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OFFICE OF THE CONVENOR, CENTRALIZED SELECTION AND APPOINTMENT COMMITTEE-CUM-DISTRICT & SESSIONS JUDGE, PATNA ome Seitationfom aomaLDetals Edualon Deals Photnonnind rin’ Admit card econ No. sare eciaon Oe soeY0807 Pa Apled Pout Wael — Fareed sores sei osacumawoy Fah wo se tome cosa er eto ay Caner te arias Uy Eas sagubannt0@grolcom| MobleNumbnr 706082 pau Name comooy un feelenteramarr Keeamanion |_| oR mrsahtnmp ety WN Prethavng Aad cd Dns treo! suprauiy ———lonaty No mt oy Am youn ser min Ae you Pron wth Din wih at ‘Serviceman? N° ‘Number 40% disability? haity pe conta es tt nu: An you ard , cried io rdf radon gers mbar ome er Ayo a Goverment only who tinal cor FR Det cnnal fentended elven tee yeose? Ne ‘rontresg No pet "Soran sonneon eer run ‘ome ommuneton Aes tap Rp Stor Sour aga Bar 8 mann Aone apr Raper sor Sobor Baga Bar 28 Esse uesion Sama TS Tame Tan pecan PRETO ORANT WN CORSO, CO Degua_Schaoluguasty BouraUnowy Yor None woe” * Se moe sronenire Maictaten 1a JOSE ag or arma rsa8 + aarr Inmate Scene GURUNAWAK ESE gg suns mao souo 1 ise wena sacrevors Collector aacieionor stscrmcaLs Grrdmion OF cemng SMOWEERING, ENOMECRNG eLecrnonce 7% 70 M50 ets ' aanontone say \ niesion Soa ot Comp Roo cara Name ttn Posing Yo niet Naber Compt oven MicinaramaNCoULESEOr a rerio tncinzerne etn Mote et ane ment amount Famer Tana uossy ——payuntdate——so02002 Declaration (Uploaded by the candidates in his/her own handwriting) ald aah (Hindi Signature of Applicant) Sanpisd Arjuna (English Signature of Applicant

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