Applicant Print Subhash JSSC Lab Assistant

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JHARKHAND STAFF SELECTION COMMISSION

JHARKHAND LABORATORY ASSISTANT COMPETITIVE EXAMINATION-2023


(JLACE-2023)

APPLICATION FORM

Registration No. : 230101030827

Registration Completed Date. : 27-04-2023 22:35:34:867

Have you Completed Registration for JLACE-2022 (Advt.


No.-13/2022)
: No

Are you an Indian Citizen? : Yes

Applicant Name : SUBHASH KUMAR

Date of Birth (DD-MM-YYYY) : 05-02-1999

Father's Name : JAY PRAKASH PRASAD

Mother's Name : MALTI DEVI

Gender : Male

Marital Status : UNMARRIED

Are you a local resident of Jharkhand? : No

Candidates will be considered in Unreserved Category.

Reservation Category : UR

Aadhaar Card No. : 997346099285

Visible Identification Mark 1 : A MOLE ON RIGHT SIDE NECK

Visible Identification Mark 2 : A MOLE ON LEFT LEG FINGER

Communication Details

Correspondence Address
Address Line 1 : MALTI BHAVAN
Address Line 2 : 10
Address Line 3 : PO PAITHANA
Address Line 4 : PS ISLAMPUR
City/Village : BAKAUR
District : NALANDA
State : BIHAR
Pincode : 801303

Permanent Address
Address Line 1 : MALTI BHAVAN
Address Line 2 : 10
Address Line 3 : PO PAITHANA
Address Line 4 : PS ISLAMPUR
City/Village : BAKAUR
District : NALANDA
State : BIHAR
Pincode : 801303

Mobile No : 7667006790

E-Mail ID : [email protected]

Post Preference Details

Preference - 1 Preference - 2 Preference - 3


Lab Assistant (Physics) Lab Assistant (Chemistry) Lab Assistant (Biology)

Educational Details

Name of the
Name of Examination School/College/Institution Board/University Year of % of Marks Subject
Passing Obtained
(Mention State also)

CHANDRADEO PD VERMA HIGH S


Matriculation/10th CHOOL GULNI HILSA NALANDA BI BSEB PATNA 2013 75.60 --
HAR

PHY CHE
SARDAR PATEL COLLEGE HILSA
Intermediate/10+2 BSEB PATNA 2015 65.60 MATH HIN
NALANDA BIHAR D ENG

SARDAR PATEL COLLEGE HILSA MAGADH UNIVERSITY BOD PHY CHE


Graduation NALANDA BIHAR HGAYA 2019 67.37 MATH

Payment Details

Transaction ID Transaction Date Transaction Amount


17238948888 25-04-2023 100.00
Declaration :
I hereby declare that all statements made in this application are true, complete and correct to the best of my knowledge and belief. I understand
that in the event of any information being found false at any stage or not satisfying the eligibility criteria according to the requirements of the post, my
candidature/ appointment is liable to be cancelled/terminated.

Candidates are advised to take a print of his/her application form and keep-it with him/her along with electronically generated bank receipt in
support of payment of his/her examination fee for future communication in this regard.

Place:BAKAUR IP :152.58.134.101

Application Print Date:27-04-2023

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