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Ishwar

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Submitted By lalitishwar
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12/19/13

Rural Development Dept., Govt. of Bihar

1. Application ID : 2. Candidate Details First Name Middle Name Last Name Father's Name Mother's Name

Application Form Rural Development Department, Govt. of Bihar Application for the Post of Panchayat Rojgar Sewak Under MGNREGA Applied for the district : BEGUSARAI PRS/0348422 Applied On : 18-Dec-2013 LALIT KUMAR NANDKISHOR ISHWAR RANJANA DEVI 25-Dec-1991 Male GEN No No lalitishwar@gmail.com 9534494212

Spouse's(Husband/Wife) Name Date of Birth Gender Category Physically Handicapped Whether Ex-Serviceman Email ID Mobile 1 Mobile 2 Phone With STD Code 3. Address for Correspondence Address Pin Code District State 4. Permanent Address Address Pin Code Panchayat Block District State

AT-SIURI PO-MANJHAUL PS-CHERIA BARIYARPUR 851127 BEGUSARAI Bihar AT-SIURI PO-MANJHAUL PS-CHERIA BARIYARPUR 851127 MANJHAUL-4 Cheria Bariarpur BEGUSARAI Bihar Registration No. 0264/001/12185/06 0264/001/12185/06 1090800227

5. Educational Qualification Board/University Specialization Passing Year Marks Obtained (%) Class/ Grade I.Matric BSEB PATNA 2007 56.20 2ND II.Intermediate/12th BIEC PATNA Science 2009 61.20 1ST III.Graduation LNMU DARBHANGA Math 2012 67.63 1ST IV.Post Graduation V. Diploma 6. Other Qualification Knowledge of computer Yes

I hereby declare that the information submitted by me is true to the best of my knowledge and belief. If at any stage during the process of selection and thereafter, any of these information is ascertain to be false/incorrect my candidature may be rejected. Place:Date:- 18-12-2013 Signature of Applicant

oasys.bih.nic.in/RDDPRS/app/AppPrint.aspx?q=f

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