Application Submission Date & Time 1214007610088029 02011159490 06-Nov-2012 09:50:09 PM 1. Exam Details / |ii i li Examination / |ii Constable Recruitment Exam 2012 Post Applied / iln Constable (GD) Name of District / Unit / l~ii,l- i i- Nagaur 2. Applicant's Detail / i i li Applicant's Full Name / i i i i- HANUMAN RAM Father's Name / lni i i- BHANWARA RAM Mother's Name / -ini i i- GULLI DEVI Date of Birth / i- lnli (dd/mm/yyyy) 01-Jan-1990 Gender / ln MALE Marital Status / iilr l-iln UnMarried Category / n O.B.C Educational Qualification / iili ini 12th pass or equivalent Bonafide Resident Of Rajasthan / i-ii - li| r Yes Home District / nr li Nagaur Nationality / inlni Indian Religion / i- Hindu 3. Other Special Categories / lii lii Ex-Serviceman / in l No PPO No. / i in| ii - - Dependant of Deceased Police Personnel / n lr - -n r l-| iln No Government Service / i| i| No Department Name / liin i i- - Outstanding Sports Person / -- lii| No Level / -n - 4. Special Qualification / lii ini NCC Cadet / ||- No Home Guard volunteer / ri-ni -| No Special Qualification in Computer application / - in - lli- ini No 5. Correspondence Details / ii i li 5.1 House No. / Street / Colony / -i o,n|,-ir~i BHANWRA RAM S/O MONARAM BIDASAR 5.2 City / Village / ir,ni RATAU 5.3 Tehsil / Post / nr|,i-- LADNUN 5.4 District / li Nagaur 5.5 State / i Rajasthan 5.6 Pin Code / l i 341317 5.7 Phone with STD Code / iii -| | i lrn - 5.8 Mobile / -ii; 9968964744 5.9 Email / ;- ni ombidasar@yahoo.com 6 Identification / ri 6.1. Body Mark / i| lii A MOLE ON NECK 7. Declaration / iiiii - n ,ii iiiii ni,n| r l - lnln nii lii - | n; ini | in iii| | r , in -n -i r i - ;r i ni,n| r | - ,ii -nn li,i - r ; - i ii ii n lsi i -i i(Candidature)l-n li i | i -n |ii | i - -ii; i i ; l -n i; il-i r| r | Left Hand Thumb Impression / i rii n- i lii Signature of Applicant / r-nii