JHARKHAND STAFF SELECTION COMMISSION

JHARKHAND GENERAL GRADUATE LEVEL COMBINED COMPETITIVE

EXAMINATION– 2023
(JGGLCCE-2023)

APPLICATION FORM

Registration No. : 230301598045

Have you applied for CGSSCE-2015 or JGGLCCE-2019 /

: No
JGGLCCE-2021

Are you an Indian Citizen? : Yes

Applicant Name : CHAMAN RAJ

Date of Birth (DD-MM-YYYY) : 14-09-2001

Father's Name : SATYANAND KUMAR

Mother's Name : SEEMA DEVI

Gender : Male

Marital Status : UNMARRIED

Are you a local resident of Jharkhand? : No

Candidates will be considered in Unreserved Category.

Reservation Category : UR

Aadhaar Card No. : 256159269539

Visible Identification Mark 1 : CUT MARK ABOVE LEFT EYE

Vacancy Type : Regular

Option for Language paper-II : HINDI

Communication Details

 Correspondence Address
      Address Line 1 : VILL- BIRANCHAK
      Address Line 2 : PO- FARIDPUR
      Address Line 3 : PS- JANIPUR
      Address Line 4 : --
      City/Village : BIRANCHAK
      District : PATNA
      State : BIHAR
      Pincode : 801113

Permanent Address
      Address Line 1 : VILL- BIRANCHAK
      Address Line 2 : PO- FARIDPUR
      Address Line 3 : PS- JANIPUR
      Address Line 4 : --
      City/Village : BIRANCHAK
      District : PATNA
      State : BIHAR
      Pincode : 801113

Mobile No : 7903790175

E-Mail ID : chamanraj313@gmail.com

Post Preference Details

 Preference - 1 Preference - 2 Preference - 3 Preference - 4

Junior Secretariat Assistant Block Welfare Officer Labour enforcement officer Assistant Section Officer

Preference - 5 Preference - 6 Preference - 7

Circle Inspector cum Kanungo Planning Assistant Block Supply Officer

Educational Details

Name of the
Year of % of Marks
Name of Examination School/College/Institution Board/University Subject
Passing Obtained
(Mention State also)

ST SEVERINS HIGH SCHOOL BR

Matriculation/10th CBSE 2017 79.80 --
AHMASTHAN PATNA BR

L P SHAHI COLLEGE DHELWA P SCIENCE

Intermediate/10+2/Equivalent BSEB 2019 68.20
ATNA PCB

R L S Y COLLEGE PALIGANJ PAT PATLIPUTRA UNIVERSIT ZOOLOGY

Graduation 2022 71.00
NA Y HONS

Payment Details

Transaction ID Transaction Date Transaction Amount

DUL3203206 20-07-2023 100

   Declaration :
       I hereby declare that all statements made in this application are true, complete and correct to the best of my knowledge and belief. I understand
that in the event of any information being found false at any stage or not satisfying the eligibility criteria according to the requirements of the post, my
candidature/ appointment is liable to be cancelled/terminated.

      Candidates are advised to take a print of his/her application form and keep-it with him/her along with electronically generated bank receipt in
support of payment of his/her examination fee for future communication in this regard.

Place:BIRANCHAK     IP :146.196.37.184

Application Print Date:21-07-2023