INTELLIGENCE BUREAU

(MINISTRY OF HOME AFFAIRS)

GOVERNMENT OF INDIA

Registration Slip (Private & Confidential)

for the Post of ACIO - Grade-II/ Executive Examination - 2011
(Please take a printout in A4 size only, and Note down your registration No for all future
references)

Registration No. : 482450

Date : 04/06/2011
Name : AMIT RANA
Email Id : amitrana_ind@yahoo.co.in
Date of Birth : 02/04/1984
Category : OBC
Religion : Hindu
State of Origin : Punjab
Post Applied : ACIO - Grade-II/ Executive
Qualification : BE/BTech Engineering (Duration: 4 year)
Marks (%) : 66.90
Passing Year : 05mm2006yy
Ex-Serviceman : No J&K Domicile : No
Central Govt Employee : No
Test Center : Amritsar
Address : B 280
BHAI GURDAS NAGAR NEW AMRITSAR
AMRITSAR -143001 ,Punjab

I hereby declare that the above statements are true and complete to the best of my knowledge and brief.
In the event, any of the information is found to be false or incorrect, I understand that my
candidature/appointment will be cancelled/terminated without any notice. I also declare that I am a citizen
of India by birth/domicile.
Date : Signature :

Candidate to please note:

1. Please sign at the place provided above.

2. You are advised to take a photocopy of this Registration Slip for your record and future reference.
3. Write your Email Id & Contact No. here :
Email Id: Telephone/Mobile No.:
4. Please check on our website www.mha.nic.in from last week of June 2011 onwards to
download your admit cards.