd23R8y2QwEhp9Llw3RaOFo2ofpLy3j0Gaxdhq6KU…
SEVENTH HIGH SCHOOL, JAYRAMPUR DHARMPURRATI,BIHPUR,BHAGALPUR Commerce
EIGHTH T N B COLLEGIATE INTER SCHOOL, BHAGALPUR Commerce
NINTH Rajkiykrit Ucch Vidyalaya, Akbarpur, Bhagalpur Commerce
TENTH +2 R.D.P.HIGH SCHOOL DUBAULI, AMMAPALI, BHAGALPUR Commerce
12. Transaction Details
Client Transaction Id 156AF746A5919J15658090 Bank Transaction Id 6037659992215 Amount Rs.300 Status SUCCESS

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