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    BSF - Preview Registration Form

    Uploaded by

    sangam bhai

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    BSF - Preview Registration Form

    Uploaded by

    sangam bhai
    9 views4 pages

    Original Title

    BSF - Preview Registration Form (2)

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    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    9 views4 pages

    BSF - Preview Registration Form

    Uploaded by

    sangam bhai

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 4

    Direct Recruitment of Assistant Sub Inspector (Stenographer/Combatant Stenographer) & Head Constable

    (Ministerial/Combatant Ministerial) in Central Armed Police Forces (CAPFs) and Warrant Officer (Personal

    Assistant) & Havildar (Clerk) in Assam Rifle Examination -2024

    Application Form

    Post Details

    Applied Post / एप्लाइड पोस्ट : Head Constable (Ministerial/Combatant Ministerial) and Havildar (Clerk)

    Application : Combat1700016313 Application : Submitted Payment : Paid


    No / आवेदन संख्या Status / आवेदन Status / भुगतान
    की स्थिति की स्थिति

    Personal Information

    Candidate's Name / : SHIVA MISHRA Mobile No. / मोबाइल संख्या : 78******29


    प्रत्याशी का नाम

    Email Id / इ-मेल आई. डी : mishrash********[at]gmail[dot]com

    Identity Details

    Aadhar : xxxxxxxx1196

    Aadhar No / आधार संख्या : xxxxxxxx1196

    Additional Information

    Date of Birth / : 09-09-2005 Age / आयु : 18 Years, 10 Months, 23 Nationality / : INDIAN


    जन्मतिथि Days राष्ट्रीयता

    Father Name / : PUSHPENDRA MISHRA Mother's : SHASHI MISHRA Permanent : IN THE RIGHT CHEEK
    पिता का नाम Name / माता का Identification
    नाम Mark on Body /
    शरीर पर स्थायी
    पहचान चिह्न

    Gender / लिंग : FEMALE Marital Status / : UNMARRIED Do you have : No


    वैवाहिक स्थिति domicile
    certificate?

    Category Reservation

    Religion / धर्म : Hindu Category / श्रेणी : Unreserved

    Mode of Recruitment / भर्ती का तरीका : Direct entry(DE)

    Subcategory

    Are You Ex- : NO


    Servicemen? /
    क्या आप भूतपूर्व
    सैनिक हैं?
    Departmental / : No
    विभागीय

    Permanent Address Details

    Permanent : NADO,MANDIR K PINCODE / पिन : 484776 State/UT / राज्य : MADHYA PRADESH


    Address / स्थायी SAMNE,CHACHAI,SHAH कोड / कें द्रीय शासित प्रदेश
    पता DOL,CHACHAI,MADHYA
    PRADESH

    District / जिला : Shahdol Village/City / गांव / शहर : BANSAGAR

    Police Station / : BANSAGAR Post Office / : BANSAGAR Tehsil / तहसील : BEOHARI


    पुलिस स्टेशन डाक-घर

    Correspondence Address Details

    Correspondence : D-1417 SUDAMANAGAR PINCODE / पिन : 452009 State/UT / राज्य : MADHYA PRADESH
    Address / INDORE MADHYA कोड / कें द्रीय शासित प्रदेश
    पत्राचार पता PRADESH

    District / जिला : Indore Village/City / गांव / शहर : INDORE

    Police Station / : ANNUPURNA POLICE Post Office / : POST OFFICE SUDAMA Tehsil / तहसील : TEHSIL MHOW
    पुलिस स्टेशन STATION डाक-घर NAGAR

    Other Details

    Is there any criminal case pending against you.? : No

    Is Communal/Gujarat Riots? : No

    Is Candidate who had ordinarily been domiciled in the : No


    State of Jammu & Kashmir from 01.01.1980 to
    31.12.1989?

    Do you have(Sport Achievement)? / क्या आपके पास खेल : No


    उपलब्धि प्रमाण पत्र है?

    Physical Standards

    Height / ऊं चाई (in cms) : 157.00

    Weight / वजन (in Kgs) : 55

    Qualifications Details

    Qualification : SSC/Matric/High School Certificate : 103328487 Year / वर्ष : 2020


    Type / योग्यता No. / प्रमाण पत्र
    प्रकार संख्या

    State / राज्य : MADHYA PRADESH Board/University : State Board


    / बोर्ड /
    विश्वविद्यालय

    Qualification : Intermediate(10+2) Certificate : 223327181 Year / वर्ष : 2022


    Type / योग्यता No. / प्रमाण पत्र
    प्रकार संख्या
    State / राज्य : MADHYA PRADESH Board/University : State Board
    / बोर्ड /
    विश्वविद्यालय

    Work Experience

    Are you employed? / क्या आप सेवारत है? : No

    Qualification

    Candidates must have passed Intermediate or Senior : Yes


    Secondary School Certificate (10+2) examination from
    a recognized Board or University or equivalent.

    Physical Standard

    Physical Category / श्रेणी : other candidates.

    Force Preference

    Force Preference 1 : Central Industrial Security Force (CISF)

    Force Preference 2 : Central Reserve Police Force (CRPF)

    Force Preference 3 : Boarder Security Force (BSF)

    Force Preference 4 : Indo Tibetan Boarder Police (ITBP)

    Force Preference 5 : Sashastra Seema Bal (SSB)

    Force Preference 6 : Assam Rifles (AR)

    Certificate & Document

    Photo Signature SSC/Matric/High School Certificate

    Intermediate(10+2) Certificate Qualification Document


    Transaction Details

    Date : 01-07-2024 21:35:34 Gateway : HDFC Transaction Id :


    16da72079787c27c3e66

    Gateway : 113355771231 Amount : 47.20 Status : PAID


    Transaction Id

    Centre Preference

    Date : 01-07-2024 Place : INDORE Centre : Indore


    Preference

    Declaration

    1. I hereby declare and confirm that all the entries made in this application form as above are true and correct to the best of my
    knowledge and belief. In the event of any information being found false or incorrect or ineligibility being detected before or after medical
    examination my candidatature will stand cancelled and all my claims for the recruitment forfeited. I also understand that if at any stage I have
    violated any of the rules/Regulation governing the conduct of selection process, my candidature can be cancelled or be declared to have failed
    by the selection board at its sole discretion.
    2.I also declare that I do not stand debarred by SSC/UPSC as on date and have never been convicted by any court of law. I also declared that
    no criminal case is pending against me. Further declare that I have never been dismissed or removed from Govt Service or my service been
    terminated during probation.
    3.I do Hereby also opt/opt out of the disclosure scheme for making available above information filled in the application and total marks with
    ranking in the merit if I stand in the final of this examination for publication in the web page of the department.

    Candidate Signature

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