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BSSC Inter Level Exam Registration Details

The document is a registration form for the Bihar Staff Selection Commission's Second Inter Level Combined Competitive Exam, detailing the personal information of the applicant Maneesh Kumar. It includes his educational qualifications, technical skills, and declaration of the accuracy of the information provided. The applicant is a 27-year-old male from Uttar Pradesh with no disabilities and has completed a computer course.

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mr7971619
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14 views2 pages

BSSC Inter Level Exam Registration Details

The document is a registration form for the Bihar Staff Selection Commission's Second Inter Level Combined Competitive Exam, detailing the personal information of the applicant Maneesh Kumar. It includes his educational qualifications, technical skills, and declaration of the accuracy of the information provided. The applicant is a 27-year-old male from Uttar Pradesh with no disabilities and has completed a computer course.

Uploaded by

mr7971619
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
ADV NO.-02/23(A), SECOND INTER LEVEL COMBINED COMPETITIVE EXAM
द्वितीय इंटर स्तरीय संयुक्त प्रतियोगिता परीक्षा
PERSONAL DETAILS
REGISTRATION NO.: 2501324592
FORM NO. : 3501324592
NAME OF APPLICANT : MANEESH KUMAR
FATHER'S NAME : ISWAR SINGH
MOTHER'S NAME : SANTOSH DEVI
GENDER : MALE
MOBILE NO. : 7037520048
EMAIL ID : MR7971619@[Link]
DATE OF BIRTH : 15-07-1998 LIVE PHOTO

AGE AS ON 01-08-2025 : 27 YEARS, 0 MONTHS, 17 DAYS


NATIONALITY : INDIAN
CATEGORY : UR
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: 820455890140)


ID PROOF : AADHAAR CARD ID PROOF NO : 820455890140
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 CUT MARK ON FOREHEAD
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

ADDRESS: PATTI JAGMALAN TPO CHHAPRAULI ADDRESS: PATTI JAGMALAN TPO CHHAPRAULI

VILLAGE/MOHALLA: CHHAPRAULI VILLAGE/MOHALLA: CHHAPRAULI

POST OFFICE: CHHAPRAULI POST OFFICE: CHHAPRAULI

POLICE STATION: CHHAPRAULI POLICE STATION: CHHAPRAULI

DISTRICT: BAGPAT DISTRICT: BAGPAT

STATE: UTTAR PRADESH STATE: UTTAR PRADESH

PIN CODE: 250617 PIN CODE: 250617


EDUCATIONAL QUALIFICATIONS
EDUCATION SUBJECT BOARD / TOTAL MARKS/ OBTAINED PERCENTAGE CERTIFICATE/ CERTIFICATE/
UNIVERSITY / CGPA MARKS/ CGPA MARKS MARKS
INSTITUTE SHEET SHEET ISSUE
NUMBER DATE
10TH / EQUIVALENT SCIENCE UP BOARD 600 393 65.50 067363 08-06-2013
12TH / EQUIVALENT
12TH/INTERMEDIATE PCM UP BOARD 500 250 50.00 I1308164 17-05-2015
(SCIENCE)
TECHNICAL SKILL
HAVE YOU DONE ANY COMPUTER COURSE? YES
NAME OF INSTITUTE COURSE DETAILS PASSING DATE CERTIFICATE NO.
CHANDAN COMPUTER INSTITUTE BCC 30-04-2021 B210918
PAYMENT DETAILS:
PAYMENT BANK : SBI
TRANSACTION ID : 0602814373255
TRANSACTION DATE : 2025-12-28 18:59:59
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 : 28-12-2025 19:27:19
DECLARATION ACCEPTED : YES

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

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