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Brlps Jeevika Application

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abhishekranu82
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0% found this document useful (0 votes)
104 views4 pages

Brlps Jeevika Application

Uploaded by

abhishekranu82
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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Candidate Personal Details

Candidate Photo
Application Status Application Number Candidate's Name
PaymentSuccess 230420236 SHOBHA KUMARI
Date of Birth Age as on 25th-July- Gender
06/Dec/2001 25 Female
2 Year 7Mont 1 Day Have you ever chan
3 s hs 9 s ged your name?
No
Marital Status Father's Name Mother's Name
Unmarried HALIWANT SHUKLA RITA DEVI
Email ID Mobile Number
Gautamku645@gmai 9241997146
l.com

Post Details

Post Category Post Name Post Code


Block Level Area Coordinator 23

Candidate Domicile and Category Details

Nationality Are you domicile of Reservation Categor


Indian State? y
Yes Economically Weaker
Section (EWS)

Category Certificate Details

Category Certificate Category Certificate Category Certificate


Issuing Authority Issue Date Serial No
CIRCLE OFFICER 26/06/2025 EWSCO/2025/590199

Domicile Certificate Details

Domicile Certificate Domicile Certificate Domicile Certificate


Issuing Authority Issue Date Serial No
REVENUE OFFICER 25/06/2025 BRCCO/2025/121251
44

Additional Details
Are you PwBD i.e. Pe Are you Grandson/G Are you an employe
rson with Benchmar randdaughter of fre e of State Govt./Cen
k Disabilities with at edom fighter ? tral Govt/Other Stat
least 40% disability? No e Govt. ?
No No
ARE YOU CURRENTL ARE YOU EX-EMPLOY HAVE YOU EVER BEE
Y WORKING EMPLOY EE OF BRLPS ? N TERMINATED FRO
EE OF BRLPS? No M BRLPS ON DISCIPL
No INARY GROUND?
No

Identification Details

Mark of Visible Iden Do you have Pan Car Pan Card Number :
tification d? PDGPK1725Q
MOLE ON MARK RIGH Yes Name on Pan Card:
T CHIK SHOBHA KUMARI
Do you have Driving Do you have Voter I Do you have Passpo
License? d? rt?
No No No

Correspondence Address

Address Line 1 Address Line 2 Country


VILL- SONAHULA CHA PO- DHEBWA, PS -GO India
NDRABHAN PALPUR- DIST- GOPAL State
GANJ
Bihar
City/District Pincode/Postal Code Is Permanent Addre
Gopalganj 841503 ss Same as Correspo
ndence address?
No

Permanent Address

Address Line 1 Address Line 2 Country


VILL- SONAHULA CHA PO- DHEBWA, PS -GO India
NDRABHAN PALPUR- DIST- GOPAL State
GANJ
Bihar
City/District Pincode/Postal Code
Gopalganj 841503

Matriculation (10th) Details

Name of the Board School/ lnstitute Na Percentage of Mark


BSEB me s/CGPA/Grade
High school sonahula Percentage
Gopalganj Marks Obtained
208
Maximum Marks Percentage of Mark Year of Completion
500 s (%) 2018
41.60 Division
Third
lntermediate (12th) Details

Name of the Board School/ lnstitute Na Percentage of Mark


BSEB me s/CGPA/Grade
J.D.womens college p Percentage
atna
Marks Obtained
300
Maximum Marks Percentage of Mark Year of Passing
500 s 2020
60.00 Division
First

Post Specific Qualification Details

Qualification Degre Institute passed fro Subjects


e m Arts
Graduate in any disci Mahila college khaga Month and Year of P
pline ul assing
04/2024
Percentage of Mark Marks Obtained Maximum Marks
s/CGPA/Grade 832 1500
Percentage Percentage of Mark
s
55.47

Experience Details

Name of the Or Post Start date End date Length of service render
ganisation held of service of service ed as work experience
MASTER RESOU
RCE PERSON

Payment Details

Amount Payment Mode Payment Status


800 online Payment Success
Payment Transactio
n No.
250817240413210

Documents Upload

Signature

View / Downloa
Document
d
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 Post Specific Qualification Certificat


Click here.
e:

To view your copy of Post Specific Qualification markshe


Click here.
et:

To view your copy of State Domicile Certificate: Click here.

To view your copy of Caste Certificate: Click here.

To view your copy of Pancard document : Click here.

Declaration

1. I hereby declare that all the statements made in this application form are
true, complete and correct to the best of my knowledge & belief. In the even
t of any information being found false or incorrect, or any ineligibility being
detected at any time during or after the selection process, my candidature
may be cancelled and legal action may be taken against me by the compete
nt authority.
2. I have read the advertisement and the relevant Services Rules related to t
his recruitment carefully and I hereby undertake to abide by them. I fulfil alt
the conditions of eligibility regarding age limit, essential qualifications etc. p
rescribed in the advertisement and relevant Rules.
3. I am in possession of all the original certificates / documents in support of
my claim made above in the application form.

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