REGISTRATION SLIP

APPLICATION NO : BAC013509

CANDIDATE NAME : VISHAL KUMAR

ARE YOU INDIAN CITIZEN: YES

ARE YOU DOMICILE OF BIHAR : YES

FREEDOM FIGHTER : NO

FREEDOM FIGHTER IS DOMICILE OF BIHAR: NA

POST APPLIED FOR : BLOCK ACCOUNTANT
HAVE YOU COMPLETED ANY CERTIFICATE/DIPLOMA
COURSE IN COMPUTER APPLICATION WITH TALLY YES INSTITUTION NAME : SUCHNA TECHNOSYS SANSTHAN PVT. LTD.
(COURSE DURATION OF MINIMUM SIX MONTHS)?
B. COM (FULL TIME) FROM ANY RECOGNIZED INSTITUTE / UNIVERSITY WITH ANY CERTIFICATE/DIPLOMA COURSE IN
ESSENTIAL QUALIFICATION :
COMPUTER APPLICATION WITH TALLY (COURSE DURATION OF MINIMUM SIX MONTHS)
DATE OF BIRTH : 1-Feb-1988 AGE : 31 YEARS, 11 MONTHS, 0 DAYS
GENDER MALE CATEGORY MBC
ARE YOU A PWD WITH 40% OR MORE PERMANENT
NO
DISABILITY ? :
FATHER NAME : SURESH PRASAD MOTHER NAME : KIRAN DEVI
ID PROOF : AADHAR CARD ID PROOF NO : 516487189262
MARITAL STATUS : MARRIED
ADDRESS FOR COMMUNICATION : S/O- SURESH PRASAD, , AT- MOSIMPUR KURTHA, PO+PS- FATUHA, BIHAR, PATNA, 803201
PERMANENT ADDRESS : S/O- SURESH PRASAD, , AT- MOSIMPUR KURTHA, PO+PS- FATUHA, BIHAR, PATNA, 803201

Educational Qualifications

NAME OF THE
BOARD/COUNCIL/UNIVERSITY TO YEAR OF MAXIMUM OBTAINED PERCENTAGE
EDUCATIONAL SCHOOL/COLLEGE/INSTITUTION SUBJECT/STREAM
WHICH THE INSTITUTION IS PASSING MARKS MARKS OF MARKS
AFFILIATED

SECONDARY (X) HIGH SCHOOL FATUHA BSEB ALL 2003 700 374 53.43

B. COM (FULL TIME) FROM

ANY RECOGNIZED
INSTITUTE / UNIVERSITY
WITH ANY
CERTIFICATE/DIPLOMA COLLEGE OF COMMERCE PATNA MAGADH UNIVERSITY ACCOUNT HONS 2010 800 480 60.00
COURSE IN COMPUTER
APPLICATION WITH TALLY
(COURSE DURATION OF
MINIMUM SIX MONTHS)

Documents and Photograph Upload

Photograph Uploaded

Signature Uploaded

PAYMENT DETAILS

Amount Paid Payment Status Transaction Number Transaction Date

Rs 500 Success 729732407201082813 24/07/2020 10:17:26 am

I do hereby undertake that the information furnished in this online application is true. If in future, any of the information furnished by me in this application or any certificate/document produced by me in support of
eligibility conditions laid down in this advertisement is found to be fake or if for any reason I am later found not eligible for the post applied for, my candidature as well as consequential selection or engagement if any
shall be cancelled without notice. In that event, the authorities shall not be held responsible for cancellation of my candidature/selection/engagement. I shall also be punished as per law for providing false information or
producing fake documents.

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