REGISTRATION FORM
Advertisement Number:
Name of Exam:
'*' FIELD IS MANDATORY, CANDIDATE MUST FILL ALL THE COLUMNS IN ENGLISH.
Candidate's First Name: * Mr./Mrs./Miss.
Candidate's Middle Name:
Candidate's Last Name:
Father's / Husband's Name : *
Mother's Name: *
Date of Birth: *
Marital Status : *
Gender:*
Aadhaar No:
Are you a citizen of India ?: *
Are you a Permanent Resident(Origin) of State of Bihar? *
Do you belong to any Reserved Category? *
If yes then select the Category Code: *
Enter Caste Name (As Per Certificate): *
Note: ( EWS = Economically Weaker Section, SC = Scheduled Caste, ST = Scheduled Tribe, EBC = Extremely Backward Class, BC = Backward Class)
( आवेदक अपनी जाति एवं आरक्षित कोटि से पूर्णतः आश्वस्त हों लें , किसी प्रकार की त्रुटि होने पर आरक्षण का दावा मान्य नहीं होगा । )
Are you a grand son/ grand daughter of
freedom fighters as per advertisement ? :*
Are you Physically disabled ?
If yes, Nature of Disability
Percentage of Disability
Scribe Required ?
 
Do you want to pay concessional fee as per SC/ST/DISABILITY/Female(Bihar) ?
(If supporting document is not produced, then candidature will be cancelled on ground of less amount of fee paid. )
Are you an Ex-Serviceman ?
 
Address of Correspondence *
Address Line 1:
Address Line 2:
Address Line 3:
State:
District:
PIN:
 
Address of permanent residence *
Address Line 1:
Address Line 2:
Address Line 3:
State:
District:
PIN:
Note: If address of permanent residence is outside of State of Bihar, reservation of EWS, SC, ST, EBC & BC will be not acceptable.
Do you have required essential qualification/criteria for this post as mentioned in the advertisement ? (For details please read the advertisement carefully.) *
Please select:
Sorry you are not eligible for the above post, therefore you cannot proceed.
Mobile/Mail Verification
E-Mail: *
Mobile No: *+91
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