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BIHAR STAFF SELECTION COMMISSION


P.O-VETERINARY COLLEGE, PATNA - 800014
ADVERTISEMENT NO. 01/2022
PERSONAL DETAILS
REGISTRATION NO.: 4220326496
FORM NO. : 5220326496
NAME OF APPLICANT : JYOTAK VATS
FATHER'S NAME : LALAN KUMAR JHA
MOTHER'S NAME : BIBHA JHA
GENDER : MALE
MOBILE NO. : 8017251410
EMAIL ID : LAW.ADDA24X7@GMAIL.COM
DATE OF BIRTH : 28-01-1993 PHOTO

AGE AS ON 01-08-2021 : 28 YEARS, 6 MONTHS, 4 DAYS


AGE AS ON 01-08-2015 : 22 YEARS, 6 MONTHS, 4 DAYS
NATIONALITY : INDIAN
SIGNATURE IN ENGLISH
CATEGORY : GEN

SIGNATURE IN HINDI

DOMICILE OF BIHAR STATE : NO


ARE YOU PERSON WITH DISABILITY? : NO
TYPE OF ID PROOF : AADHAAR CARD ID PROOF NO : 459710181648
BIHAR GOVERNMENT EMPLOYEE WHO HAS RENDERED NOT LESS
NO
THAN 3 YEARS REGULAR AND CONTINUOUS SERVICE? :
DO YOU HAVE EDUCATIONAL QUALIFICATION AS PER
YES
ADVERTISEMENT ? :
IDENTIFICATION MARK OF THE CANDIDATE : CUT MARK ON RIGHT HAND
ARE YOU AN EX-SERVICEMAN? : NO   
WARD OF FREEDOM FIGHTER? : NO
ADDRESS DETAILS

CORRESPONDENCE ADDRESS PERMANENT ADDRESS


102X P.N MITRA BRICK FIELD ROAD 102X P.N MITRA BRICK FIELD ROAD
ADDRESS: ADDRESS:
KOLKATA KOLKATA
VILLAGE/MUHALLA: TARAPARK VILLAGE/MUHALLA: TARAPARK
POST OFFICE: NEW ALIPORE POST OFFICE: NEW ALIPORE

POLICE STATION: BEHALA POLICE STATION: BEHALA


DISTRICT: KOLKATA DISTRICT: KOLKATA
STATE: WEST BENGAL STATE: WEST BENGAL
PIN CODE: 700053 PIN CODE: 700053
EDUCATIONAL QUALIFICATIONS
EDUCATION SUBJECT BOARD/UNIVERSITY/INSTITUTE PASSING YEAR CERTIFICATE
NUMBER
ENGLISH HINDI ENVIRONMENT
10TH / COUNCIL FOR INDIAN SCHOOL
HISTORY GEOGRAPHY 2008 TW 60047868
EQUIVALENT CERTIFICATE EXAMINATIONS
MATHEMATICS SCIENCE COMPUTER
GRADUATION CHEMISTRY LALIT NARAYAN MITHILA UNIVERSITY 2013 130802074
PAYMENT DETAILS:
PAYMENT BANK : SBI
TRANSACTION ID : 1728079951618
TRANSACTION DATE : 2022-05-13 19:10:33
REGISTRATION FEE (RS.) : 540
DECLARATION DETAILS:
I HEREBY DECLARE THAT I AM A CITIZEN OF INDIA. THE ENTRIES IN THIS APPLICATION FORM ARE COMPLETE, TRUE AND CORRECT TO THE BEST OF
MY KNOWLEDGE AND BELIEF. I HAVE READ CAREFULLY ALL THE EXAMINATION RULES AND PROVISIONS RELATED TO THIS ADVERTISEMENT AND I
PROMISE TO FOLLOW THESE AND ALSO PROMISE THAT I WILL NOT USE ANY UNFAIR MEANS DURING EXAMINATION. I FULFILL ALL THE ELIGIBILITY
CRITERIA I.E. AGE LIMIT, EDUCATIONAL QUALIFICATION TODAY AS PRESCRIBED IN THE ADVERTISEMENT. I HAVE ALL THE ELIGIBILITY CERTIFICATES,
WHENEVER THE BSSC WILL ASK FOR IT I WILL PRODUCE THE SAME FAILING WHICH MY CANDIDATURE CAN BE CANCELLED BY THE BSSC AT ANY TIME.
IN CASE OF ANY INFORMATION PROVIDED BY ME FOUND TO BE FALSE OR INCORRECT BEFORE OR AFTER THE EXAMINATION, THE BSSC CAN CANCEL
MY CANDIDATURE AND ALSO INITIATE THE LEGAL PRECEDINGS AGAINST ME. I DECLARE THAT I HAVE FILLED ONLY ONE APPLICATION FORM FOR THIS
EXAMINATION.
     DATE : 03-05-2022
     PLACE: KOLKATA
     DECLARATION ACCEPTED : YES     

NOTE: PLEASE KEEP YOUR REGISTRATION NO.,PASSWORD,MOBILE NO AND EMAIL-ID CAREFULLY FOR FURTHER REFERENCE.

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