Candidate Personal Details
Candidate Photo
Application Status Application Number Candidate's Name
PaymentSuccess 230402941 MADHULATA KUMARI
Date of Birth Age as on 25th-July-2 Gender
16/Jul/1999 5 Female
2 Year 0Month 9Day Have you ever chang
6 s s s ed your name?
No
Marital Status Father's Name Mother's Name
Married JAYPRAKASH JYOTI MEENA DEVI
Email ID Mobile Number
madhulatakumari644 9065601483
@gmail.com
Post Details
Post Category Post Name Post Code
Block Level Area Coordinator 23
Candidate Domicile and Category Details
Nationality Are you domicile of S Reservation Category
Indian tate? Backward Class (BC)
Yes
Category Certificate Details
Category Certificate I Category Certificate I Category Certificate
ssuing Authority ssue Date Serial No
REVENUE OFFICER 12/06/2023 BCCCO/2023/3598038
Domicile Certificate Details
Domicile Certificate I Domicile Certificate I Domicile Certificate S
ssuing Authority ssue Date erial No
REVENUE OFFICER 12/06/2023 BRCCO/2023/4843089
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? NHEPK6328B
A CUT MARK ON FORH Yes Name on Pan Card:
EAD MADHULATA KUMARI
Do you have Driving Do you have Voter I Voter Id :
License? d? UBD2220598
No Yes Name on Voter ID Ca
rd:
MADHULATA KUMARI
Do you have Passpor
t?
No
Correspondence Address
Address Line 1 Address Line 2 Country
AT+POST-AMHA P. S- SUPAUL India
State City/District Pincode/Postal Code
Bihar Supaul 852108
Is Permanent Addres
s Same as Correspon
dence address?
No
Permanent Address
Address Line 1 Address Line 2 Country
AT+POST-AMHA P. S- SUPAUL India
State City/District Pincode/Postal Code
Bihar Supaul 852108
Matriculation (10th) Details
Name of the Board
BSEB, PATNA School/ lnstitute Na Percentage of Marks/
me CGPA/Grade
M. L. K HIGH SCHOOL Percentage
CHAUGHARA
Marks Obtained
356
Maximum Marks Percentage of Marks Year of Completion
500 (%) 2015
71.20 Division
First
lntermediate (12th) Details
Name of the Board School/ lnstitute Na Percentage of Marks/
BSEB, PATNA me CGPA/Grade
M. L. K HIGH SCHOOL Percentage
CHAUGHARA Marks Obtained
278
Maximum Marks Percentage of Marks Year of Passing
500 55.60 2017
Division
Second
Post Specific Qualification Details
Qualification Degree Institute passed fro Subjects
Graduate in any discipl m BOTANY
ine WOMEN'S COLLEGE M Month and Year of P
ADHEPURA assing
09/2023
Percentage of Marks/ Marks Obtained Maximum Marks
CGPA/Grade 1152 1500
Percentage Percentage of Marks
76.80
Payment Details
Amount Payment Mode Payment Status
800 online Payment Success
Payment Transaction
No.
250820241112406
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 Post Specific Qualification Certificate: Click here.
To view your copy of Post Specific Qualification marksheet: Click here.
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.
To view your copy of Voterid document: 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.
