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Registration No.: Government of Bihar Bihar Combined Entrance Competitive Examination Board

The document is an online application form for the Bihar Combined Entrance Competitive Examination (BCECE) 2025, submitted by candidate Prabhat Kumar for admission to the First Year Degree Courses in the PCB group. It includes personal details, educational background, subject-wise marks, payment information, and a declaration by the candidate affirming the accuracy of the provided information. The application also contains sections for signatures and enclosures required for the application process.

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0% found this document useful (0 votes)
53 views4 pages

Registration No.: Government of Bihar Bihar Combined Entrance Competitive Examination Board

The document is an online application form for the Bihar Combined Entrance Competitive Examination (BCECE) 2025, submitted by candidate Prabhat Kumar for admission to the First Year Degree Courses in the PCB group. It includes personal details, educational background, subject-wise marks, payment information, and a declaration by the candidate affirming the accuracy of the provided information. The application also contains sections for signatures and enclosures required for the application process.

Uploaded by

raazlooters
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Government of Bihar

Bihar Combined Entrance Competitive Examination Board


Online Application Form for Bihar Combined Entrance Competitive Examination (BCECE)- 2025 for admission to First Year
Degree Courses.

Registration No. Please do not send this Confirmation Page to BCECE Board
2511207011509

Personal Details:
Name of Examination : BCECE-2025

Course Group Applied For : PCB (Physics + Chemistry + Biology)

Candidate's Name: PRABHAT KUMAR

Father's Name: MAHENDRA DAS

Mother's Name: ARCHANA DEVI

Date Of Birth: 13-08-2006

Gender: Male

Category: Extremely Backward Class [EBC]

Mobile No.: 620****492

Email Id: kum********************com

Class 10th Roll No. (As printed on Admit Card): 221**187


Note : Please Affix your same photo and put
Permanent resident of Bihar: Yes your full signature in English and Hindi in space
provided above
Residential Eligibility:

Disabled Quota: NO
If you unable to write due to permanent loss of limbs / suffering from Cerebral NA
palsy, then do you claim for providing Scribe:
District Name of the Institution of Passed / Appearing at I.sc or Equivalent: OTHER (KANPUR)

Mark of Identification: MINOR CUT ON LEFT HAND

Is your Family [Father/Mother] annual income is less than 8 Lakhs: YES

Subject Group Passed / Appeared: PCB (PHYSICS + CHEMISTRY + BIOLOGY)


Do you Claim for Service Men's Quota [SMQ]: No
Are you Son / Unmarried Daughter of Ex-Servicemen / Retired / Serving NA
Military Personnel :
Do you claim for Self-Financed Scheme seat?: NO

Do you claim for NRI Quota?: NO

Educational Details:

Level School/ College Board/ University Passing Passing Marks Total Marks % of marks /
Name Name Status Year Obtained CGPA
Class 10th or Equivalent CMP SCHOOL CENTRAL BOARD OF Passed 2022 370 500 74
HISSAR SECONDARY
MADHUBANI BIHAR EDUCATION
Class 12th or Equivalent BSS EDUCATION CENTRAL BOARD OF Passed 2024 419 600 69.83
CENTRE SECONDARY
ANANDPURAM EDUCATION
KALYANPUR
KANPUR UP

Registration No.: 2511207011509 Generated On: 19-04-2025 10:56:33 AM Page No. 1


Government of Bihar

Bihar Combined Entrance Competitive Examination Board


Online Application Form for Bihar Combined Entrance Competitive Examination (BCECE)- 2025 for admission to First Year
Degree Courses.

Subject Wise Marks Details:

Name of Subject Max Marks Obtained Marks


English 100 71
Physics 100 71
Chemistry 100 55
Biology 100 74
% of Marks Obtained in English :71| % of Marks Obtained in PCB (Physics + Chemistry + Biology):66.7

Payment Details:
Payment Mode Journal No./Transaction No. Deposit Date Amount (in Rs.)

UPI: Bank Account BHD1BIN0IOXX0V 2025/04/19T10:54:46 Rs. One Thousand Only

Address Details:

A. Permanent Address: B. Correspondence Address:


BAURHAR BAURHAR
BAURHAR BAURHAR

District: MADHUBANI District: MADHUBANI

State: Bihar State: BIHAR

Pin Code: 847230 Pin Code: 847230

Declaration by the Candidate:

I PRABHAT KUMAR declare that the informations furnished above are correct and I shall forfeit my candidature and will be liable for legal action in case
of any of them is proved to be false at any stage inclusive of admission or thereafter.

Date : .......................

Place : ...................... (Signature in English) (Signature in Hindi)

Registration No.: 2511207011509 Generated On: 19-04-2025 10:56:33 AM Page No. 2


Government of Bihar

Bihar Combined Entrance Competitive Examination Board


Online Application Form for Bihar Combined Entrance Competitive Examination (BCECE)- 2025 for admission to First Year
Degree Courses.

(A) Declaration of the Candidate (Not in Capital letters)

I PRABHAT KUMAR Son/Daughter of MAHENDRA DAS hereby solemnly and sincerely affirm the statements made and information furnished above by
me and in the enclosures hereby submitted by me are true and correct. I have not kept my information secret. If, however, it is found that any information
furnished therein is fraudulent, incorrect or untrue in materials / particulars, I realize that I am liable criminal prosecution and agree to forego my seat in the
college and further that the selection and admission to this course is liable to be canceled. I agree to abide by the rules and regulations governing this
Examination and as contained in the prospectus of BCECE - 2025

Repeat below in your handwriting (not in capital letters) the above mentioned Declaration and put your signature in English and Hindi at the
specified spaces as signed in Part A of the Online Application Form. If you fail to do so, your Candidature shall be rejected:

.........................................................................................................................................................................................................................................

.........................................................................................................................................................................................................................................

.........................................................................................................................................................................................................................................

.........................................................................................................................................................................................................................................

.........................................................................................................................................................................................................................................

Place : .............................. (Signature in English) ..............................

Date : .............................. (Signature in Hindi) ..............................

......................................
(Counter signature of the Father/Mother/Guardian)

List of Enclosures:

1. ............................................................... 2. ...............................................................

3. ............................................................... 4. ...............................................................

5. ............................................................... 6. ...............................................................

7. ............................................................... 8. ...............................................................

Registration No.: 2511207011509 Generated On: 19-04-2025 10:56:33 AM Page No. 3


Government of Bihar

Bihar Combined Entrance Competitive Examination Board


Online Application Form for Bihar Combined Entrance Competitive Examination (BCECE)- 2025 for admission to First Year
Degree Courses.

(AT THE TIME OF COUNSELLING / INTERVIEW ONLY)

(I.) Full Signature of Candidate (English) ........................ (II.) L.T.I. of the Candidate

(Hindi) ...........................

FOR OFFICE USE OF THE CONCERNED INSTITUTE

Roll No. .............................................. Category .............................................. Merit Serial .............................................. of BCECE-2025 in the First

Year of .............................................. Course / Branch of the Institute .............................................. as He/She fulfilled all the requirements of being

admitted.

SEAL OF THE INSTITUTE SIGNATURE OF THE DIRECTOR / PRINCIPAL

Registration No.: 2511207011509 Generated On: 19-04-2025 10:56:33 AM Page No. 4

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