1/29/24, 6:16 AM JSSC

APPLICATION FORM

Personal Details

Registration Number 81047930

Post Name CONSTABLE

Applicant's First Name DEEPAK

Last Name KUMAR

Applicant's Full Name DEEPAK KUMAR

Date of Birth (DD-MM-YYYY) 06-12-1998

Father's Name SRIRAM PATEL

Mother's Name SUMARI DEVI

Gender MALE

Mobile Number 9335900432

Aadhaar No. 761053645823

E-Mail ID dk48212302@gmail.com

Nationality INDIAN

Visible Identification Mark 1 a cut mark on head

Visible Identification Mark 2 a black mole on face

Option for Language Paper II HINDI

Maritial Status UNMARRIED

Spouse Name/Others

Other Information
Vacancy Type REGULAR

Are you local resedent of Jharkhand NO

Categoty UR

Educational Qualification
EDUCATIONAL BOARD MONTH & YEAR OF RESULT ROLL % of Marks
QUALIFICATION NAME PASSING STATUS NUMBER Obtained
10th/Matriculation UP BOARD 05-2015 PASS 1902612 68.6

Correspondence address
Address Line 1 JAMUA

Address Line 2 MEJA

City/Village/Town MEJA

State/Union Territory UTTAR PRADESH

Other State District Name ALLAHABAD

https://jsscjcce23.onlinereg.in/babareg24/Printapp/Printapp?RegNo=wyNcwaNd%2B%2F35P3%2FrmvpLdhlvXb%2BVKPRhJMDF4t6%2BAjo%3D 1/2
1/29/24, 6:16 AM JSSC

Pin code 212302

Permanent address
Address Line 1 JAMUA

Address Line 2 MEJA

City/Village/Town MEJA

State/Union Territory UTTAR PRADESH

Other State District Name ALLAHABAD

Pin code 212302

District wise Preference Details

Vacancy Type District Name Preference

REGULAR GIRIDIH 1

REGULAR DHANBAD 2

REGULAR DEOGHAR 3

REGULAR WESTERN SINGHBHOOM 4

REGULAR RAIL DNB 5

REGULAR RAIL JSR 6

REGULAR RAMGARH 7

REGULAR BOKORO 8

REGULAR CTC 9

REGULAR JWFS 10

REGULAR JAPTC 11

REGULAR SARAIKELA KHARSAAWAN 12

REGULAR SAHEBGANJ 13

REGULAR JAMTADA 14

REGULAR GUMLA 15

REGULAR RANCHI 16

REGULAR SIMDEGA 17

Payment Details
Transaction Number Amount Transaction Date

113159675921 100 2024-01-29 19:27:44

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 : 152.58.153.76
Application Print Date : 29/01/2024 07:44:30 PM

https://jsscjcce23.onlinereg.in/babareg24/Printapp/Printapp?RegNo=wyNcwaNd%2B%2F35P3%2FrmvpLdhlvXb%2BVKPRhJMDF4t6%2BAjo%3D 2/2