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Bihar Staff Selection Commission Exam 2023

The document is an application form for the Bihar Staff Selection Commission's Second Inter Level Combined Competitive Exam-2023, submitted by Aman Kumar. It includes personal details, educational qualifications, and declaration of the applicant, confirming the accuracy of the provided information. The applicant is an 18-year-old male from Muzaffarpur, Bihar, with a background in arts and a computer course certification.

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

Bihar Staff Selection Commission Exam 2023

The document is an application form for the Bihar Staff Selection Commission's Second Inter Level Combined Competitive Exam-2023, submitted by Aman Kumar. It includes personal details, educational qualifications, and declaration of the applicant, confirming the accuracy of the provided information. The applicant is an 18-year-old male from Muzaffarpur, Bihar, with a background in arts and a computer course certification.

Uploaded by

amanraaz064
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

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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.: 2302366478
FORM NO. : 3302366478
NAME OF APPLICANT : AMAN KUMAR
FATHER'S NAME : RAMKILAP RAY
MOTHER'S NAME : SUNITA DEVI
GENDER : MALE
MOBILE NO. : 8539908455
EMAIL ID : AMANKUMAR67034@[Link]
DATE OF BIRTH : 01-01-2005 LIVE PHOTO

AGE AS ON 01-08-2023 : 18 YEARS, 7 MONTHS, 0 DAYS


NATIONALITY : INDIAN
CATEGORY : BC
DO YOU BELONG TO NON-CREAMY LAYER ? : YES
(EBC/BC-NCLC CERTIFICATE NUMBER) / (SC/ST-CASTE CERTIFICATE
NCLCO/2023/1579519
NUMBER) / (EWS-CERTIFICATE NUMBER) :
ISSUE DATE OF CERTIFICATE : 08-11-2023
CERTIFICATE ISSUING AUTHORITY : RO
DOMICILE OF BIHAR STATE : YES
PHOTO
ISSUE DATE OF DOMICILE CERTIFICATE: 31-10-2023
ISSUE NUMBER OF DOMICILE CERTIFICATE : BRCCO/2023/11061355
DOMICILE CERTIFICATE ISSUING OTHER COMPETENT AUTHORITY : RO
ARE YOU PERSON WITH DISABILITY? : NO
SIGNATURE IN ENGLISH

SIGNATURE IN HINDI

DO YOU HAVE AADHAR CARD? : YES (AADHAR CARD NUMBER: 653944855383)


ID PROOF : AADHAAR CARD ID PROOF NO : 653944855383
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 : CUT MARK ON LEFT HAND FINGER
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

VILL-CHAKKI PO-SUSTA TOK PS-GAIGHAT VILL-CHAKKI PO-SUSTA TOK PS-GAIGHAT


ADDRESS: ADDRESS:
DIST-MUZAFFARPUR DIST-MUZAFFARPUR

VILLAGE/MOHALLA: CHAKKI VILLAGE/MOHALLA: CHAKKI

POST OFFICE: SUSTA TOK POST OFFICE: SUSTA TOK

POLICE STATION: GAIGHAT POLICE STATION: GAIGHAT

DISTRICT: MUZAFFARPUR DISTRICT: MUZAFFARPUR

STATE: BIHAR STATE: BIHAR

PIN CODE: 847107 PIN CODE: 847107

EDUCATIONAL QUALIFICATIONS
EDUCATION SUBJECT BOARD / TOTAL MARKS MARKS PERCENTAGE PASSINGDATE CERTIFICATE
UNIVERSITY / OBTAINED NUMBER
INSTITUTE
10TH / EQUIVALENT ALL BSEB PATNA 500 267 53.40 05-04-2021 510058962
12TH / EQUIVALENT
12TH/INTERMEDIATE ARTS BSEB PATNA 500 310 62.00 21-03-2023 1223116409
(ARTS)
TECHNICAL SKILL
HAVE YOU DONE ANY COMPUTER COURSE? YES
NAME OF INSTITUTE COURSE DETAILS PASSING DATE CERTIFICATE NO.
A N INSTITUTE OF COMPUTER EDUCATION DCA 26-09-2023 DCA/23/23
PAYMENT DETAILS:
PAYMENT BANK : SBI
TRANSACTION ID : 8479000087136
TRANSACTION DATE : 2023-11-28 13:12:46
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 : 11-11-2025 09:48:12
DECLARATION ACCEPTED : YES

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

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