10/29/23, 11:09 PM BPSSC Online

BIHAR POLICE SUB-ORDINATE SERVICES COMMISSION

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

ACKNOWLEDGEMENT
REGISTRATION ID : 71511676 DATE & TIME : 27-10-2023 23:47:27

POST: SUB INSPECTOR

APPLICANT NAME : SEEMA KUMARI FATHER'S NAME : SARVAN KUMAR RAY

MOTHER'S NAME : RENUKA DEVI NATIONALITY : INDIAN

MOBILE NUMBER : 7280801471 EMAIL ADDRESS : SKUMARI57837@GMAIL.COM

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

GENDER : FEMALE DATE OF BIRTH : 06-04-1991

MARITAL STATUS : MARRIED HUSBAND'S NAME : RAM BADAN KUNAR

IDENTITY CARD NO : 834328932075 (AADHAR CARD) IDENTIFICATION MARKS : A MOLE ON THE LEFT CHEEK

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

ARE YOU AN EMPLOYEE OF BIHAR GOVERNMENT? YES

GOVERNMENT SERVICE DETAILS

POSTED SINCE : 28-07-2015

EDUCATION QUALIFICATION DETAILS

EXAM PASSED SCHOOL/ UNIVERSITY/ BOARD/ INSTITUTE PASSING CERTIFICATE NO CERTIFICATE ISSUED DATE
MATRICULATION BSEB PATNA 0119219 10-07-2007
GRADUATION (UG) BRABU MUZAFFARPUR 186581 02-07-2013

ADDRESS DETAILS
PERMANENT ADDRESS CORRESPONDENCE ADDRESS
HOUSE NO 01 HOUSE NO 01

STREET/MOHALLA BICHLA TOLA STREET/MOHALLA BICHLA TOLA

VILLAGE/TOWN AKBARPUR VILLAGE/TOWN AKBARPUR

POST OFFICE SATHIAUTA POST OFFICE SATHIAUTA

DISTRICT VAISHALI DISTRICT VAISHALI

STATE BIHAR STATE BIHAR

PIN CODE 844123 PIN CODE 844123

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BENEFITS AVAILED BY ME SHALL BE SUMMARILY WITHDRAWN.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

https://apply-bpssc.com/BPSSC_SI_02_23/acknowledgement 1/2
10/29/23, 11:09 PM BPSSC Online

https://apply-bpssc.com/BPSSC_SI_02_23/acknowledgement 2/2