BIHAR STAFF SELECTION COMMISSION

BIHAR STAFF SELECTION COMMISSIONPO- VETERIANARY COLLEGE, PATNA – 800014EXAMINATION NAME: KAKSHPAL EXAMINATION – 2013 (ADV. NO. – 01/2013)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 CORRECTION1 Name2 Fathers Name3 Date of Birth4 Gender (SEX)5 Category6 Physical Disability (DQ )7 Other ( Image Related orAny )I hereby declared that all above information is submitted by me is correct. Kindly make theabove correction.Signature of Candidate(AS PER ADMIT CARD)Discrepancy Report No (Office Use Only):…………………………………………………………Correction will be made in the data base in due course after verification.Signature of Receiver

BIHAR STAFF SELECTION COMMISSIONPO- VETERIANARY COLLEGE, PATNA – 800014EXAMINATION NAME: KAKSHPAL EXAMINATION – 2013 (ADV. NO. – 01/2013)DISCREPANCY REPORT FORM(CANDIDATES 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 CORRECTION1 Name2 Fathers Name3 Date of Birth4 Gender (SEX)5 Category6 Physical Disability (DQ )7 Other ( Image Related orAny )I hereby declared that all above information is submitted by me is correct. Kindly make theabove correction.Signature of Candidate(AS PER ADMIT CARD)Discrepancy Report No (Office Use Only):…………………………………………………………Correction will be made in the data base in due course after verification.Signature of Receiver