Government of Bihar

Bihar Combined Entrance Competitive Examination Board

Diploma Certificate Entrance Competitive Examination - 2023
Online Application Form for admission in Various Diploma Courses of Govt. / Pvt. Polytechnic Institutions of Bihar and
Various Para Medical Matric (Matric Level) and Para Medical (Intermediate Level) of Different Govt. / Pvt. Recognised
Hospitals / Institutions (as per prospectus) for the Session 2023.

Registration No.
Please do not send this Hard Copy to BCECE Board
4230233943
PART A
1. Name of Examination : DCECE-2023

2. Course Group Applied For : PE

3. Candidate's Name : AARUSHI ANAND

4. Father's Name : BINOD PODDAR

5. Mother's Name : NALINI KUMARI

6. Date of Birth : 19 / DECEMBER / 2007

7. Gender : FEMALE

8. Category : BC (BACKWARD CLASS)

9. Mobile No : 886****323

10. Email ID : FRESHDRAWING4@GMAIL.COM

11. Aadhaar No : 895****338

12. Are you permanent resident of Note : Please Affix your same photo and put your full signature in
YES English and Hindi in space provided above
Bihar? :

13. Residential Eligibility :

14. Disabled Quota : NO

15. If you unable to write due to permanent loss of limbs / suffering from Cerebral palsy,
N/A
then do you claim for providing Scribe :

16. Is your Family (Father/Mother) annual income is less than 8 Lakhs : YES

17. Do you Claim for Service Men's Quota (SMQ) : NO

18. Are you Son / Unmarried Daughter of Ex-Servicemen / Retired / Serving Military
N/A
Personnel :

19. District Name of the Institution of Passing/Appearing in Qualifying Exam : BHAGALPUR

20. Mark of Identification : CUT MARK ON FOREHEAD

21. Have you already completed ANM Course : N/A

22. Educational Details :

School/ % of
Board/ University Passing Passing Marks Total
Level Subject College marks /
Name Status Year Obtained Marks
Name CGPA

CENTRAL BOARD
ALL VJ INTNL
SECONDARY/STANDARD X OF SECONDARY PASSED 2023 417 500 83.40%
SUBJECTS SCHOOL
EDUCATION

Registration No: 4230233943 Page: 1/6

 23. Payment Details :

Payment Mode Journal No./Transaction No. Deposit Date Amount (in Rs.)

UPI 1042571684512106252 20/05/2023 05:07 PM Rs.SEVEN HUNDRED AND FIFTY ONLY

24. Address Details

A. Permanent Address: B. Correspondence Address:

BLOCK ROAD BLOCK ROAD
DILGOURI DILGOURI
SULTANGANJ SULTANGANJ
District: BHAGALPUR District: BHAGALPUR
State: BIHAR State: BIHAR
Pin Code: 813213 Pin Code: 813213

25. Declaration by the Candidate :

I AARUSHI ANAND declare that the informations furnished above are correct and I shall forfeit my candidature and will be liable for legal action in
case of any of them is proved to be false at any stage inclusive of admission or thereafter.

Date : .......................

Place : ...................... (Signature in English) (Signature in Hindi)

Registration No: 4230233943 Page: 2/6

 Government of Bihar
Bihar Combined Entrance Competitive Examination Board
Diploma Certificate Entrance Competitive Examination - 2023
Online Application Form for admission in Various Diploma Courses of Govt. / Pvt. Polytechnic Institutions of Bihar and
Various Para Medical Matric (Matric Level) and Para Medical (Intermediate Level) of Different Govt. / Pvt. Recognised
Hospitals / Institutions (as per prospectus) for the Session 2023.

Registration No.
4230233943
PART B
Selected for admission (1st Counselling)
Against Roll No...........................................
Category..........................................................
Merit Serial.......................................................
at...................................................(institution)
in...................................................(Course/Branch) in...................................................(Course/Branch) in...................................................(Course/Branch)
Please do not send this Hard Copy to BCECE Board
(For Office use only)
Selected for admission (2nd Counselling)
Against Roll No...........................................
Category..........................................................
Merit Serial.......................................................
at...................................................(institution)
Selected for admission (Mop-Up Counselling)
Against Roll No...........................................
Category..........................................................
Merit Serial.......................................................
at...................................................(institution)

...................... ...................... ...................... ...................... ...................... ...................... ...................... ...................... ......................

Signature of Signature of Controller of Signature of Signature of Controller of Signature of Signature of Controller of
the the verifying Examination the the verifying Examination the the verifying Examination
Candidate Officer BCECEB Candidate Officer BCECEB Candidate Officer BCECEB
(At the time of DCECE-2023 (At the time of DCECE-2023 (At the time of DCECE-2023
Counselling) Counselling) Counselling)

Date : ....................................... Date : ....................................... Date : .......................................

