CENTRAL SELECTION BOARD OF CONSTABLE, BIHAR, PATNA

RECRUITMENT FOR BIHAR POLICE CONSTABLES (Advt. No. 05/2020)

ACKNOWLEDGEMENT
POST APPLIED FOR : CONSTABLE      DATE & TIME :
REGISTRATION ID : 71222926
07-12-2020 18:22:53

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

APPLICANT NAME : PRIYANKA KUMARI FATHER'S NAME : MAHENDRA RAM

MOTHER'S NAME : GEETA DEVI NATIONALITY : INDIAN

MOBILE NUMBER : 8709380516 EMAIL ADDRESS : PRIYANKACHAUDHRY1994@GMAIL.COM

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

ARE YOU HOMEGUARD OF BIHAR STATE: NO

GENDER : FEMALE DATE OF BIRTH : 27-10-1995

MARITAL STATUS : UNMARRIED

AADHAR NO : 923820569217 IDENTIFICATION MARKS : MOLE ON RIGHT SIDE OF FACE

ARE YOU A WARDS OF FREEDOM FIGHTER? NO

EDUCATION QUALIFICATION DETAILS

EXAM PASSED SCHOOL/ UNIVERSITY/ BOARD/ INSTITUTE PASSING CERTIFICATE NO CERTIFICATE ISSUED DATE
10 JHARKHAND ACADEMIC COUNCIL, RANCHI 180830 10-05-2012
10+2 JHARKHAND ACADEMIC COUNCIL, RANCHI 204055 30-05-2014
GRADUATION VINOBA BHAVE UNIVERSITY, HAZARIBAGH NOT APPLICABLE NOT APPLICABLE

ADDRESS DETAILS
PERMANENT ADDRESS CORRESPONDENCE ADDRESS
HOUSE NO DEVURIA HOUSE NO PLOT NO D 6

STREET/MOHALLA DEVURIYA STREET/MOHALLA BIADA HOUSING COLONY

VILLAGE/TOWN NOAN VILLAGE/TOWN BOKARO STEEL CITY

POST OFFICE NOAN POST OFFICE SECTOR TWELVE

DISTRICT KAIMUR(BHABUA) DISTRICT BOKARO

STATE BIHAR STATE JHARKHAND

PIN CODE 802132 PIN CODE 827012

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.

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