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    Staff Selection Commission: Constable (GD) in Capfs, Nia, SSF and Rifleman (GD) in Assam Rifles Examination 2018

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    Mandeeep kumar
    1. The document is a registration form for the Constable (GD) in CAPFs, NIA, SSF and Rifleman (GD) in Assam Rifles Examination 2018 submitted by Mandeep Kumar. 2. It provides personal details for Mandeep such as name, father's name, date of birth, gender, category, nationality, education details, address and preference of examination center. 3. Mandeep has applied under the OBC category, is a citizen of India, completed 10th class in 2015 from Bihar School Examination Board and is seeking preference for the examination center in Patna, Muzaffarpur or Gorakhpur.

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    Staff Selection Commission: Constable (GD) in Capfs, Nia, SSF and Rifleman (GD) in Assam Rifles Examination 2018

    Uploaded by

    Mandeeep kumar
    70 views2 pages
    1. The document is a registration form for the Constable (GD) in CAPFs, NIA, SSF and Rifleman (GD) in Assam Rifles Examination 2018 submitted by Mandeep Kumar. 2. It provides personal details for Mandeep such as name, father's name, date of birth, gender, category, nationality, education details, address and preference of examination center. 3. Mandeep has applied under the OBC category, is a citizen of India, completed 10th class in 2015 from Bihar School Examination Board and is seeking preference for the examination center in Patna, Muzaffarpur or Gorakhpur.

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    1. The document is a registration form for the Constable (GD) in CAPFs, NIA, SSF and Rifleman (GD) in Assam Rifles Examination 2018 submitted by Mandeep Kumar. 2. It provides personal details for Mandeep such as name, father's name, date of birth, gender, category, nationality, education details, address and preference of examination center. 3. Mandeep has applied under the OBC category, is a citizen of India, completed 10th class in 2015 from Bihar School Examination Board and is seeking preference for the examination center in Patna, Muzaffarpur or Gorakhpur.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    70 views2 pages

    Staff Selection Commission: Constable (GD) in Capfs, Nia, SSF and Rifleman (GD) in Assam Rifles Examination 2018

    Uploaded by

    Mandeeep kumar
    1. The document is a registration form for the Constable (GD) in CAPFs, NIA, SSF and Rifleman (GD) in Assam Rifles Examination 2018 submitted by Mandeep Kumar. 2. It provides personal details for Mandeep such as name, father's name, date of birth, gender, category, nationality, education details, address and preference of examination center. 3. Mandeep has applied under the OBC category, is a citizen of India, completed 10th class in 2015 from Bihar School Examination Board and is seeking preference for the examination center in Patna, Muzaffarpur or Gorakhpur.

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    STAFF SELECTION COMMISSION

    BLOCK NO. 12, CGO-COMPLEX, LODHI ROAD, NEW DELHI


    110003
    CONSTABLE (GD) IN CAPFs, NIA, SSF AND RIFLEMAN
    (GD) IN ASSAM RIFLES EXAMINATION 2018

    REGISTRATION NO :72001697934

    APPLICATION IS PROVISIONALLY SUBMITTED


    1. CANDIDATE'S NAME 2. FATHER'S NAME 3. MOTHER'S NAME
    MANDEEP KUMAR SHIVJI PRASAD SAH REETA DEVI
    4. DATE OF BIRTH (DD/MM/YYYY) 5. AGE AS ON DATE (01/08/2018) 6. GENDER
    17/12/1999 18.6 MALE
    9. MARK OF VISIBLE
    7. CATEGORY 8. NATIONALITY
    IDENTIFICATION
    A CUT MARK ON THE
    OBC CITIZEN OF INDIA
    RIGHT SIDE EYE
    10. MATRICULATION (10th CLASS) 12. MATRICULATION (10th
    11. MATRICULATION (10th CLASS) ROLL NO
    EXAMINATION BOARD CLASS) YEAR OF PASSING
    BIHAR SCHOOL EXAMINATION BOARD 1500138 2015
    13. PREFERENCE OF EXAMINATION CENTER
    PREFERENCE OF EXAMINATION CENTER CODE PREFERENCE OF EXAMINATION CENTER
    3206 PATNA
    3205 MUZAFFARPUR
    3007 GORAKHPUR
    14.WHETHER EX- 14.1. IF EXS, WHETHER 14.2. LENGTH OF SERVICE ( 14.3. DATE OF DISCHARGE
    SERVICEMAN (ExS)? ELIGIBLE FOR IN YEARS )
    RESERVATION?
    NO - - -
    15. WHETHER SEEKING AGE 15.1. IF YES,INDICATE CODE 16. STATE / UT OF 17. DISTRICT OF
    RELAXATION? DOMICILE DOMICILE
    NO BIHAR EAST CHAMPARAN
    18. HAVE YOU MIGRATED FROM THE 18.1 WHETEHR YOU WOULD LIKE TO 18.2 WHETHER YOU WANT TO BE
    STATE/ UT OF YOUR ORIGIN TO THE AVAIL RESERVATION FROM THE CONSIDERED AS A UR CANDIDATE
    STATE/ UT WHERE YOUR CASTE IS STATE/ UT OF ORIGIN FROM THE STATE/ UT OF DOMICILE
    NOT RECOGNISED AS SC/ ST/ OBC?
    NO - -
    18.3. STATE OF ORIGIN 18.4. DISTRICT OF ORIGIN 19. CANDIDATE BELONGS 20. CANDIDATE BELONGS
    TO MILITANCY/ NAXAL TO BORDER DISTRICT
    AFFECTED DISTRICT
    - - YES YES

    21. PREFERENCE OF POSTS FOR CAPF'S & ORGANISATIONS


    GHBDFAEC
    22. DO YOU WANT TO MAKE AVAILABLE YOUR PERSONAL INFORMATION FOR ACCESSING JOB OPPORTUNITY IN
    TERMS OF DoP&T'S O.M NO.39020/1/2016-ESTT.(B) DATED 21.06.2016 ?
    NO
    23. EDUCATIONAL QUALIFICATION
    INTERMEDIATE/ HIGHER SECONDARY/ 10+2

    ADDRESS DETAIL
    24. POSTAL ADDRESS 25. PERMANENT ADDRESS
    VILL-BELWATIYA, PO-SUKUL PAKAR, PS-SUGAULI VILL-BELWATIYA, PO-SUKUL PAKAR, PS-SUGAULI

    DISTRICT: EAST CHAMPARAN DISTRICT:EAST CHAMPARAN


    STATE: BIHAR STATE: BIHAR
    PINCODE: 845456 PINCODE: 845456
    MOBILE NO: 9113394873 EMAIL: mandeep82280@gmail.com
    SIGNATURE THUMB IMPRESSION

    FEE AMOUNT TRANSACTION NO TRANSACTION DATE


    NOT EXEMPTED 100 CPK2161118 30/09/2018
    DECLARATION
    I HEREBY DECLARE THAT ALL STATEMENTS MADE IN THIS APPLICATION ARE TRUE, COMPLETE AND
    CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. I UNDERSTAND THAT IN THE EVENT OF ANY
    INFORMATION BEING FOUND SUPPRESSED/FALSE OR INCORRECT OR INELIGIBILITY BEING DETECTED
    BEFORE OR AFTER THE EXAMINATION, MY CANDIDATURE/ APPOINTMENT IS LIABLE TO BE
    CANCELLED.I AM WILLING TO SERVE ANYWHERE IN INDIA.
    PRINT TAKEN ON: 30/09/2018 6:13:11 AM

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