11/6/23, 11:03 PM Registration Slip 2300979403

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BIHAR STAFF SELECTION COMMISSION

P.O.-VETERINARY COLLEGE, PATNA - 800014
ADVERTISEMENT NO. 02/2023
SECOND INTER LEVEL COMBINED COMPETITIVE EXAM-2023
PERSONAL DETAILS
REGISTRATION NO.: 2300979403
FORM NO. : 3300979403
NAME OF APPLICANT : NIBHA KUMARI
FATHER'S NAME : KAILASH PRASAD
MOTHER'S NAME : URMILA DEVI
GENDER : FEMALE
MOBILE NO. : 7870728800
EMAIL ID : NIBHAKUMARI1560@GMAIL.COM
DATE OF BIRTH : 09-03-1985 LIVE PHOTO

AGE AS ON 01-08-2023 : 38 YEARS, 4 MONTHS, 23 DAYS

NATIONALITY : INDIAN
CATEGORY : GEN
DOMICILE OF BIHAR STATE : NO
ARE YOU PERSON WITH DISABILITY? : NO

PHOTO

SIGNATURE IN ENGLISH

SIGNATURE IN HINDI

DO YOU HAVE AADHAR CARD? : YES (AADHAR CARD NUMBER: 698753208800)

ID PROOF : PAN CARD ID PROOF NO : BVFPK4247N
BIHAR GOVERNMENT EMPLOYEE WHO HAS RENDERED NOT LESS THAN 3 YEARS
NO
REGULAR AND CONTINUOUS SERVICE? :
WHICH ATTEMPT IS OF INTER LEVEL EXAMINATION? : 01
IDENTIFICATION MARK OF THE CANDIDATE : A CUT MARK UPON RIGHT HEAL
ARE YOU AN EX-SERVICEMAN? : NO
WARD OF FREEDOM FIGHTER? : NO
HAVE YOU EVER BEEN DEBARRED FROM ANY COMPETITIVE EXAMINATION
NO
(UPSC/BOARD/STATE COMMISSION/ANY OTHER)? :
WORKED/WORKING AS CONTRACTUAL EMPLOYEE IN BIHAR GOVERNMENT: NO
ADDRESS DETAILS

CORRESPONDENCE ADDRESS PERMANENT ADDRESS

NIBHA KUMARI D/O KAILASH PRASAD
VRINDAVAN COLONY CHANDHASI NEAR
ADDRESS:
SAI GENERAL STORE MUGHALSARAI UP
MOB NO. 9696726852,9455659880
VILLAGE/MOHALLA: VRINDAVAN COLONY CHANDHASI
NIBHA KUMARI W/ O RAJENDRA KUMAR
TANTI AT GANDHINAGAR,BEHIND CITY
ADDRESS:
PETROL PUMP JODHADIH MORE. MOB.
NO. 9798841666
VILLAGE/MOHALLA: GANDHINAGAR

POST OFFICE: MUGHALSARAI POST OFFICE: CHAS

POLICE STATION: MUGHALSARAI POLICE STATION: CHAS
DISTRICT: CHANDAULI DISTRICT: BOKARO
STATE: UTTAR PRADESH STATE: JHARKHAND

PIN CODE: 232101 PIN CODE: 827013

EDUCATIONAL QUALIFICATIONS
EDUCATION SUBJECT BOARD / TOTAL MARKS PERCENTAGE PASSINGDATE CERTIFICATE
UNIVERSITY / MARKS OBTAINED NUMBER
INSTITUTE
ENG HINDI
SCIENCE MATH
10TH / EQUIVALENT CBSE 500 240 48.00 28-05-2001 597759
SOCIAL
SCIENCE
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11/6/23, 11:03 PM Registration Slip 2300979403

GEN HINDI ENG

12TH / EQUIVALENT
PHYSICS
12TH/INTERMEDIATE UP BOARD 500 282 56.40 25-05-2004 348667
CHEMISTRY
(SCIENCE)
MATH
TECHNICAL SKILL
HAVE YOU DONE ANY COMPUTER COURSE? NO
PAYMENT DETAILS:
PAYMENT BANK : SBI
TRANSACTION ID : 1769827782112
TRANSACTION DATE : 2023-11-04 08:43:32
REGISTRATION FEE (RS.) : 540
DECLARATION DETAILS:
I HEREBY DECLARE THAT THE INFORMATIONS FILLED UP ABOVE BY ME ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. I ALSO
DECLARE THAT I HAVE FILLED UP ONLY ONE APPLICATION FORM. I ALSO UNDERTAKE THAT IF ANY INFORMATION IS FOUND OTHERWISE, I
SHALL BE LIABLE FOR ANY LEGAL ACTION AND CANCELLATION OF MY CANDIDATURE.
DATE : 06-11-2023 23:01:34
PLACE: UP
DECLARATION ACCEPTED : YES

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

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