FORM -20

BIHAR STAFF SELECTION COMMISSION, PATNA

FIRST INTER LEVEL COMBINED (P.T.) COMPETITIVE EXAM-2014
PASTE YOUR POST CARD SIZE PHOTOGRAPH ON THIS SHEET AND IT MUST BE
HANDED OVER TO THE INVIGILATOR AT THE EXAMINATION CENTRE

AFFIX YOUR POST CARD SIZE

PHOTOGRAPH HERE
(Same as uploaded on your online application form)

Name of the Candidate

:.....................................................

Roll No. : .................................................

Registration No.

: .....................................................

Date of Birth : .........................................

Fathers Name

: ..................................................... Examination Centre Code : .....................

Gender ( Male/Female)

: ........................................................

Category ( UR/SC/ST/MBC/BC) : ...........................................

Date : ............................

_________________________

___________________________

Signature of Candidate in Hindi

Signature of Candidate in English

Verified the signature and Photograph of the candidate inside the examination Room/Hall
Signature of the Invigilator-1

Signature of the Invigilator-2

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