12/14/13 Rural Development Dept., Govt.

of Bihar
oasys.bih.nic.in/RDDPRS/app/AppPrint.aspx 1/2
Application Form
Rural Development Department, Govt. of Bihar
Application for the Post of Panchayat Rojgar Sewak Under MGNREGA
Applied for the district : NALANDA
1. Application ID : ###### Applied On : 10-Dec-2013
2. Candidate Details
First Name MANISH
Middle Name KUMAR
Last Name SHARMA
Father's Name S.B.SHARMA
Mother's Name
VEENA DEVI
Spouse's(Husband/Wife) Name
Date of Birth 15-Mar-1990
Gender Male
Category EBC
Physically Handicapped No
Whether Ex-Serviceman No
Email ID sharma.1503manish@gmail.com
Mobile 1 9708101400
Mobile 2 9472722511
Phone With STD Code
3. Address for Correspondence
Address Q,NO-3158,SECTOR-12/B,BOKARO STEEL CITY,JHARKHAND
Pin Code 827012
District BOKARO
State JHARKHAND
4. Permanent Address
Address Q.NO.-3158, SECTOR-12/B,BOKARO STEEL CITY,JHARKHAND
Pin Code 827012
Panchayat
Block CHAS
12/14/13 Rural Development Dept., Govt. of Bihar
oasys.bih.nic.in/RDDPRS/app/AppPrint.aspx 2/2
District BOKARO
State JHARKHAND
5. Educational Qualification
Board/University Specialization Passing Year Marks Obtained (%) Class/ Grade Registration No.
I.Matric CBSE 2006 77.60 B1 203256
II.Intermediate/12th JAC Science 2009 53.00 2ND DIVISION RS-0369-07
III.Graduation
IV.Post Graduation
V. Diploma
6. Other Qualification
Knowledge of computer Yes
I hereby declare that the information submitted by me is true to the best of my knowledge and belief. If at any stage during the process
of selection and thereafter, any of these information is ascertain to be false/incorrect my candidature may be rejected.
Place:-
Date:- 10-12-2013
Signature of
Applicant