Candidate's Name :- *
(A)Full Name
(B) Please do not enter any salutation i.e.-Shri/Smt/Mr/Mrs/Ms/Dr/Prof*

Confirm Name :- *

Have you ever changed your name :- *

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*

Gender :- *

Are you Domicile of Bihar :- *

Reservation Category :- *

Are you OH (Orthopedically Handicapped with at least 40% disability)? :- *

Disability(in percentage) :- *

Are you a government employee?:- *

Type of Employment :- *

Whether serving in Patna High Court or courts subordinate to this Court?:- *

Date of Birth :-*

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

Mobile No.:- *

Confirm Mobile No.:- *

Email ID:- *

Confirm Email ID:- *

Do you have a valid driving licence ?:- *

Do you know cycling ?:-*
(There shall be a cycling test for all candidates who qualify the Written Test. Only those who pass this initial cycling test will be considered for the Skill Test & Interview. However, the Cycling Test will not be mandatory for the Orthopedically Handicapped (OH) candidates.)

Fill in your Proficiency in any one life skill :- *

Languages Proficiency :- *

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 Patna High Court.