APPLICATION FORM

Personal Details

Registration Number 82810405

Post Name CONSTABLE

Applicant's First Name HARSHIT

Last Name SINGH

Applicant's Full Name HARSHIT KUMAR SINGH

Date of Birth (DD-MM-YYYY) 08-10-2001

Father's Name DILIP KUMAR SINGH

Mother's Name MADHURI DEVI

Gender MALE

Mobile Number 7275642657

Aadhaar No. 836243539088

E-Mail ID harshitsingh5558@gmail.com

Nationality INDIAN

Visible Identification Mark 1 A mole on chest

Visible Identification Mark 2 A mole on throught

Option for Language Paper II HINDI

Maritial Status UNMARRIED

Spouse Name/Others

Other Information
Vacancy Type BOTH

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 BOARD MONTH & YEAR OF RESULT ROLL % of Marks
QUALIFICATION NAME PASSING STATUS NUMBER Obtained
10th/Matriculation UP BOARD 02-2016 PASS 3119379 81.33

Correspondence address
VILL BELHARI PIST BELHARI DISTRICT BALLIA STATE UTTAR PRADESH
Address Line 1
PIN CODE 277403
Address Line 2 ---

City/Village/Town BALLIA

State/Union Territory UTTAR PRADESH

Other State District Name INDIA

Pin code 277403

Permanent address
VILL BELHARI PIST BELHARI DISTRICT BALLIA STATE UTTAR PRADESH
Address Line 1
PIN CODE 277403

Address Line 2 ---

City/Village/Town BALLIA

State/Union Territory UTTAR PRADESH

Other State District Name INDIA

Pin code 277403

District wise Preference Details

Vacancy Type District Name Preference

REGULAR RANCHI 1

REGULAR CTC 2

REGULAR GIRIDIH 3

REGULAR DEOGHAR 4

REGULAR SIMDEGA 5

REGULAR WESTERN SINGHBHOOM 6

REGULAR GUMLA 7

REGULAR RAIL DNB 8

REGULAR RAMGARH 9

REGULAR BOKORO 10

REGULAR JWFS 11

REGULAR DHANBAD 12

REGULAR RAIL JSR 13

REGULAR SAHEBGANJ 14

REGULAR JAMTADA 15

REGULAR JAPTC 16

REGULAR SARAIKELA KHARSAAWAN 17

Payment Details
Transaction Number Amount Transaction Date

113187178229 100 2024-02-21 10:20:48

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 : 47.15.15.20
Application Print Date : 21/02/2024 10:27:08 AM