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
Reservation Category:
Spouse Name
Address of Spouse
Have you ever changed your name (After Matriculation)
(You will have to produce Gazette Notification at the time of Document verification)
Name Changed
Are you Locomotor Disabled (with atleast 40% disability) ?
Disability(in percentage)
Are you currently employed?:-
Type of Employment
Designation :-
Date of Joining :-
Pay Level/Scale :-
Identity Proof
Identity Proof No.
Nationality
Whether seeking age relaxation by virtue of your category/disability/Central or Bihar Govt. Service ?
Preference of examination centres
Choice-1:
Choice-2:
Choice-3:
Communication Address
Permanent Address
Are you Domicile of Bihar?
Visible mark of Identification of Candidate
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?
Whether served in Territorial Army for a minimum period for two Years?
Have you been awarded with “B” certificate of NCC?
Qualification
Degree / Course
Institute
Board / University
Scheme of Marking
Year
Obtained
Max
%
Division
CGPA Grade
CGPA %
Matriculation
Sl.No.
Organisation Name
Organisation Type
Designation
From Date
To Date
Pay Level/CTC
Nature of Duties
Total Service
Total experience (All organisations) as on 01.01.2026
Matriculation (10th) Certificate :-
Matriculation (10th) Marksheet :-
Date of submission of online application :
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 verified 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.