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 : PY84495@GMAIL.COM

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BY ME SHALL BE SUMMARILY WITHDRAWN.

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