7/26/2017 JSSC

Wed Jul 26 2017| 2:54:30 PMIST

APPLICATION FORM : JHARKHAND POLICE SUB INSPECTOR COMPETITIVE EXAMINATION 2017

Personal Information

1. Application No. : 325303

2. Name: ABHISHEK SUMAN

3. Date Of Birth: 11-09-1995

4. Father/Guardian Name: JAWAHAR PRASAD

5. Mother Name: VIBHA DEVI

6. Are You Local Resident of Jharkhand : NO

7. Gender: MALE

8. Category: UNRESERVED

10. Preferences for the Post: First Preference POLICE SUB INSPECTOR SPECIAL BRANCH

Second Preference POLICE SUB INSPECTOR

Third Preference SERGEANT

11. Aadhar Number: -

12. Marital Status: UNMARRIED

13. Have You Ever Debarred Or Punished NO

By Any State Or Union Service
Commission:

14. Identification Mark 1 : A CUT MARKS ON CHIN

15. Identification Mark 2 : A CUT MARKS ON RIGHT SIDE NOSE

16. Mobile Number: 9122633128

17. Email Id: KUMARABHISHEKSUMAN@GMAIL.COM

18. Current Address: Address: VILL-DEERA P.O-KONAG P.S HALSI DIST-LAKHISARAI

State/U.T.: BIHAR (BR)
City: LAKHISARAI
Pincode: 811311

17. Permanent Address: Address: VILL-DEERA P.O-KONAG P.S HALSI DIST-LAKHISARAI

State/U.T.: BIHAR (BR)
City: LAKHISARAI
Pincode: 811311

Qualification Details

Educational Qualification Name Of Institution Name Of Board/University Year Of Passing

10th Class HIGH SCHOOL BARBIGHA B.S.EB 2010

12th Class P.C.P.I.C SOHSRAY NALANDA B.S.E.B 2013

Graduation R.LAL ALINAGAR NALANDA MAGADH UNIVERSITY 2016

Option of Language Paper for Main HINDI

Exam

Payment Status

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7/26/2017 JSSC

Fee Details Bank Reference No. Transaction Date Payment Mode

460 DU71311438 23-07-2017 NETBANKING

Declaration:

I hereby declare that the information submitted by me is correct and true to the best of my knowledge. I shall be liable for any disciplinary/punitive action in case any of the details are
found to be incorrect.

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