6/22/24, 1:06 PM BSPHCL Application Form

Candidate Personal Details

Application Status Application Number Candidate's Name

PaymentSuccess JA0018689 KISHAN
Date of Birth Gender Have you ever
23/Mar/1996 Male changed your name?
No
Marital Status Father's/Husband Mother's Name
Married Name MAMATA
SHANKER Email ID
KISHANMISHRA2303@
GMAIL.COM
Mobile Number
8950051015

Post Details

Post Applied Employment Notice

Junior Accounts Clerk No.
04/2024

Candidate Domicile and Category Details

Nationality Are you domicile of Reservation Category

Indian Bihar? General (UR)
Yes

Additional Details

Are you PwBD i.e. Are you Dependent Are you Land Losers/
Person with of Freedom Fighter? Land displaced
Benchmark No persons Details?
Disabilities with at No
least 40% disability?
No

Identification Details

Mark of Visible Please select type of Pan Card Number :

Identification Identification EUQPK5719A
SMALL CUT LEFT SIDE Pan Card Name on Pan Card:
UNDER THE EYEBROW KISHAN

https://g21.digialm.com/EForms/NewGenericAfterPaymentActionClass.do?88042ZZ1631ZZonline 1/3
6/22/24, 1:06 PM BSPHCL Application Form

Permanent Address

Address Line 1 Address Line 2 Country

VILLAGE KOKAN ,POST DISTT SITAMARHI , India
CHARAUT BIHAR 843319
State
Bihar
City/District Pincode/Postal Code Is Permanent
Sitamarhi 843319 Address Same as
Correspondence
address?
Yes

Correspondence Address

Address Line 1 Address Line 2 Country

VILLAGE KOKAN ,POST DISTT SITAMARHI , India
CHARAUT BIHAR 843319 State
Bihar
City/District Pincode/Postal Code
Sitamarhi 843319

Matriculation (10th) Details

Name of the Board School/ lnstitute Percentage of

BOARD OF SCHOOL Name Marks/CGPA/Grade
EDUCTION HARYANA VISHWA BHARTI VIDYA Percentage
NIKETAN, PANIPAT Marks Obtained
333
Maximum Marks Percentage of Marks Year of Completion
600 (%) 2012
55.50 Certificate No
AN-153113
Division
First

lntermediate (12th) Details

Name of the Board School/ lnstitute Percentage of

BOARD OF SCHOOL Name Marks/CGPA/Grade
EDUCTION HARYANA S D BOYS SR SEC Percentage
SCHOOL ,PANIPAT
Marks Obtained
305
Maximum Marks Percentage of Marks Year of Passing
600 50.83 2014
Certificate No Division
AO-131849 First

https://g21.digialm.com/EForms/NewGenericAfterPaymentActionClass.do?88042ZZ1631ZZonline 2/3
6/22/24, 1:06 PM BSPHCL Application Form

Essential Qualification

Essential University/ Institute Month and Year of

Qualification Name Passing
Graduate in KURUKSHETRA 04/2019
Commerce UNIVERSITY Percentage of
KURUKSHETRA
Marks/CGPA/Grade
Percentage
Marks Obtained Maximum Marks Certificate No
1926 3600 1316244
Percentage of Marks Division
53.50 Second

Company Selection Details

Preferred Company 1 Preferred Company 2 Preferred Company 3

NBPDCL SBPDCL BSPTCL
Preferred Company 4 Preferred Company 5
BSPGCL BSPHCL

Payment Details

Amount Payment Mode Payment Status

1500 online Payment Success
Payment Transaction
No.
ZAX62092764516

Declaration

I have previewed the Application Form by clicking on the Preview Application

Button and confirm that all the data reflecting in the Preview are correct.
I hereby declare that all the statements made in this application form are true,
complete and correct to the best of my knowledge & belief. In the event of any
information being found false or incorrect, or any ineligibility being detected at
any time during or after the selection process, my candidature may be
cancelled and action can be taken against me by BSPHCL.
I have read the advertisement and I fulfil all the criteria of eligibility prescribed
in the advertisement.
I am in possession of all the certificates / documents in support of my claim
made above in the application form.

https://g21.digialm.com/EForms/NewGenericAfterPaymentActionClass.do?88042ZZ1631ZZonline 3/3