2/15/24, 11:21 PM DELED APPLICATION FORM

BIHAR SCHOOL EXAMINATION BOARD

ONLINE EXAMINATION APPLICATION FORM FOR

D.EL.Ed. JOINT ENTRANCE TEST - 2024

District Name & Code PATNA (11) Nationality INDIAN

Personal Information

BSEB UNIQUE ID APPLICATION ID 110570970

Candidate's Name MAUSAM KUMARI

Mother's Name RENU DEVI

Father's Name ARUN PASWAN

Date of Birth 30-08-2005

Category SC

Dependent No

Are you a Domicile of Bihar State Yes Differently Abled Category No

Age as on 01.01.2024 18-4-2 Gender FEMALE

Studied urdu No Faculty SCIENCE

Qualification Information

Name of Name of the Passing Upload

Roll Code Roll No Marks Obtained Division Percentage
Qualification Board Year Documents

MATRIC BSEB PATNA 71214 2100241 2021 292 SECOND 58.40 View

INTERMEDIATE BSEB PATNA 17222 23010056 2023 325 FIRST 65.00 View

Address

Permanent Address BAKHTIYARPUR PASCHIM TOLA

District PATNA State BIHAR Pincode 803212

Correspondence Address BAKHTIYARPUR PASCHIM TOLA

District PATNA State BIHAR Pincode 803212

Aadhar
Mobile 6205266787 E-mail ID MAUSAMKI748859@GMAIL.COM 533128121102
Number

Fee Information

afa4ef9d-3757-4e71-a433-
Transaction ID Transaction Date 15-02-2024:11:20:15 Amount 760.00
bc1946c4b6d2

DECLARATION

I confirm that the information given in this form is true, complete and accurate to the best of my knowledge and belief and in case any of the above
information is found to be false or untrue or misleading or misrepresenting, it may lead to cancellation of my candidature and BSEB can take legal action
against me.
मैं पुष्टि करता हूं कि इस फॉर्म में दी गई जानकारी मेरी सर्वोत्तम जानकारी और विश्वास के अनुसार सत्य, पूर्ण और सटीक है और यदि उपरोक्त में से कोई भी जानकारी झूठी या असत्य या
भ्रामक या गलत बयानी करने वाली पाई जाती है, तो इससे मेरा आवेदन रद्द किया जा सकता है। उम्मीदवारी और बीएसईबी मेरे खिलाफ कानूनी कार्र वाई कर सकता है।

https://www.deledbihar.com/form/preview 1/1