1. Name of Examination : DCECE-2023

2. Course Group Applied For : PE

3. Candidate's Name : AARUSHI ANAND

4. Father's Name : BINOD PODDAR

5. Mother's Name : NALINI KUMARI

6. Date of Birth : 19 / DECEMBER / 2007

7. Gender : FEMALE

8. Category : BC (BACKWARD CLASS)

9. Mobile No : 886****323

10. Email ID : FRESHDRAWING4@GMAIL.COM

11. Aadhaar No : 895****338

12. Are you permanent resident of Note : Please Affix your same photo and put your full signature in
YES English and Hindi in space provided above
Bihar? :

13. Residential Eligibility :

14. Disabled Quota : NO

15. If you unable to write due to permanent loss of limbs / suffering from Cerebral palsy,
N/A
then do you claim for providing Scribe :

Registration No: 4230233943 Page: 3/6

16. Is your Family (Father/Mother) annual income is less than 8 Lakhs : YES

17. Do you Claim for Service Men's Quota (SMQ) : NO

18. Are you Son / Unmarried Daughter of Ex-Servicemen / Retired / Serving Military
N/A
Personnel :

19. District Name of the Institution of Passing/Appearing in Qualifying Exam : BHAGALPUR

20. Mark of Identification : CUT MARK ON FOREHEAD

21. Have you already completed ANM Course : N/A

22. Address Details

A. Permanent Address: B. Correspondence Address:

BLOCK ROAD BLOCK ROAD
DILGOURI DILGOURI
SULTANGANJ SULTANGANJ
District: BHAGALPUR District: BHAGALPUR
State: BIHAR State: BIHAR
Pin Code: 813213 Pin Code: 813213

23. Educational Details :

School/ % of
Board/ University Passing Passing Marks Total
Level Subject College marks /
Name Status Year Obtained Marks
Name CGPA

CENTRAL BOARD
ALL VJ INTNL
SECONDARY/STANDARD X OF SECONDARY PASSED 2023 417 500 83.40%
SUBJECTS SCHOOL
EDUCATION

Registration No: 4230233943 Page: 4/6

 24.(A) Declaration of Candidate :

.........................................................................................................................................................................................................................................

.........................................................................................................................................................................................................................................

.........................................................................................................................................................................................................................................

.........................................................................................................................................................................................................................................

.........................................................................................................................................................................................................................................

Place : ..............................

.......................................................................... ..........................................................................
Date : ..............................
(Candidate's Full Signature (in English)
(Not in Capital letters))

(B) Declaration of Father/Mother/Husband/Spouse/Guardian :

AARUSHI ANAND

Place : ..............................

.......................................................................... ..........................................................................
Date : ..............................
Full Signature of
Father/Mother/Husband/Spouse/Guardian in
English (Not in Capital letters)

25. List of enclosures :

1. .................................................................................... 2. ....................................................................................

3. .................................................................................... 4. ....................................................................................

5. .................................................................................... 6. ....................................................................................

7. .................................................................................... 8. ....................................................................................

Registration No: 4230233943 Page: 5/6

26.
(AT THE TIME OF FIRST COUNSELLING/INTERVIEW ONLY)

(II.) L.T.I. of the Candidate

(English) ........................
(I.) Full Signature of Candidate
(Hindi) ...........................

(AT THE TIME OF SECOND COUNSELLING/INTERVIEW ONLY)

(II.) L.T.I. of the Candidate

(English) ........................
(I.) Full Signature of Candidate
(Hindi) ...........................

(AT THE TIME OF MOP-UP COUNSELLING/INTERVIEW ONLY)

(II.) L.T.I. of the Candidate

(English) ........................
(I.) Full Signature of Candidate
(Hindi) ...........................

27.
FOR OFFICE USE OF THE CONCERNED INSTITUTE ON THE BASIS OF FIRST COUNSELLING

Roll No. .............................................. Category .............................................. Merit Serial .............................................. of DCECE(PE/ PM/ PMM)-

2023 in the First Year of .............................................. Course/Branch of the Institute .............................................. as He/She fulfilled all the

requirements of being admitted..

SEAL OF THE INSTITUTE SIGNATURE OF THE DIRECTOR / PRINCIPAL

FOR OFFICE USE OF THE CONCERNED INSTITUTE ON THE BASIS OF SECOND COUNSELLING

Roll No. .............................................. Category .............................................. Merit Serial .............................................. of DCECE(PE/ PM/ PMM)-

2023 in the First Year of .............................................. Course/Branch of the Institute .............................................. as He/She fulfilled all the

requirements of being admitted..

SEAL OF THE INSTITUTE SIGNATURE OF THE DIRECTOR / PRINCIPAL

FOR OFFICE USE OF THE CONCERNED INSTITUTE ON THE BASIS OF MOP-UP COUNSELLING

Roll No. .............................................. Category .............................................. Merit Serial .............................................. of DCECE(PE/ PM/ PMM)-

2023 in the First Year of .............................................. Course/Branch of the Institute .............................................. as He/She fulfilled all the

requirements of being admitted..

SEAL OF THE INSTITUTE SIGNATURE OF THE DIRECTOR / PRINCIPAL

Registration No: 4230233943 Page: 6/6