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Anita SSB Application Form

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0% found this document useful (0 votes)
131 views2 pages

Anita SSB Application Form

Uploaded by

skd.sikar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

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SASH ASTRA SEEM A BAL RECRUITMENT


R E C R U I T M E N T F O R C o n s t a b l e ( B a r b e r ) E X A M I N AT I O N , 2 0 1 8

ACKNOWLEDGEMENT
REGISTRATION ID : 20785935 DATE & TIME : 27-09-2020 09:42:05

POST APPLIED FOR : CONSTABLE (BARBER) APPLICANT NAME : ANITA KUMARI

FATHER'S NAME : MOOLCHAND MOTHER'S NAME : KAMANA DEVI

DATE OF BIRTH : 12-11-1997 GENDER : FEMALE

RELIGION : HINDU MARITAL STATUS : UNMARRIED

NATIONALITY : INDIAN CATEGORY : OBC


IDENTITY CARD NO : 971356557322 (AADHAR CARD) IDENTIFICATION MARKS : A CUT MARK ON FOREHEAD
MOBILE NUMBER : 8239836983 EMAIL ADDRESS : [email protected]
COMMUNITY BELONGING TO ANY : NO
WHETHER DOMICILED ORDINARY IN J&K DURING 1980 TO 1989 : NO
WHETHER AFFECTED IN 1984 RIOTS OR COMMUNAL RIOTS OF 2002 GUJARAT : NO
WHETHER EX-SERVICEMAN : NO
WHETHER DEPARTMENTAL CANDIDATES WITH THREE YEARS CONTINUOUS SERVICE NO
IN CENTRAL GOVERNMENT :

EDUCATION QUALIFICATION DETAILS


AGGREGATE
SCHOOL/ UNIVERSITY/ BOARD/ YEAR OF
EXAM PASSED ROLL NO CERTIFICATE NO DATE OF ISSUED SUBJECT PERCENTAGE OF
INSTITUTE EXAM
MARKS/ GRADING

MATRICULATION BSER AJMER 2011 0486184 0697550 19-06-2011 HINDI,ENG.,SCIENCE,SO 62.17


SCIENCE,MATH,SANSKRIT

OTHER SKILLS
SKILL-1 SKILL-2 SKILL-3 SKILL-4 SKILL-5 SKILL-6 SKILL-7 SKILL-8 SKILL-9
BARBER WATER CARRIER WASHER MAN COOK

ADDRESS DETAILS
PERMANENT ADDRESS CORRESPONDENCE ADDRESS
VILLAGE/TOWN NITRO KI DHANI,WARD NO 18 VILLAGE/TOWN NITRO KI DHANI,WARD NO 18

POST OFFICE BHORKI POST OFFICE BHORKI

TEHSIL UDAIPUR WATI TEHSIL UDAIPUR WATI

POLICE STATION UDAIPUR WATI POLICE STATION UDAIPUR WATI

DISTRICT JHUNJHUNU DISTRICT JHUNJHUNU

STATE RAJASTHAN STATE RAJASTHAN

PIN CODE 333032 PIN CODE 333032

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.

DATE : 27-09-2020 09:42:05

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