JSSC

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APPLICATION FORM

Personal Details

Registration Number 82945624

Post Name CONSTABLE

Applicant's First Name SACHIN

Last Name YADAV

Applicant's Full Name SACHIN YADAV

Date of Birth (DD-MM-YYYY) 08-08-2004

Father's Name BHUVAL YADAV

Mother's Name USHA DEVI

Gender MALE

Mobile Number 7348199084

Aadhaar No. 303991903263

E-Mail ID sachinyadavsp177@gmill.com

Nationality INDIAN

Visible Identification Mark 1 Mole neor nose

Visible Identification Mark 2 Mole neor nose

Option for Language Paper II HINDI

Maritial Status MARRIED

Spouse Name/Others Jaunpur

Other Information
Vacancy Type REGULAR

Are you local resedent of Jharkhand NO

Categoty UR

Are you a graduate or diploma from Raksha Shakti University


recognized by the Central Government and Jharkhand NO
Government. Yes/No?

Are you appointed to the post of Assistant police Yes/No? NO

Educational Qualification
EDUCATIONAL MONTH & YEAR OF RESULT ROLL % of Marks
BOARD NAME
QUALIFICATION PASSING STATUS NUMBER Obtained
BOARD OF HIGHSCHOOL AND
10th/Matriculation 06-2020 PASS 2322607 76.8
INTERMEDIATE EDUCATION

Correspondence address
Address Line 1 CALICHABAD CALICHABAD JAUNPUR
Address Line 2 CALICHABAD CALICHABAD JAUNPUR

City/Village/Town CALICHABAD CALICHABAD JAUNPUR

State/Union Territory UTTAR PRADESH

Other State District Name JAUNPUR

Pin code 222001

Permanent address
Address Line 1 CALICHABAD CALICHABAD JAUNPUR

Address Line 2 CALICHABAD CALICHABAD JAUNPUR

City/Village/Town CALICHABAD CALICHABAD JAUNPUR

State/Union Territory UTTAR PRADESH

Other State District Name JAUNPUR

Pin code 222001

District wise Preference Details


Vacancy Type District Name Preference

REGULAR RANCHI 1

REGULAR SIMDEGA 2

REGULAR GUMLA 3

REGULAR GIRIDIH 4

REGULAR RAMGARH 5

REGULAR BOKORO 6

REGULAR DHANBAD 7

REGULAR JAMTADA 8

REGULAR DEOGHAR 9

REGULAR SAHEBGANJ 10

REGULAR WESTERN SINGHBHOOM 11

REGULAR SARAIKELA KHARSAAWAN 12

REGULAR JAPTC 13

REGULAR RAIL DNB 14

REGULAR JWFS 15

REGULAR CTC 16

REGULAR RAIL JSR 17

Payment Details
Transaction Number Amount Transaction Date

113188370721 100 2024-02-21 23:44:16

Declaration
I hereby declare that all statements made in this application are true, complete and correct to the best of my knowledge and belief. I understand
that in the event of any information being found false at any stage or not satisfying the eligibility criteria according to the requirements of the post,
my candidature/ appointment is liable to be cancelled/terminated.

Candidates are advised to take a print of his/her application form and keep-it with him/her along with electronically generated bank receipt in
support of payment of his/her examination fee for future communication in this regard.

System IP : 47.9.86.131
Application Print Date : 22/02/2024 01:10:20 AM

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