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