4/20/22, 7:07 PM Registration Slip 4220063922

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BIHAR STAFF SELECTION COMMISSION

P.O-VETERINARY COLLEGE, PATNA - 800014
ADVERTISEMENT NO. 01/2022

PERSONAL DETAILS
REGISTRATION NO.: 4220063922
FORM NO. : 5220063922
NAME OF APPLICANT : RITESH KUMAR
FATHER'S NAME : SUBASH SINGH YADAV
MOTHER'S NAME : VIDYA DEVI
GENDER : MALE
MOBILE NO. : 7352810815
EMAIL ID : PEACEOFMIND03102021@GMAIL.COM
DATE OF BIRTH : 05-02-1990 PHOTO

AGE AS ON 01-08-2021 : 31 YEARS, 5 MONTHS, 27 DAYS

AGE AS ON 01-08-2015 : 25 YEARS, 5 MONTHS, 27 DAYS
NATIONALITY : INDIAN
SIGNATURE IN ENGLISH
CATEGORY : BC
DO YOU BELONG TO NON-CREAMY LAYER ? : YES
(MBC/BC-NCLC CERTIFICATE NUMBER) / (SC/ST-CASTE
BOBCCO/2021/53445
CERTIFICATE NUMBER) / (EWS-CERTIFICATE NUMBER) :
ISSUE DATE OF CERTIFICATE : 03-01-2022 SIGNATURE IN HINDI

CERTIFICATE ISSUING AUTHORITY : RO

ISSUE DATE OF CERTIFICATE : 03-01-2022
DOMICILE OF BIHAR STATE : YES
ISSUE DATE OF DOMICILE CERTIFICATE : 19-06-2021
ISSUE NUMBER OF BIHAR STATE DOMICILE : BRCCO/2021/4584604
COMPETENT AUTHORITY FOR ISSUING DOMICILE CERTIFICATE : RO
ARE YOU PERSON WITH DISABILITY? : NO
TYPE OF ID PROOF : AADHAAR CARD ID PROOF NO : 495137025188
BIHAR GOVERNMENT EMPLOYEE WHO HAS RENDERED NOT
NO
LESS THAN 3 YEARS REGULAR AND CONTINUOUS SERVICE? :
DO YOU HAVE EDUCATIONAL QUALIFICATION AS PER
YES
ADVERTISEMENT ? :
IDENTIFICATION MARK OF THE CANDIDATE : MOLE ON THE RIGHT HAND
ARE YOU AN EX-SERVICEMAN? : NO   
WARD OF FREEDOM FIGHTER? : NO
ADDRESS DETAILS

CORRESPONDENCE ADDRESS PERMANENT ADDRESS

VILL DHANDIHA POST KOELWAR DIST VILL DHANDIHA POST KOELWAR DIST
ADDRESS: ADDRESS:
BHOJPUR BHOJPUR
VILLAGE/MUHALLA: DHANDIHA VILLAGE/MUHALLA: DHANDIHA
POST OFFICE: KOELWAR POST OFFICE: KOELWAR
POLICE STATION: KOELWAR POLICE STATION: KOELWAR

DISTRICT: BHOJPUR DISTRICT: BHOJPUR

STATE: BIHAR STATE: BIHAR
PIN CODE: 802160 PIN CODE: 802160
EDUCATIONAL QUALIFICATIONS
EDUCATION SUBJECT BOARD/UNIVERSITY/INSTITUTE PASSING YEAR CERTIFICATE
NUMBER
10TH /
ALL SUBJECTS BIHAR SCHOOL EXAMINATION BOARD 2006 0364729
EQUIVALENT
BACHELORS IN COMPUTER
GRADUATION SIKKIM MANIPAL UNIVERSITY 2011 520811335
APPLICATION
PAYMENT DETAILS:
PAYMENT BANK : ICICI
TRANSACTION ID : 200422899181
TRANSACTION DATE : 20-04-2022 17:23:04
REGISTRATION FEE (RS.) : 540.0
DECLARATION DETAILS:
I HEREBY DECLARE THAT I AM A CITIZEN OF INDIA. THE ENTRIES IN THIS APPLICATION FORM ARE COMPLETE, TRUE AND CORRECT TO THE
BEST OF MY KNOWLEDGE AND BELIEF. I HAVE READ CAREFULLY ALL THE EXAMINATION RULES AND PROVISIONS RELATED TO THIS
ADVERTISEMENT AND I PROMISE TO FOLLOW THESE AND ALSO PROMISE THAT I WILL NOT USE ANY UNFAIR MEANS DURING EXAMINATION.
I FULFILL ALL THE ELIGIBILITY CRITERIA I.E. AGE LIMIT, EDUCATIONAL QUALIFICATION TODAY AS PRESCRIBED IN THE ADVERTISEMENT. I
HAVE ALL THE ELIGIBILITY CERTIFICATES, WHENEVER THE BSSC WILL ASK FOR IT I WILL PRODUCE THE SAME FAILING WHICH MY
CANDIDATURE CAN BE CANCELLED BY THE BSSC AT ANY TIME. IN CASE OF ANY INFORMATION PROVIDED BY ME FOUND TO BE FALSE OR

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4/20/22, 7:07 PM Registration Slip 4220063922
INCORRECT BEFORE OR AFTER THE EXAMINATION, THE BSSC CAN CANCEL MY CANDIDATURE AND ALSO INITIATE THE LEGAL
PRECEDINGS AGAINST ME. I DECLARE THAT I HAVE FILLED ONLY ONE APPLICATION FORM FOR THIS EXAMINATION.
     DATE : 20-04-2022
     PLACE: DHANDIHA
     DECLARATION ACCEPTED : YES     

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

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