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 : Assistant Sub Inspector (Stenographer/Combatant Stenographer) and Warrant
Officer (Personal Assistant)

Application : Application : Submitted Payment : Paid

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

Personal Information

Candidate's Name / : SURAJ KUMAR Mobile No. / मोबाइल संख्या : 60******26

प्रत्याशी का नाम

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

Identity Details

PAN : xxxxxx750F

Aadhar No / आधार संख्या : xxxxxxxx5616

Additional Information

Date of Birth / : 05-07-2000 Age / आयु : 24 Years, 0 Months, 27 Nationality / : INDIAN

जन्मतिथि Days राष्ट्रीयता

Father Name / : DEEPAK KUMAR Mother's : URMILA DEVI Permanent :

पिता का नाम Name / माता का Identification
नाम Mark on Body /
शरीर पर स्थायी
पहचान चिह्न

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

वैवाहिक स्थिति domicile
certificate?

Category Reservation

Religion / धर्म : Hindu Category / श्रेणी : SC

Certificate : 621224009068 Certificate : UTTAR PRADESH Certificate : Mau

Number / प्रमाण Issuing State / Issuing
पत्र संख्या प्रमाणपत्र जारी करने District /
वाले राज्य का नाम प्रमाणपत्र जारी करने
वाले जिला का नाम

Certificate : District Magistrate (DM) Certificate Issuing Date / प्रमाणपत्र : 08-09-2022

Issuing जारी करने की तिथि
Authority /
प्रमाणपत्र किसके
द्वारा जारी किया गया

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 : MACHHIL JAMIN PINCODE / पिन : 275304 State/UT / राज्य : UTTAR PRADESH
Address / स्थायी MACHHIL POST GHOSI कोड / कें द्रीय शासित प्रदेश
पता DIST MAU

District / जिला : Mau Village/City / गांव / शहर : MACHHIL JAMIN MACHHIL

Police Station / : GHOSI Post Office / : GHOSI Tehsil / तहसील : GHOSI

पुलिस स्टेशन डाक-घर

Correspondence Address Details

Correspondence : MACHHIL JAMIN PINCODE / पिन : 275304 State/UT / राज्य : UTTAR PRADESH
Address / MACHHIL POST GHOSI कोड / कें द्रीय शासित प्रदेश
पत्राचार पता DIST MAU

District / जिला : Mau Village/City / गांव / शहर : MACHHIL JAMIN MACHHIL

Police Station / : GHOSI Post Office / : GHOSI Tehsil / तहसील : GHOSI

पुलिस स्टेशन डाक-घर

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) : 172.00 Chest (Male only) / छाती : 102
(के वल पुरुष) (in cms)

Weight / वजन (in Kgs) : 69

Qualifications Details

Qualification : SSC/Matric/High School Certificate : 81000945 Year / वर्ष : 2015

Type / योग्यता No. / प्रमाण पत्र
प्रकार संख्या

State / राज्य : UTTAR PRADESH Board/University : State Board

/ बोर्ड /
विश्वविद्यालय

Qualification : Intermediate(10+2) Certificate : I8129561 Year / वर्ष : 2017

Type / योग्यता No. / प्रमाण पत्र
प्रकार संख्या

State / राज्य : UTTAR PRADESH Board/University : State Board

/ बोर्ड /
विश्वविद्यालय

Qualification : Graduate Certificate : B.PHARM/2022/055464 Year / वर्ष : 2022

Type / योग्यता No. / प्रमाण पत्र
प्रकार संख्या

State / राज्य : UTTAR PRADESH Board/University : Others

/ 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 Reserve Police Force (CRPF)

Force Preference 2 : Central Industrial Security Force (CISF)

Force Preference 3 : Boarder Security Force (BSF)

Force Preference 4 : Sashastra Seema Bal (SSB)

Force Preference 5 : Indo Tibetan Boarder Police (ITBP)

Certificate & Document

 Photo Signature SSC/Matric/High School Certificate

Intermediate(10+2) Certificate Graduate Certificate Caste Certificate

Qualification Document

Transaction Details

Date : 08-07-2024 19:30:18 Gateway : HDFC Transaction Id : c4cf102319df8ad66707

Gateway : 113366901821 Amount : 47.20 Status : PAID

Transaction Id

Centre Preference

Date : 08-07-2024 Place : GHOSI Centre : UP-Lucknow

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