BSSC Office Copy - Bihar Staff Selection Commission

bssc.bih.nic.in

BSSC Office Copy - Bihar Staff Selection Commission

BIHAR STAFF SELECTION COMMISSION

PO- VETERINARY COLLEGE, PATNA-800014

EXAMINATION NAME: GRADUATE LEVEL COMBINED P.T. EXAM -2010 / ADV. NO - 110

DISCREPANCY REPORT FORM

(BSSC Office Copy)

1. ROLL NO : _____________________(IN WORDS)_________________________________________________

2. NAME :_________________________________________________________________________________

3. FATHER’S NAME :__________________________________________________________________________

4. DATE OF BIRTH :_____-_______-____________.(IN WORDS) ______________________________________

5. DISCREPANCY (IN ADMIT CARD):

S.No. DISCREPANCY REQUIRED CORRECTION

1. Name

2. Father’s Name

3. Date of Birth

4. Gender ( SEX )

5. Category

6. Physical Disability ( DQ )

7. Other ( Image Related or Any)

I hereby declared that all above information is submitted by me is correct. Kindly make the above correction

DISCREPANCY REPORT NO. (OFFICE USE ONLY)____________________

Correction will be made in the Data Base in due course after verification.

Signature of Candidate

(As per Admit Card)

Remarks ( For Office Use Only ) :

Signature of Receiver


BIHAR STAFF SELECTION COMMISSION

PO- VETERINARY COLLEGE, PATNA-800014

EXAMINATION NAME: GRADUATE LEVEL COMBINED P.T. EXAM -2010 / ADV. NO - 110

DISCREPANCY REPORT FORM

(Candidate Copy)

6. ROLL NO : _____________________(IN WORDS)_________________________________________________

7. NAME :_________________________________________________________________________________

8. FATHER’S NAME :__________________________________________________________________________

9. DATE OF BIRTH :_____-_______-____________.(IN WORDS) ______________________________________

10. DISCREPANCY (IN ADMIT CARD):

S.No. DISCREPANCY REQUIRED CORRECTION

1. Name

2. Father’s Name

3. Date of Birth

4. Gender ( SEX )

5. Category

6. Physical Disability ( DQ )

7. Other ( Image Related or Any)

I hereby declared that all above information is submitted by me is correct. Kindly make the above correction

DISCREPANCY REPORT NO. (OFFICE USE ONLY)____________________

Correction will be made in the Data Base in due course after verification.

Signature of Candidate

(As per Admit Card)

Signature of Receiver

More magazines by this user
Similar magazines