Registration No. Registration Date Post applied for

Name of the Candidate Father's Name Mother's Name
Date of Birth-dd/mm/yyyy Gender Marital Status
Email ID Mobile Number Spouse Name
Category Whether seeking age relaxation by virtue of your category and/or disability
Have you ever changed your name Name Changed
Are you OH(Orthopedically Handicapped with at least 40% disability)? Disability(in percentage)
Are you a government employee?:- Type of Employment
Designation :- Date of Joining :- Pay Level/Scale :-
Identity Proof Identity Proof No. Nationality
Do you know cycling ? life skill
Do you have a valid driving licence ? Driving Licence No. Date of Issue
Preference of examination centres Choice-1:   Choice-2:   Choice-3:
Communication Address
Permanent Address
Visible mark of Identification of Candidate Are you Domicile of Bihar?
Whether any Criminal case(s) has ever been registered against you?   
Whether any FIR/Complaint Case/P.S. Case has ever been registered against you?   
Whether serving in Patna High Court or courts subordinate to this Court?
Have you been awarded with “B” certificate of NCC?
Qualification Name of the Degree/Course Name of School/College/Institute Name of Board/University Subjects/Stream Passing Year Marks Obtained Maximum Marks % Division CGPA-Grade CGPA-%
I undertake that if, at any stage, it is found that I possess any higher qualification, including a diploma course, other than the one prescribed in this advertisement, i.e., Intermediate (12th Pass) from a recognized Board/Institution, I shall not only be terminated forthwith but shall also be subject to criminal prosecution.
Identity Proof () :-
All the information & details furnished and documents uploaded hereinabove 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.

    I have verfied all the details appearing at the preview page and found them correct. I understand that after making payment. no change or alteration can be made in the same.

(Signature of Applicant)