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Bihar Office Attendant Exam Registration

The document is an application form for the Bihar Staff Selection Commission's Office Attendant/Attendant (Special) Combined Competitive Exam. It contains personal details of the applicant, Manjeet Kumar, including his registration number, educational qualifications, and declaration of information accuracy. The document also includes payment details and addresses for correspondence and permanent residence.

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0% found this document useful (0 votes)
7 views2 pages

Bihar Office Attendant Exam Registration

The document is an application form for the Bihar Staff Selection Commission's Office Attendant/Attendant (Special) Combined Competitive Exam. It contains personal details of the applicant, Manjeet Kumar, including his registration number, educational qualifications, and declaration of information accuracy. The document also includes payment details and addresses for correspondence and permanent residence.

Uploaded by

shobhitkuma296
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
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BIHAR STAFF SELECTION COMMISSION


P.O.-VETERINARY COLLEGE, PATNA - 800014
ADV NO.-06/25
OFFICE ATTENDANT/ATTENDANT(SPECIAL) COMBINED COMPETITIVE EXAM
कार्यालय परिचारी/परिचारी (विशिष्ट) संयुक्त प्रतियोगी परीक्षा
PERSONAL DETAILS
REGISTRATION NO.: 6252457693
FORM NO. : 7252457693
NAME OF APPLICANT : MANJEET KUMAR
FATHER'S NAME : MAYA SHANKAR RAY
MOTHER'S NAME : RAMMURTI DEVI
GENDER : MALE
MOBILE NO. : 9128396920
EMAIL ID : MANJEETKUMARSPM@[Link]
DATE OF BIRTH : 18-10-1996 LIVE PHOTO

AGE AS ON 01-08-2025 : 28 YEARS, 9 MONTHS, 14 DAYS


NATIONALITY : INDIAN
CATEGORY : BC
DO YOU BELONG TO NON-CREAMY LAYER ? : YES
CASTE : KURMI / कु र्मी
(EBC/BC-NCLC CERTIFICATE NUMBER) / (SC/ST-CASTE CERTIFICATE
NCLCO/2025/1663246
NUMBER) / (EWS-CERTIFICATE NUMBER) :
ISSUE DATE OF CERTIFICATE : 20-08-2025
CERTIFICATE ISSUING AUTHORITY : RO
PHOTO
DOMICILE OF BIHAR STATE : YES
ISSUE DATE OF DOMICILE CERTIFICATE: 11-04-2025
ISSUE NUMBER OF DOMICILE CERTIFICATE : BRCCO/2025/6448604
DOMICILE CERTIFICATE ISSUING COMPETENT AUTHORITY : RO
SIGNATURE IN ENGLISH
ARE YOU PERSON WITH DISABILITY? : NO

SIGNATURE IN HINDI

DO YOU HAVE AADHAR CARD? : YES (AADHAR CARD NUMBER: 842728910716)


ID PROOF : AADHAAR CARD ID PROOF NO : 842728910716
ARE YOU BIHAR GOVERNMENT EMPLOYEE WHO HAS RENDERED NOT LESS THAN 3 YEARS
NO
REGULAR AND CONTINUOUS SERVICE? :
IN BSSC EXAMS NUMBER OF ATTEMPTS AFTER 12-12-2022:
ARE YOU A CONTRACTUAL EMPLOYEE ON ANY OF THE POSTS MENTIONED IN THE
NO
ADVERTISEMENT IN THE BIHAR GOVERNMENT? :
IDENTIFICATION MARK OF THE CANDIDATE : A RED MOLE ON THE LEFT HAND
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)? :
ARE YOU NCC FULL TIME CADET/INSTRUCTOR?: NO
ENTER NCC 'C' CERTIFICATE NO.:
ADDRESS DETAILS

CORRESPONDENCE ADDRESS PERMANENT ADDRESS

AT SIRSIYA,PO BITHAN,DIST. SAMASTIPUR AT SIRSIYA,PO BITHAN,DIST. SAMASTIPUR


ADDRESS: ADDRESS:
PIN CODE 848207 PIN CODE 848207

VILLAGE/MOHALLA: SIRSIYA VILLAGE/MOHALLA: SIRSIYA

POST OFFICE: BITHAN POST OFFICE: BITHAN

POLICE STATION: BITHAN POLICE STATION: BITHAN

DISTRICT: SAMASTIPUR DISTRICT: SAMASTIPUR

STATE: BIHAR STATE: BIHAR


PIN CODE: 848207 PIN CODE: 848207

EDUCATIONAL QUALIFICATIONS
EDUCATION SUBJECT BOARD / TOTAL MARKS MARKS OBTAINED PERCENTAGE PASSINGDATE CERTIFICATE
UNIVERSITY NUMBER
10TH /
ALL BSEB PATNA 500 311 62.20 05-06-2013 0669799
EQUIVALENT
PAYMENT DETAILS:
PAYMENT BANK : SBI
TRANSACTION ID : 5636076331617
TRANSACTION DATE : 2025-11-13 13:27:29
REGISTRATION FEE (RS.) : 100
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 : 13-11-2025 13:45:14
DECLARATION ACCEPTED : YES

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

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