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Bihar Police Cons. Application Form

The document is an acknowledgment of registration for the Bihar Police Constable recruitment, detailing the applicant Gaurav Kaushik's personal information, education qualifications, and address. It confirms that Gaurav has no criminal record and declares the information provided is true. The document includes preferences for the Bihar Special Armed Police and Bihar Police positions.

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372 views2 pages

Bihar Police Cons. Application Form

The document is an acknowledgment of registration for the Bihar Police Constable recruitment, detailing the applicant Gaurav Kaushik's personal information, education qualifications, and address. It confirms that Gaurav has no criminal record and declares the information provided is true. The document includes preferences for the Bihar Special Armed Police and Bihar Police positions.

Uploaded by

jobs843420
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

CENTRAL SELECTION BOARD OF CONSTABLE, BIHAR, PATNA

RECRUITMENT FOR BIHAR POLICE CONSTABLES (Advt. No. 01/2025)

ACKNOWLEDGEMENT
REGISTRATION ID : 90116040 DATE & TIME : 20-03-2025 12:34:44

POST PREFERENCES: 1. BIHAR SPECIAL ARMED POLICE 2. BIHAR POLICE

APPLICANT NAME : GAURAV KAUSHIK FATHER'S NAME : RAJENDRA PRSAD SINGH

MOTHER'S NAME : BEBY DEVI NATIONALITY : INDIAN

MOBILE NUMBER : 6204784596 EMAIL ADDRESS : [email protected]

ARE YOU A DOMICILE OF BIHAR STATE : YES CATEGORY : EWS

ARE YOU HOMEGUARD OF BIHAR STATE: NO

GENDER : MALE DATE OF BIRTH : 09-05-2005

MARITAL STATUS : UNMARRIED

AADHAR NO : 894602801415 IDENTIFICATION MARK : CUT MARK ON RIGHT EYEBROW

ARE YOU A WARD OF FREEDOM FIGHTER? NO

EDUCATION QUALIFICATION DETAILS


EXAM PASSED SCHOOL/ UNIVERSITY/ BOARD/ INSTITUTE PASSING CERTIFICATE NO CERTIFICATE ISSUED DATE

10 CBSE 0696613 06-05-2019

10+2 BSEB 0310427 30-12-2021

GRADUATION MAGADH UNIVERSITY BODHGAYA NOT APPLICABLE NOT APPLICABLE

ADDRESS DETAILS

PERMANENT ADDRESS CORRESPONDENCE ADDRESS


HOUSE NO 29 HOUSE NO 29

STREET/MOHALLA BAGODAR STREET/MOHALLA BAGODAR

LANDMARK LANDMARK

VILLAGE/TOWN BAGODAR VILLAGE/TOWN BAGODAR

POST OFFICE HISUA POST OFFICE HISUA

DISTRICT NAWADA DISTRICT NAWADA

STATE BIHAR STATE BIHAR

PIN CODE 805103 PIN CODE 805103

DECLARATION OF CRIMINAL CASES


HAVE YOU EVER BEEN DEBARRED BY UPSC, SSC OR SPSC OR CSBC 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

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