Online Services Management Portal
Registration Form
(Kindly fill form carefully otherwise your application will be rejected)
Post Applied For
*
--Select--
Case Worker
Centre Administrator
Office Assistant
Para Legal Personnel/Lawyer
Para Medical Personnel
Psycho-Social Counsellor
Name of Applicant
*
Father's Name
*
Mother's Name
*
Caste Category
*
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Backward Classes
Economically Weaker Sections
Extremely Backward Classes
Scheduled Castes
Scheduled Tribes
Unreserved
Women Backward Class
Gender
*
Female
Male
Transgender
Marital Status
*
Married
Unmarried
Email ID
State of Domicile
*
Bihar
Other State
Home District
*
--select--
Araria
Arwal
Aurangabad
Banka
Begusarai
Bhagalpur
Bhojpur
Buxar
Darbhanga
East Champaran
Gaya
Gopalganj
Jamui
Jehanabad
Kaimur (Bhabua)
Katihar
Khagaria
Kishanganj
Lakhisarai
Madhepura
Madhubani
Munger
Muzaffarpur
Nalanda
Nawada
Patna
Purnia
Rohtas
Saharsa
Samastipur
Saran
Sheikhpura
Sheohar
Sitamarhi
Siwan
Supaul
Vaishali
West Champaran
Mobile No.
*
All fields marked with * are mandatory.