Application Registration No: 60002833110 for the Post of Constables (Executive)- Male And Female In Delhi

Police-2016
Your Application is Completed
1.State/UT of Code PEMT Centre & PEMT Centre Code :

Uttrakhand(03)

2.& 2.1. Name of Computer Based written Examination Center and

Code :

NR-Haridwar(2005)
NR-Dehradun(2002)
NR-Delhi(2201)

3.Candidate Name :

KM SHIVANI

4.Father's Name :

NARESH KUMAR

5.Mother's Name :

SULOCHNA

6.Date of Birth (dd/mm/yyyy) :

30/07/1996

7.Gender :

Female

8.Fee Exemption claimed :

Exemption Claimed

9. Religion :

Hindu

10.Category(SC-1,ST-2,OBC-6,UR-9) :

OBC

11.Whether Ex-Serviceman? :

No

12.1. For Ex-Serviceman-Length of Service(in years) :

12.2. Date of discharge (dd/mm/yyyy) :
13.Whether Ex-Serviceman belongs to :
14. Whether seeking Age relaxation? :

No

15. If yes, indicate code :

16. Age(as on 01.07.2016) :

19.11

17. Whether seeking relaxation in Height/Chest :

No

18.If yes,category under which relaxation sought? :

19. Aadhar Card Number :

268514464199

20.Visible Identification Mark :

NO

21. Educational Qualification :

12th Pass

22.Postal Address :

VILLAGE - ANNEKI POST - AURANGABAD

Village/City :

HARIDWAR

District :

HARIDWAR

State :

Uttarakhand

Pincode :

249402

23.Permanent Address :

VILALGE - ANNEKI POST - AUGRANGABAD

HARIDWAR

State :

Uttarakhand

Pincode :

249402

STD Code :
Phone Number :
Mobile Number :

7455891913

Email ID :

yogeshpandey259@gmail.com
24.Photo

25.Signature

Declaration

I hereby declare that all the statements

made in this application are true,
complete and correct to the best of my
knowledge and belief. I understand that
in the event of any information being
found suppressed/ false or incorrect or
ineligibility being detected before or
after
the
examination,
my
candidature/appointment is liable to be
cancelled.
Place:
Date (yyyy-mm-dd):2016-10-03
Signature of Candidate

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