Name of the post applied for :- *

Please donot enter any salutation i.e.-Shri/Smt/Mr/Mrs/MS/DR/Prof*

Name of the Candidate :- *

Confirm Name of the Candidate :- *

Please donot enter any salutation i.e.-Shri/Smt/Mr/Mrs/MS/DR/Prof*

Father's Name :- *

Please donot enter any salutation i.e.-Shri/Smt/Mr/Mrs/MS/DR/Prof*

Mother's Name :- *

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

Sex :- *

Nationality :- *

Marital Status :- *

Spouse Name :- *

Email ID:- *

Confirm Email ID:- *

Mobile No.:- *

Confirm Mobile No.:- *

Are you permanent resident of Bihar? :- *

Category :- *

Identity Proof(having photo):- *

Details of ID Proof :- *

Visible mark of Identification :- *

Are you Person with Disabilities with at least 40% disability? :- *

Disability type: - *

Certificate No:- *

Date of Issue(YYYY/MM/DD) :- *

Are you an Ex-Service man? :- *

Ex-Service man ID Number:- *

Are you a Ward of Freedom Fighter? :- *

Ward of Freedom Fighter certificate Number:- *

Name of Issuing authority:- *

Are you a Bihar Government employee who has rendered not less than three years of regular and continuous service? :- *

Criminal record / FIR registered against you? :- *

Details of Criminal record / FIR registered :- *

Declaration

I hereby declare that the facts and details given by me in this application are true to the best of my knowledge and belief. I understand that in the event of any of the particulars or information above being found false or incorrect at any stage, my candidature shall be liable to be rejected.