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7/31/2019 online.bih.nic.in/LSRec/APP/AppPrint.

aspx

Application Form
Social Welfare Department (ICDS), Govt. of Bihar
Application for Contractual Recruitment of Lady Supervisor
Application Details
Application ID : LSP/0466018 Application Date :
Post Applied For : Lady Supervisor
31-Jul-2019

Personal Details
Applicant Name RINKI KUMARI SINGH
Father's /Husband's Name FULESHWER PRASAD SINGH
Mother's Name SONA DEVI
Date of Birth 01-Mar-1983
Age as on (01.01.2019) 35 Years 10 Months
Gender Female
Marital Status Yes
Category GEN
Nationality Indian
Physically Handicapped No
Catagory of Physically Handicapped
Percentage of Physically Handicapped No
Grand Children of Freedom Fighter Yes
Email ID sandysain08@gmail.com
Mobile No. 8210828013
Phone With STD Code
Aadhar No XXXXXXXX6393
Identification Marks A MOLE ON LEFT HAND RING FINGURE
Do you know read/write hindi Yes
Do you have minimum qualification as Yes
defined in Advertiesment
Reference of known person with address
who has seen Your Work [Last Six
Month] (1)
Reference of known person with address
who has seen Your Work [Last Six
Month] (2)
If any Criminal Proceedings[Aapradhik No
Mukadama] Against You has been
Initiated ?
Are you Employee of Bihar Govenment No
Designation
Office
Place

Address for Correspondence


Address CHANDNI CHOWK NEAR POLICE CLUB INFONT OF PANI TANK, SAHARSA , BIHAR
Pin Code 852201

Permanent Address
Address CHANDNI CHOWK NEAR POLICE CLUB INFONT OF PANI TANK, SAHARSA , BIHAR
Pin Code 852201
State of Domicile Yes
Home District SAHARSA

Educational Qualification
Board/University Institute Type State Specialization Passing Year Marks Obtained
(%)
I.Matric B.S.E.B Gevernment Bihar 1998 42.42
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II.Intermediate B.S.E.B Gevernment Bihar Arts 2000 65.44
III.Degree B.N MANDAL UNIVERSITY Gevernment Bihar Graduate in Any Stream 2003 62.66
IV.Post Graduation Private 0 0

Experience
No Experience Mentioned

Points
Total Point 56.84

I declare that all the above information is correct to the best of my knowledge and that I shall be liable for punishment if information is found
incorrect. I also declare that I have understood the guideline for engagement and will fully abide by the same including any further guideline issued
by ICDS, Government of Bihar in this regard. I categorically declare that there is no pending Criminal case or serious complaint against myself.

Place:-

Date:-
Signature of Applicant

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