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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.: 2302540110
FORM NO. : 3302540110
NAME OF APPLICANT : SUMAN KUMARI
FATHER'S NAME : RAMTAHAL SAW
MOTHER'S NAME : SHYAM SUNDARI DEVI
GENDER : FEMALE
MOBILE NO. : 8210897600
EMAIL ID : MANTOOSHJAN11991@GMAIL.COM
DATE OF BIRTH : 16-04-1999 LIVE PHOTO

AGE AS ON 01-08-2023 : 24 YEARS, 3 MONTHS, 16 DAYS

NATIONALITY : INDIAN
CATEGORY : ST
(EBC/BC-NCLC CERTIFICATE NUMBER) / (SC/ST-CASTE CERTIFICATE
BCCSDO/2023/35037
NUMBER) / (EWS-CERTIFICATE NUMBER) :
ISSUE DATE OF CERTIFICATE : 02-02-2023
CERTIFICATE ISSUING AUTHORITY : SDO
DOMICILE OF BIHAR STATE : YES
ISSUE DATE OF DOMICILE CERTIFICATE: 02-02-2023
PHOTO
ISSUE NUMBER OF DOMICILE CERTIFICATE : BRCSDO/2023/33522
DOMICILE CERTIFICATE ISSUING OTHER COMPETENT AUTHORITY : SDO
ARE YOU PERSON WITH DISABILITY? : NO

SIGNATURE IN ENGLISH

SIGNATURE IN HINDI

DO YOU HAVE AADHAR CARD? : YES (AADHAR CARD NUMBER: 809228776333)

ID PROOF : AADHAAR CARD ID PROOF NO : 809228776333
BIHAR GOVERNMENT EMPLOYEE WHO HAS RENDERED NOT LESS THAN 3 YEARS REGULAR AND
NO
CONTINUOUS SERVICE? :
WHICH ATTEMPT IS OF INTER LEVEL EXAMINATION? : 01
IDENTIFICATION MARK OF THE CANDIDATE : MOLE ON RIGHT SIDE OF THE NOSE
ARE YOU AN EX-SERVICEMAN? : NO
WARD OF FREEDOM FIGHTER? : NO
HAVE YOU EVER BEEN DEBARRED FROM ANY COMPETITIVE EXAMINATION (UPSC/BOARD/STATE
NO
COMMISSION/ANY OTHER)? :
WORKED/WORKING AS CONTRACTUAL EMPLOYEE IN BIHAR GOVERNMENT: NO
ADDRESS DETAILS

CORRESPONDENCE ADDRESS PERMANENT ADDRESS

NICHEMOHALBANI,BHOWRA,DHANBAD GOKUL MATHURA RIFATPUR ISHIPUR

ADDRESS: ADDRESS:
828302 BHAGALPUR 813209

VILLAGE/MOHALLA: NICHEMOHALBANI VILLAGE/MOHALLA: GOKUL MATHURA

POST OFFICE: BHOWRA POST OFFICE: RIFATPUR

POLICE STATION: SUDAMDIH POLICE STATION: ISHIPUR

DISTRICT: DHANBAD DISTRICT: BHAGALPUR

STATE: JHARKHAND STATE: BIHAR

PIN CODE: 828302 PIN CODE: 813209

EDUCATIONAL QUALIFICATIONS
EDUCATION SUBJECT BOARD / TOTAL MARKS MARKS PERCENTAGE PASSINGDATE CERTIFICATE
 UNIVERSITY / OBTAINED NUMBER
INSTITUTE
HINDI ENGLISH JHARKHAND
10TH / EQUIVALENT MATH SCIENCE ACADEMIC 500 340 68.00 27-04-2015 150521
SOCIAL SCIENCE COUNCIL RANCHI
ENGLISH A HINDI
12TH / EQUIVALENT HISTORY JHARKHAND
12TH/INTERMEDIATE POLITICAL ACADEMIC 500 305 61.00 20-06-2017 065831
(ARTS) SCIENCE COUNCIL RANCHI
SOCIOLOGY
TECHNICAL SKILL
HAVE YOU DONE ANY COMPUTER COURSE? NO
PAYMENT DETAILS:
PAYMENT BANK : SBI
TRANSACTION ID : 1672489299917
TRANSACTION DATE : 2023-12-03 10:33:59
REGISTRATION FEE (RS.) : 135
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 : 09-12-2023 11:53:41
PLACE: JHARKHAND
DECLARATION ACCEPTED : YES

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