Level :  
Post Applied For :
Name : } # As in Matriculation Certificate(Do not use title/salutation e.g. Mr./Ms./Sri/Smt. etc. before name)
Father's Name :
Date of Birth :
Domicile of Bihar: Note :if yes, given Permanent Address
Physically Handicapped Note : if yes then submit an attested certificate of medical board
Gender :
Category : Note : Except unreserved Post it is essential to submit certified copy of caste certificate issued by competent authority
Email :  
Mobile No. : -
Password :
Confirm Password :
Enter Code Shown :
Note :- Fields marked with * are mandatory