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SASH ASTRA SEEM A BAL RECRUITMENT

RECRUITMENT OF 338/RC/SSB/HC(Min)/2020 FOR THE POST OF (Head Constable
(Ministerial))

ACKNOWLEDGEMENT
REGISTRATION ID : 31319753 DATE & TIME : 22-08-2021 18:19:36

POST APPLIED FOR : HEAD CONSTABLE (MINISTERIAL) APPLICANT NAME : KARAN THAKUR

FATHER'S NAME : DEEP THAKUR MOTHER'S NAME : CHANDA THAKUR

DATE OF BIRTH : 08-12-2001 GENDER : MALE

RELIGION : HINDU MARITAL STATUS : UNMARRIED

NATIONALITY : INDIAN CATEGORY : ST

IDENTITY CARD NO : 96595332778 (AADHAR CARD) IDENTIFICATION MARKS : MARK ON NOSE
MOBILE NUMBER : 7015112958 EMAIL ADDRESS : THAKURKARAN1267@GMAIL.COM
COMMUNITY BELONGING TO ANY : NO
WHETHER DOMICILED ORDINARY IN J&K DURING 1980 TO 1989 : NO
WHETHER AFFECTED IN 1984 RIOTS OR COMMUNAL RIOTS OF 2002 GUJARAT : NO
WHETHER EX-SERVICEMAN : NO
WHETHER DEPARTMENTAL CANDIDATES WITH THREE YEARS CONTINUOUS SERVICE NO
IN CENTRAL GOVERNMENT :

EDUCATION QUALIFICATION DETAILS

AGGREGATE
SCHOOL/ UNIVERSITY/ BOARD/ YEAR OF
EXAM PASSED ROLL NO CERTIFICATE NO DATE OF ISSUED SUBJECT PERCENTAGE OF
INSTITUTE EXAM
MARKS/ GRADING

MATRICULATION HIMACHAL PRADESH BOARD OF 2018 1814324020 18/C001/067415 03-05-2018 HINDI ENG MATH SCI. SOCIAL 64.28
SCHOOL EDUCATION SCI. SANSKRIT DRAWING
HIMACHAL PRADESH BOARD OF ENG PHYSICS CHEMISTRY
12 2020 2044324024 20/C002/61915 18-06-2020 64.2
SCHOOL EDUCATION MATH PHYSICAL EDUCATION

ADDRESS DETAILS
PERMANENT ADDRESS CORRESPONDENCE ADDRESS
VILLAGE/TOWN KUTHER VILLAGE/TOWN KUTHER

POST OFFICE KOTLA POST OFFICE POST OFFICE KOTLA POST OFFICE

TEHSIL JAWALI TEHSIL JAWALI

POLICE STATION KOTLA POLICE STATION POLICE STATION KOTLA POLICE STATION

DISTRICT KANGRA DISTRICT KANGRA

STATE HIMACHAL PRADESH STATE HIMACHAL PRADESH

PIN CODE 176225 PIN CODE 176225

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.

DATE : 22-08-2021 18:19:36