12/10/23, 11:24 AM Registration Slip 2302640288

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BIHAR STAFF SELECTION COMMISSION

P.O.-VETERINARY COLLEGE, PATNA - 800014
ADVERTISEMENT NO. 02/2023
SECOND INTER LEVEL COMBINED COMPETITIVE EXAM-2023
PERSONAL DETAILS
REGISTRATION NO.: 2302640288
FORM NO. : 3302640288
NAME OF APPLICANT : AMAN KUMAR JHA
FATHER'S NAME : GAUTAM KUMAR JHA
MOTHER'S NAME : RUBY DEVI
GENDER : MALE
MOBILE NO. : 8969912748
EMAIL ID : TIGER896991@GMAIL.COM
DATE OF BIRTH : 03-02-2003 LIVE PHOTO

AGE AS ON 01-08-2023 : 20 YEARS, 5 MONTHS, 29 DAYS

NATIONALITY : INDIAN
CATEGORY : GEN
DOMICILE OF BIHAR STATE : NO
ARE YOU PERSON WITH DISABILITY? : NO

PHOTO

SIGNATURE IN ENGLISH

SIGNATURE IN HINDI

DO YOU HAVE AADHAR CARD? : YES (AADHAR CARD NUMBER: 282399250091)

ID PROOF : AADHAAR CARD ID PROOF NO : 282399250091
BIHAR GOVERNMENT EMPLOYEE WHO HAS RENDERED NOT LESS THAN 3 YEARS
NO
REGULAR AND CONTINUOUS SERVICE? :
WHICH ATTEMPT IS OF INTER LEVEL EXAMINATION? : 01
IDENTIFICATION MARK OF THE CANDIDATE : CUT MARK ON LEFT LEG
ARE YOU AN EX-SERVICEMAN? : NO
WARD OF FREEDOM FIGHTER? : NO
HAVE YOU EVER BEEN DEBARRED FROM ANY COMPETITIVE EXAMINATION
NO
(UPSC/BOARD/STATE COMMISSION/ANY OTHER)? :
WORKED/WORKING AS CONTRACTUAL EMPLOYEE IN BIHAR GOVERNMENT: NO
ADDRESS DETAILS

CORRESPONDENCE ADDRESS PERMANENT ADDRESS

ADDRESS: 799/1 JAWPUR ADDRESS: AT KOLHADDA, BASANTRAI
VILLAGE/MOHALLA: DUMDUM VILLAGE/MOHALLA: KOLHADDA

POST OFFICE: DUMDUM POST OFFICE: BASANTRAI

POLICE STATION: DUMDUM POLICE STATION: BASANTRAI
DISTRICT: NORTH 24 PARGANAS DISTRICT: GODDA

STATE: WEST BENGAL STATE: JHARKHAND

PIN CODE: 700074 PIN CODE: 814155
EDUCATIONAL QUALIFICATIONS
EDUCATION SUBJECT BOARD / TOTAL MARKS PERCENTAGE PASSINGDATE CERTIFICATE
UNIVERSITY / MARKS OBTAINED NUMBER
INSTITUTE
ENGLISH HINDI
MATH SCIENCE
10TH / EQUIVALENT ICSE 600 383 63.83 14-05-2018 20143557
SOCIAL SCIENCE
COMMERCE
12TH / EQUIVALENT ENGLISH HINDI BSEB 500 420 84.00 26-03-2021 0987568
12TH/INTERMEDIATE ACCOUNTANCY

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12/10/23, 11:24 AM Registration Slip 2302640288
(COMMERCE) BST ECONOMICS
TECHNICAL SKILL
SKILL NAME OF INSTITUTE PASSING DATE CERTIFICATE NUMBER
HINDI TYPING IT COMPUTER INSTITUTE 10-11-2023 172GAYN3519
ENGLISH TYPING IT COMPUTER INSTITUTE 10-11-2023 172GAYN3519
HAVE YOU DONE ANY COMPUTER COURSE? YES
NAME OF INSTITUTE COURSE DETAILS PASSING DATE CERTIFICATE NO.
IT COMPUTER INSTITUTE ADCA 14-04-2023 285YGNA3351
PAYMENT DETAILS:
PAYMENT BANK : SBI
TRANSACTION ID : 6617913955927
TRANSACTION DATE : 2023-12-06 21:28:53
REGISTRATION FEE (RS.) : 540
DECLARATION DETAILS:
I HEREBY DECLARE THAT THE INFORMATIONS FILLED UP ABOVE BY ME ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. I
ALSO DECLARE THAT I HAVE FILLED UP ONLY ONE APPLICATION FORM. I ALSO UNDERTAKE THAT IF ANY INFORMATION IS FOUND
OTHERWISE, I SHALL BE LIABLE FOR ANY LEGAL ACTION AND CANCELLATION OF MY CANDIDATURE.
DATE : 10-12-2023 11:24:41
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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