ONLINE APPLICATION FOR THE POST OF OTHER PERSON(MEMBER), PERMANENT LOK ADALAT FOR PUBLIC UTILITY SERVICES IN DISTRICTS OF BIHAR

Apply for District(s)

Araria

Jamui

Kishanganj

Madhepura

Name *

Father's / Spouse Name *

Date of Birth

Age as on

Educational Qualification *

Any Other Qualification/Experience, the candidate may like to inform

Home State *

Home District *

Address

Permanent Address (Same as Correspondence Address)

Correspondence Address *

Permanent Address *

Pin Code * * Invalid Pincode

State *

Mobile No. * 10 Digits Only

Email* Invalid Email ID

Occupation Detail

Present Occupation *

Annual Income * Numeric Only

Nationality

Service Status

Whether Retired from public utility services department as mentioned U/s 22A of the Act? *

Criminal Offence/Proceeding/Charge-Sheeted Details (If Any)

Whether any Criminal case has been registered against the candidate?
If yes, the details thereof *

Whether the candidate has ever been charge-sheeted for any criminal offence or in any departmental proceedings?
If yes, the details thereof *

Whether the candidate has been convicted by any competent court for any criminal offence?
If yes, the details thereof *

Whether the candidate have more than one living spouse?
If yes, the details thereof *

Whether the candidate attract any of the disqualification mentioned in the Advertisement?
If yes, the details thereof *

Upload Picture, Signature and Declaration

Photo (size must be between 10 kb to 40 kb and type is .jpg)

Signature (size must be between 5 kb to 10 kb and type is .jpg)

Declaration (size must be between 20 kb to 60 kb and type is .jpg)

Declaration (to be handwritten, scanned and uploaded)

"I undertake that I have not concealed any material information. I further undertake that in case at any stage, I have been found guilty of concealing any material information, my candidature/ subsequent appointment be cancelled with immediate effect."

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