Bihar State Legal Services Authority

Application Date

Candidate's Name *

Father's Name *

Category *

Whether Orthopaedically Handicapped(OH)? *

Date of Birth

Gender *

Male

Female

Transgender Person

Address

Permanent Address (Same as Present Address)

Present Address *

Permanent Address *

Pin Code * * Invalid Pincode

State *

Mobile No. * 10 Digits Only

Email * Invalid Email ID

Name of College/Institution(Upto 1000 Characters) *

Address of the College/Institution *

What year are you in? *

Whether you have earlier done Internship in BSLSA *

Educational Qualifications

	Name of Examination	Board/University Name	Pass Year	Percentage
10th	*	*	* *	* *
12th	*	*	* *	* *
Graduation			*	*
Any Other Qualification			*	*

Previous Internships *

If Previous Internships done, attach documents regarding Previous Internships
(size must be between 10 KB and 1 MB & pdf format)

Seminars / Conferences / Moot Courts attended *

If Seminars / Conferences / Moot Courts attended, attach documents regarding Seminars / Conferences / Moot Courts attended
(size must be between 10 KB and 1 MB & pdf format)

Essays and Publications in Journals and books *

Attach documents regarding Essays and Publications in Journals and books
(size must be between 10 KB and 1 MB & pdf format)

Achievements *

If any Achievements, attach documents regarding Achievements
(size must be between 10 KB and 1 MB & pdf format)

Skills and Interest *

Photo (size must be between 10 KB to 40 KB & jpg format)

College ID Card (size must be between 10 KB to 40 KB & jpg format)

Recommendation Letter for Internship by the Institution (size must be between 10 KB and 1 MB & pdf format)

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