BPSSC Si Form

You might also like

Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

BIHAR POLICE SUB-ORDINATE SERVICES COMMISSION

RECRUITMENT FOR SUB INSPECTOR (Advt. No. 02/2023)

ACKNOWLEDGEMENT
REGISTRATION ID : 72022025 DATE & TIME : 04-11-2023 20:45:07

POST: SUB INSPECTOR

APPLICANT NAME : ZAHOOR AHMAD FATHER'S NAME : MUSHIR AHMAD

MOTHER'S NAME : ATIYA KHATOON NATIONALITY : INDIAN

MOBILE NUMBER : 9354578159 EMAIL ADDRESS : AZAHOOR99@GMAIL.COM

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

GENDER : MALE DATE OF BIRTH : 03-01-2001

MARITAL STATUS : UNMARRIED

IDENTITY CARD NO : 267683937534 (AADHAR CARD) IDENTIFICATION MARKS : MOLE ON LEFT SIDE OF NECK

ARE YOU AN EX-SERVICEMAN? NO ARE YOU A WARDS OF FREEDOM FIGHTER? NO

ARE YOU AN EMPLOYEE OF BIHAR GOVERNMENT? NO

EDUCATION QUALIFICATION DETAILS


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

MATRICULATION DAV PUBLIC SCHOOL 1322149 28-05-2016

GRADUATION (UG) GALGOTIAS COLLEGE OF ENGINEERING AND TECHNOLOGY B.TECH/2022/13954 26-11-2022

ADDRESS DETAILS

PERMANENT ADDRESS CORRESPONDENCE ADDRESS


HOUSE NO SECTOR 03 LANE 01 HOUSE NO SECTOR 03 LANE 01

STREET/MOHALLA SIR SAYED COLONEY NEAR DAV STREET/MOHALLA SIR SAYED COLONEY NEAR DAV

VILLAGE/TOWN MALIGHAT VILLAGE/TOWN MALIGHAT

POST OFFICE HPO AHIYAPUR POST OFFICE HPO AHIYAPUR

DISTRICT MUZAFFARPUR DISTRICT MUZAFFARPUR

STATE BIHAR STATE BIHAR

PIN CODE 842001 PIN CODE 842001

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

You might also like