Candidate Personal Details
Candidate Photo
Application Status Application Number Candidate's Name
PaymentSuccess 260169752 GULSHAN FATAMA
Date of Birth Age as on 25th-July-2 Gender
11/Nov/2001 5 Female
2 Year 8Month 1 Day Have you ever chang
3 s s 4 s ed your name?
No
Marital Status Father's Name Mother's Name
Unmarried MD ALIMUDDIN ARJANA KHATOON
Email ID Mobile Number
gulshanbscc11@gmail. 7479994168
com
Post Details
Post Category Post Name Post Code
Block Level Community Coordinat 26
or
Candidate Domicile and Category Details
Nationality Are you domicile of S Reservation Category
Indian tate? General (UR)
Yes
Domicile Certificate Details
Domicile Certificate I Domicile Certificate I Domicile Certificate S
ssuing Authority ssue Date erial No
REVENUE OFFICER 01/03/2025 BRCCO/2025/4333790
Additional Details
Are you PwBD i.e. Per Are you Grandson/Gr Are you an employee
son with Benchmark anddaughter of freed of State Govt./Centra
Disabilities with at le om fighter ? l Govt/Other State Go
ast 40% disability? No vt. ?
No No
ARE YOU CURRENTLY ARE YOU EX-EMPLOY HAVE YOU EVER BEEN
WORKING EMPLOYEE EE OF BRLPS ? TERMINATED FROM B
OF BRLPS? No RLPS ON DISCIPLINA
No RY GROUND?
No
Identification Details
Mark of Visible Identi Do you have Pan Car Pan Card Number :
fication d? AEWPF3322G
A MOLE MARK ON THE Yes Name on Pan Card:
RIGHT CHICK GULSHAN FATMA
Do you have Driving Do you have Voter I Voter Id :
License? d? ANX2324705
No Yes Name on Voter ID Ca
rd:
GULSHAN FATMA
Do you have Passpor
t?
No
Correspondence Address
Address Line 1 Address Line 2 Country
AT PO SIHIPUR PS AZAMNAGAR India
State City/District Pincode/Postal Code
Bihar Katihar 855113
Is Permanent Addres
s Same as Correspon
dence address?
No
Permanent Address
Address Line 1 Address Line 2 Country
AT PO SIHIPUR PS AZAMNAGAR India
State City/District Pincode/Postal Code
Bihar Katihar 855113
Matriculation (10th) Details
Name of the Board School/ lnstitute Na Percentage of Marks/
BSEB PATNA me CGPA/Grade
Percentage
HIGH SCHOOL KHURIY Marks Obtained Maximum Marks
AL KATIHAR 255 500
Percentage of Marks Year of Completion Division
(%) 2016 Second
51.00
lntermediate (12th) Details
Name of the Board School/ lnstitute Na Percentage of Marks/
BSEB PATNA me CGPA/Grade
PROJECT GIRLS SCHOO Percentage
L AZAMNAGAR Marks Obtained
259
Maximum Marks Percentage of Marks Year of Passing
500 51.80 2018
Division
Second
Any other Higher Qualification Details
Qualification Degree Other Qualification D Institute passed fro
Others egree m
GRADUATION SRCD COLLEGE KATIH
AR
Subjects Other Subjects Month and Year of P
Others Home Science assing
07/2022
Percentage of Marks/ Marks Obtained Maximum Marks
CGPA/Grade 790 1500
Percentage Percentage of Marks
52.67
Experience Details
Name of the Start date End date Length of service rende
Post held
Organisation of service of service red as work experience
JIVIKA AZAM COMMUNIT 01/07/202
NAGAR Y MOBILIZER 0
Payment Details
Amount Payment Mode Payment Status
800 online Payment Success
Payment Transaction
No.
250814239850854
Documents Upload
Signature
Document View / Download
To view your copy of scanned 10th class certificate: Click here.
To view your copy of scanned 10th class marksheet: Click here.
To view your copy of scanned 12th class certificate: Click here.
To view your copy of scanned 12th class marksheet: Click here.
To view your copy of Additional Qualification Certificate: Click here.
To view your copy of State Domicile Certificate: Click here.
To view your copy of Experience Certificate : Click here.
To view your copy of Pancard document : Click here.
To view your copy of Voterid document: Click here.
To view your copy of Other relevant documents: Click here.
Declaration
1. I hereby declare that all the statements made in this application form are tru
e, complete and correct to the best of my knowledge & belief. In the event of a
ny information being found false or incorrect, or any ineligibility being detected
at any time during or after the selection process, my candidature may be cance
lled and legal action may be taken against me by the competent authority.
2. I have read the advertisement and the relevant Services Rules related to this
recruitment carefully and I hereby undertake to abide by them. I fulfil alt the co
nditions of eligibility regarding age limit, essential qualifications etc. prescribed
in the advertisement and relevant Rules.
3. I am in possession of all the original certificates / documents in support of m
y claim made above in the application form.
