Intelligence Bureau

(Ministry of Home Affairs)

Govt. of India
ASSISTANT CENTRAL INTELLIGENCE OFFICER GRADE-II(EXECUTIVE) EXAMINATION - 2017
Personal Details:
Registration ID:- MHA110102416
Candidate's Name:- DEEPAK DUBEY
Father/Mother/Husband's
U C DUBEY
Name:-
Relation:- Father
Date Of Birth:- 14/02/1994

Gender:- Male
Category:- UR
Domicile of J&K: No
Victim of Gujarat
No
Roits(2002): Photo & Signature
Religion: Hinduism
Ex-Serviceman: No Home State: Uttar Pradesh
Central Govt. Employee: No
Marital Status: Un-Married Aadhar Number: 451596372805
Mobile Number:- 8604163457 Alternate Mobile Number:- 9411423952
Email Address:- deepak.d111@gmail.com Alternate Email Address:- udubey683@gmail.com
Mode of Payment: Fee Paid Exam Centre: LUCKNOW

Educational Qualication :
Whether
Name of Board/ Year of through
Examination Passed Subject/Discipline Result %Marks
University Passing Distance
Mode(R/C)
SCIENCE MATHS ENGLISH
Matric/Secondary/10th : CBSE P 91.2 2009 R
HINDI
PHYSICS CHEMISTRY
Intermediate/Sr.Secondary/12th : CBSE P 89.6 2011 R
MATHS

Graduation or equivalent
ELECTRONICS DR A P J ABDUL KALAM TECHNICAL
Qualication: P 71.94 2016 R
ENGINEERING UNIVERSITY
B.TECH.

Candidate's Mailing Address :

Address Line C/O B N DUBEY, VILL- MAHADIA PO- ARAMSARAI
BHOGAON
Town/City MAINPURI
District UTTAR PRADESH
State 205262
Pin

Declaration:-
I hereby declare that the information given above is true and correct to the best of my knowledge and I fulll the eligibility conditions for appearing in the recruitment test
conducted by Ministry of Home Affairs(MHA) for the post of ACIO-II/EXECUTIVE. I further declare that in case any of the above information is found to be false/incorrect
or any ineligibility being detected before, during or afterthe test, my candidature for the post of ACIO-II/EXECUTIVE is liable to be forfeited.

Submission Date: 25/08/2017 1:11:59 PM