12/28/2017 DP-View Application

Delhi Police
(Direct recruitment for various trades of multi-tasking staff(civilian))
DELHI POLICE EXAMINATION - 2017

Personal Details:
Registration ID:- 1710430337
Candidate's Name:- SUSHIL KUMAR
Father/Guardian/Husband's Name:- HARI CHAND
Mother's Name:- SATYAWATI DEVI
Relation:- Father
Date Of Birth:- 15/08/1997
Gender:- Male
Marital Status:- Married
Category:- UR Religion:- Hinduism
Persons with Disabilities(PwD):- No Ex-Serviceman:- No
Aadhar Number:- 6827-3789-7583 Mobile Number:- 8930311031
Email Address:- Sushilhr27f@gmail.com Payment Status:- Fee Paid
Post preferance under:- Category Post preferance order:- 1-Cook , 2-Water Carrier ,
Qualification:- 10th or equivalent
Candidate's Mailing Address :
Address Line S/O- HARI CHAND VPO- UJINA TEHSIL- NUH DISTT.- NUH HARYANA-
122107
Town/City UJINA
District MEWAT
State HARYANA
Pin 122107

Declaration:-
I hereby declare that:-
1. I have not submitted any other application for this examination. I am aware that if I contravene this rule, my application will be rejected
summarily by the Delhi Police.
2. I also declare that I do not stand debarred by SSC/UPSC or any recruitment board from appearing in any examination as on date.
3. Criminal Proceeding details, if any:-

a. Whether any FIR or criminal case(s) registered against you Yes No

b. Whether any FIR or criminal case(s) is pending against you in any Court of Law, or with police at the time of submitting the application form? Yes No

c. Have you ever been arrested, detained in any criminal case(s) Yes No

d. Have you ever been tried & convicted by any court of law in any criminal case(s) Yes No

e. Have you ever been tried & convicted by the court by filling any bond for good behavior etc. Yes No

Case Reference:- If the answer of any of the above mentioned question is ‘Yes’ then give full particulars of the case FIR No., Date, Under Sections, Police Stations, District and present status of
the case at the time of filling up this application form:

4. *For Candidate belonging to OBC.

I hereby declare that I belong to the community which is recognized as a backward class by the Govt. of India for the purpose of reservation in services as per order contained in Deptt. of
Personnel and Training Office Memorandum No.36012/22/93-Estt.(SCT) dated 8.9.1993. I also declare that I do not belong to the person/sections (creamy layer) mentioned in column 3 of the
schedule of the OM mentioned above and modified vide Govt. of India DOPT OMs mentioned in the Notice. I further declare that I will produce valid OBC certificate as per para 4(C) of notice of
the examination in the prescribed format.
5. For candidate belonging to Ex-Servicemen.
I hereby declare that I fulfill all the eligibility condition relating to Ex-Serviceman as per notice of examination.
I hereby declare that all 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: UJINA Date : 29/12/2017

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