8/16/2017 JSSC

Wed Aug 16 2017| 10:15:51 AMIST

APPLICATION FORM : JHARKHAND POLICE SUB INSPECTOR COMPETITIVE EXAMINATION 2017

Personal Information

1. Application No. : 565527

2. Name: DEEPAK KUMAR

3. Date Of Birth: 12-12-1995

4. Father/Guardian Name: BAIDYANATH YADAV

5. Mother Name: SARITA 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: 675026766446

12. Marital Status: UNMARRIED

13. Have You Ever Debarred Or Punished By Any NO

State Or Union Service Commission:

14. Identification Mark 1 : BIRTH MARK ON RIGHT FOOT

15. Identification Mark 2 : A MOLE ON RIGHT HAND

16. Mobile Number: 9471622587

17. Email Id: DEEPYAD1212@GMAIL.COM

18. Current Address: Address: C/O-KUSHESHWAR YADAV, VILL POST-BARHI PS-KEOTI

State/U.T.: BIHAR (BR)
City: DARBHANGA
Pincode: 846005

17. Permanent Address: Address: C/O-KUSHESHWAR YADAV, VILL POST-BARHI PS-KEOTI

State/U.T.: BIHAR (BR)
City: DARBHANGA
Pincode: 846005

Qualification Details

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

10th Class BASUDEO MISHRA HIGH SCHOOL SIMRI BSEB BIHAR 2010

12th Class R.B.JALAN COLLEGE BELA DARBHANGA BSEB BIHAR 2012

Graduation DIRECTORATE OF DISTANCE EDUCATION LNMU DARBHANGA BIHAR 2015

Option of Language Paper for Main Exam HINDI

Payment Status

Fee Details Bank Reference No. Transaction Date Payment Mode

460 DU73213675 14-08-2017 SBDEBIT

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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