BSSS Application Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. - Step 1 of 4Application ID1. Personal DetailsApplicant's Name *FirstMiddleLastMother's Name *FirstMiddleLastHusband's NameFirstMiddleLastFather's Name *FirstMiddleLastDate of Birth *DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Category *--- Select Choice ---GeneralOBCEBCSC/STMobile Number *Alternate Mobile Number *Email *EmailConfirm EmailResident Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeParmanant Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeApplicant's Photo * Capture With Your Camera Camera Preview Terms & Conditions *Main yeh ghoshna karta / karti hoon ki mere dwara di gayi sabhi jankari sahi aur satya hai.Main samajhta / samajhti hoon ki galat jankari dene par mera application radd kiya ja sakta haiMain apni jankari ko recruitment process ke liye use karne ki anumati deta / deti hoon.I Agree to the Terms & Conditons.Next2. Educational Qulafication Qulafication *10th12thGraduationBBABCAB. Tech/BEMBAPG Qulafication Details 10th *Board/University *Passing Year *Percentage *12thBoard/UnivaersityPassing Year Percentage GraduationBoard/UnivarsityPassing Year Percentage Other QulaficationBoard/UnivarsityPassing Year Percentage Terms & ConditionsDescription a) All information provided must be true and correct b) False information may lead to rejection c) Documents will be verified at the time of selection d) Organization decision will be final Qulafication 10th Details Declaration *I Agree to Terms & ConditionsQulafication Certificate Upload10th Marksheet *Upload Certificate (Only PDF)12th MarksheetUpload Certificate (Only PDF)Graduation MarksheetUpload Certificate (Only PDF)Other Qulafication (BBA/BCA/MBA/B. Tec/BE etc..)Upload Certificate (Only PDF)Declaration *I Agree to Terms & ConditionsNextPosition SelectionPosition Name *State Anti Fraud Unit ManagerHospital Empanelment ManagerBeneficiary Identification System Assistant ManagerBeneficiary Identification ExecutiveDatabase AdministratorAccountantInternal AuditorAccounts OfficerProcurement ExecutiveQuality ExecutiveDistrict Program Coordinator (DPC) Level 1stDistrict Program Coordinator (DPC) Level 2ndBlock Program Coordinator (BPC) Block LevelPanchayat Coordinator Panchayat LevelPanchayat SurveyorCandidates must ensure that they meet the eligibility criteria ( qualification & experience) for the selection may be rejected.Experience Letter UploadIf applicable in the application.Examination Center Location *--- Select Choice ---DarbhangaPatnaGayaBegusaraiMadhepuraMuzaffarpurNalandaSitamarhiSupaulSamastipurVaishaliApplicants should choose their examination center district.Work Location Willingness *--- Select Choice ---ArariaArwalAurangabadBankaBegusaraiBhagalpurBhojpurBuxarDarbhangaEast Champaran (Motihari)GayaGopalganjJamuiJehanabadKaimur (Bhabhua)KatiharKhagariaKishanganjLakhisaraiMadhepuraMadhubaniMungerMuzaffarpurNalandaNawadaPatnaPurniaRohtasSaharsaSamastipurSaran (Chapra)SheikhpuraSheoharSitamarhiSiwanSupaulVaishali (Hajipur)West Champaran (Bettiah)Applicants should choose their work District.Contract AcceptanceI agree to work on contract basis as per organization rules.NextOther Document UploadAadhaar Card Upload *It is mandatory to upload both the front and back sides of the Aadhaar card.Applicant Signature Upload *Declaration *I Agree to Terms & ConditionsSubmit