CENTRAL SELECTION BOARD OF CONSTABLE
RECRUITMENT FOR BIHAR POLICE CONSTABLES, 2019 (Advt. No. 02/2019)
ACKNOWLEDGEMENT
REGISTRATION ID : 10051757 DATE & TIME : 05-10-2019 21:33:07
POST PREFERENCES: 1. DISTRICT POLICE 2. BISF 3. SIRB 4. BMP
APPLICANT NAME : PRIYANKA YADAV FATHER'S NAME : HARINDER YADAV
MOTHER'S NAME : UMA DEVI NATIONALITY : INDIAN
MOBILE NUMBER : 9034022108 EMAIL ADDRESS : [email protected]
ARE YOU A DOMICILE OF BIHAR STATE : YES CATEGORY : BC
ARE YOU HOMEGUARD OF BIHAR STATE: NO
GENDER : FEMALE DATE OF BIRTH : 13-02-1997
MARITAL STATUS : UNMARRIED
AADHAR NO : 485613333729 IDENTIFICATION MARKS : A CUT MARK ON THE HEAD
ARE YOU A WARDS OF FREEDOM FIGHTER? NO
EDUCATION QUALIFICATION DETAILS
EXAM PASSED SCHOOL/ UNIVERSITY/ BOARD/ INSTITUTE PASSING CERTIFICATE NO CERTIFICATE ISSUED DATE
10 BOARD OF SCHOOL EXAMINATION HARYANA 222309 31-05-2012
10+2 BOARD OF SCHOOL EXAMINATION HARYANA 188275 05-06-2014
ADDRESS DETAILS
PERMANENT ADDRESS CORRESPONDENCE ADDRESS
HOUSE NO N/A HOUSE NO 46
STREET/MOHALLA MARDANPUR STREET/MOHALLA JAMMU COLONY-B CAMP
VILLAGE/TOWN MARDANPUR VILLAGE/TOWN NEAR VAISHNO DEVI MANDIR
POST OFFICE RAMGADHA POST OFFICE YAMUNANAGAR
DISTRICT SIWAN DISTRICT YAMUNANAGAR
STATE BIHAR STATE HARYANA
PIN CODE 841244 PIN CODE 135001
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BY ME SHALL BE SUMMARILY WITHDRAWN.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