Name of the post applied for :- *

Candidate's Name :- *
(A) Name should be same as mentioned in matriculation certificate
(B) Please do not enter any salutation i.e.-Shri/Smt/Mr/Mrs/Ms/Dr/Prof*

Confirm Name :- *

Have you ever changed your name (After Matriculation) :- *

Changed Name :- *

Father's Name :- *
Please do not enter any salutation i.e.-Shri/Mr/Dr/Prof*

Mother's Name :- *
Please do not enter any salutation i.e.-Smt/Mrs/Dr/Prof*

Are you Domicile of Bihar :- *

Category :- *

Gender :- *

Are you a government employee? (Those who have completed continuous service of 3 years):- *

Ex-Serviceman :- *:- *

Date of Birth (As per matriculation certificate):-*

Whether seeking age relaxation by virtue of your category and or disability :- *

Mobile No.:- *

Confirm Mobile No.:- *

Email ID:- *

Confirm Email ID:- *

Working knowledge in Hindi & English : *

Do you know cycling? : *

Do you posses NCC-C certificate :

Valid Driving Licence(LMV/HMV) : *

Do you posses / likely to posses on or before the advertisement date all essential and educational / technical qualification prescribed for the post(s) applied for :- *

Declaration

All the information & details furnished and documents uploaded herewith are correct and true to the best of my knowledge. If at any stage during recruitment or even after selection or appointment, it is found that the above furnished information is wrong then my candidature/ selection may be cancelled and I shall be liable for suitable action as decided by Hon’ble BLCS.