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. Date Name Email Id Date of Birth Category Religion State of Origin Post Applied Qualification Marks (%) Passing Year Ex-Serviceman : No Central Govt Employee : No Test Center Address : 747301 : 13/06/2011 : RAVISH JHAMB : ravishjhamb@gmail.com : 20/01/1986 : Gen : Hindu : Haryana : ACIO - Grade-II/ Executive : B.Com Commerce (Duration: 3 year) : 52.61 : 05mm2006yy J&K Domicile : No : Delhi : FLAT NO.339 NILGIRI APPARTMENTS GREATER KAILASH - 2 NEW DELHI -110019 ,Delhi

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.