Registartion No. Registartion Date Applied Post Name

Name of the Candidate Father's/Husband's Name Mother's/Guardian's Name
Date of Birth Gender Marital Status
Email Id Mobile Number Spouse Name
Category Aadhar No. Repeat Mobile No.
Identity Proof with Signature Identity Proof No. Nationality
Have you ever changed your name (After Matriculation) Whether seeking age relaxation by virtue of your category Type of Employment
Languages Proficiancy 1) Hindi:- Read-   Write-    Speak- 2) English:- Read-   Write-   Speak-
Communication Address
Permanent Address
Are you OH (Orthopadically Handicapped) i.e. Person with Disabilities with at least 40% disability? Are you an employee of Central Government/Bihar Government?:-   Applied Noc:-  
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 has ever been registered against you?   
Whether serving in Establishment of this Court or courts subordinate to the Patna High Court or placed on deputation?
Whether served in Territorial Army for a minimum period for two Years? Have you been awarded with “B” certificate of NCC?
PG in English
Do you have Knowledge of 1) Urdu:-       Read-    Write-    Speak- 2) Kaithi:-       Read-   Write-   Speak- 3) Bangla:-       Read-   Write-   Speak-
Whether possess Graduation with English as one of the subject from a recognised University?
Whether possess minimum Diploma/Certificate of at least six month's course in Computer Application from recognised Institution?
Qualification Name of the Degree Name of School/College/Institute Name of Board/University Subjects/Stream Passing Year Obtained Marks Maximum Marks % CGPA-Grade CGPA-% Division
Matriculation
Intermediate
Graduation
Any Other Qualification
Matriculation Certificate :-
Intermediate Certificate :-
Graduation or equivalent degree Certificate :-
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.

(Signature of Applicant)