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CENTRAL SELECTION BOARD OF CONSTABLE, BIHAR, PATNA

RECRUITMENT FOR BIHAR POLICE CONSTABLES (Advt. No. 01/2023)

ACKNOWLEDGEMENT
REGISTRATION ID : 81368809 DATE & TIME : 09-07-2023 10:43:49

POST PREFERENCES: 1. DISTRICT POLICE     2. BSAP     3. OTHER UNITS    
APPLICANT NAME : SHASHIKANT KUMAR FATHER'S NAME : RANJEET KUMAR SUDHANSHU

MOTHER'S NAME : SANJU KUMARI NATIONALITY : INDIAN

MOBILE NUMBER : 7050102304 EMAIL ADDRESS : SHASHIKR9956@GMAIL.COM

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

ARE YOU HOMEGUARD OF BIHAR STATE: NO

GENDER : MALE DATE OF BIRTH : 10-01-2004

MARITAL STATUS : UNMARRIED

AADHAR NO : 811139140230 IDENTIFICATION MARK : A MOLE MARK ON NOSE

ARE YOU A WARDS OF FREEDOM FIGHTER? NO

EDUCATION QUALIFICATION DETAILS


EXAM PASSED SCHOOL/ UNIVERSITY/ BOARD/ INSTITUTE PASSING CERTIFICATE NO CERTIFICATE ISSUED DATE

10 S J C HIGH SCHOOL TETUA GAYA 0910984 06-04-2019


10+2 GAYA COLLEGE GAYA 0250992 26-03-2021

ADDRESS DETAILS

PERMANENT ADDRESS CORRESPONDENCE ADDRESS


HOUSE NO PAHARPUR HOUSE NO PAHARPUR

STREET/MOHALLA PAHARPUR STREET/MOHALLA PAHARPUR

VILLAGE/TOWN PAHARPUR VILLAGE/TOWN PAHARPUR

POST OFFICE MANJHAULI POST OFFICE MANJHAULI

DISTRICT GAYA DISTRICT GAYA

STATE BIHAR STATE BIHAR

PIN CODE 805131 PIN CODE 805131

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SHALL BE SUMMARILY WITHDRAWN.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

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