CENTRAL SELECTION BOARD OF CONSTABLE

RECRUITMENT FOR BIHAR POLICE CONSTABLES, 2019 (Advt. No. 02/2019)

ACKNOWLEDGEMENT
REGISTRATION ID : 11128546 DATE & TIME : 26-10-2019 09:46:30

POST PREFERENCES: 1. BMP     2. DISTRICT POLICE     3. BISF     4. SIRB

APPLICANT NAME : KUNDAN KUMAR FATHER'S NAME : RAM KALASH THAKUR

MOTHER'S NAME : ANJU DEVI NATIONALITY : INDIAN

MOBILE NUMBER : 6206685651 EMAIL ADDRESS : KUNDANGOLUTHAKUR@GMAIL.COM

ARE YOU A DOMICILE OF BIHAR STATE : YES CATEGORY : GENERAL

ARE YOU HOMEGUARD OF BIHAR STATE: NO

GENDER : MALE DATE OF BIRTH : 11-01-1998

MARITAL STATUS : UNMARRIED

AADHAR NO : 524302977244 IDENTIFICATION MARKS : MOLE ON THE RIGHT SIDE OF NECK

ARE YOU A GURKHA? NO

ARE YOU A WARDS OF FREEDOM FIGHTER? NO

EDUCATION QUALIFICATION DETAILS

EXAM PASSED SCHOOL/ UNIVERSITY/ BOARD/ INSTITUTE PASSING CERTIFICATE NO CERTIFICATE ISSUED DATE
10 BIHAR SCHOOL EXAMINATION BOARD ,PATNA 0629280 05-06-2014
10+2 BIHAR SCHOOL EXAMINATION BOARD,PATNA C048576 17-05-2016

ADDRESS DETAILS
PERMANENT ADDRESS CORRESPONDENCE ADDRESS
HOUSE NO 34 HOUSE NO 34

STREET/MOHALLA WARD NO 12 STREET/MOHALLA WARD NO 12

VILLAGE/TOWN TRIMUHAN VILLAGE/TOWN TRIMUHAN

POST OFFICE BISHUNPUR POST OFFICE BISHUNPUR

DISTRICT MADHUBANI DISTRICT MADHUBANI

STATE BIHAR STATE BIHAR

PIN CODE 847102 PIN CODE 847102

DECLARATION OF CRIMINAL CASES

HAVE YOU EVER BEEN DEBARRED BY UPSC, SSC OR SPSC OR ANY RECRUITMENT BOARD FROM APPEARING IN ANY EXAM? NO

CRIMINAL PROCEEDING DETAILS, IF ANY

A) WHETHER ANY FIR OR CRIMINAL CASE(S) HAS EVER BEEN REGISTERED AGAINST YOU? NO

B) WHETHER ANY CRIMINAL COMPLAINT CASE OR FIR OR CRIMINAL CASE(S) IS PENDING AGAINST YOU IN COURT OF LAW,
NO
OR WITH POLICE AT THE TIME OF SUBMITTING THE APPLICATION FORM?

C) HAVE YOU EVER BEEN ARRESTED/DETAINED IN ANY CRIMINAL CASE(S)? NO

D) HAVE YOU EVER BEEN TRIED & CONVICTED OR ACQUITTED BY A COURT OF LAW IN ANY CRIMINAL CASE(S)? NO

E) HAVE YOU EVER BEEN TRIED & CONVICTED BY THE COURT BY FILLING ANY BOND FOR GOOD BEHAVIOUR ETC.? NO

DECLARATION BY THE CANDIDATE

I HEREBY DECLARE THAT THE INFORMATION GIVEN ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF AND NOTHING HAS BEEN CONCEALED THEREIN. I AM WELL AWARE OF
THE FACT THAT IF THE INFORMATION GIVEN BY ME IS PROVED NOT TRUE, I WILL HAVE TO FACE THE CONSEQUENCES AS PER THE LAW. ALSO, ALL THE BENEFITS AVAILED BY ME SHALL
BE SUMMARILY WITHDRAWN.

English Signature Hindi Signature