APPLICATION FORM For the post of Constable in Himachal Pradesh Police Department -Year 2017 | _ Latest Passport (To be filled in by the candidate) aie [giceree oo the Candidate To (to be stapled The Superintendent of Police, only) District, Read Instructions below before filling *Contact/Mobile No. E-mail: *4, Full Name of Applicant: ] I ] +2. Father’s Name : [el I | *3.( a) Date of Birth(in figures): (DD-MM-YYYY) = L (in words): I | | ( b) Proof of Date of Birth: (Only 10” Class Certificate will be considered) (c) Name of Board for 10% Class: Name of School for 10 Class: Year of Issue of certificate (10% class): *4. Sex: Male: Female: *5. Identification mark: *6. Thumb Impression(T!): Left Tl for Male Right Tlfor Fema soe ee ae *7, Address for Village/H.No.: Correspondence: Post Office: Tehsil: District: 1 *8. Permanent Village/H.No.: TI I Address: Post Office: Tehsil: | District: [ feelan ell 49, Address as per Bonafide Himachali Certificate: Village/H.No.: ] Post Office: | Tehsil: | District: L l | l | *40. Issuing authority for Bonafide Himachali Certificate:#14. (a) Tick ( )Correct Category/Sub Category of post for which applying: a [ Category: b Sub Categories: General IRDP sc Ward of Freedom Fighter | ST Home Guard | | | OBC Sports (Sponsored by YSS) Gorkhas Ward of Ex-Serviceman (For Female Candidate only) nt (b).Certificate Issuing authority for SC/STIOBC and ‘sub-categories mentioned in column: 11(a)&(b) above: Note: CANDIDATE SHOULD NOTE THAT CATEGORY & SUB-CATEGORY AS CLAIMED IN SERIAL NO. 11 OF THE APPLICATION FORM SHALL BE TREATED AS FINAL SUBJECT TO VERIFICATION AT THE TIME OF PHYSICAL EFFICIENCY TEST (GROUND TEST) OR ANY STAGE OF RECRUITMENT PROCESS AND WILL NOT BE CHANGED UNDER ANY CIRCUMSTANCE DURING ‘THE RECRUITMENT PROCESS. 12. Preferred area of service (tick one): [General Duty Driver |_| Dog Handler Buglar Mounted Police *13. Name of Employment Exchange where Name is registered Registration No.: Date of Registration: 5 Si Validity anne (DD-MM-Y¥Yy): | Date: | | 1} *414.(a) Educational Qualification: [42] Name of School: Name of Board : Cetrificate No.: Date of Issue: * allel (b) Additional Educational Qualification: Year of Passing: [Name of Institution: ] Those appearing i qualification Cer +2 may apply. However, he/she will have to provide the +2 examination icate at the time of personal interview/personality test. (c) Any other professional Qualification....... 15. WILLINGNESS FOR THE POST OF CONSTABLE DRIVER/BANDMAN ON INDUCTION BASIS: a). Are you holding valid dri ing license in light & heavy vehicle: b). Do you posses mechanical/technical knowledge of light & heavy vehicles and understanding of Traffic Rules: ¢) Experience in musical instrument /band equipment..... + Kind of education in musical instrument: Formal: Informal: [ * Level of formal education (certificate to be attached)..."16. (a) Have you ever been named/arrested/convicted in a criminal case. (b) if Yes, give details: 17. (a). Write the following text in English strictly in your own handwriting: Good health is a must for long life. So, do yogic exercise daily, as it is panacea for excellent health. Just as we may depend upon and get praise-worthy service from the well-maintained machinery, daily exercise keeps our body quite fit to bear every kind of hazard of life. Prepare a list of all your weakness and bad habits and be more serious to get rid of them as early as possible. (b). Write the following text in Hindi strictly in your own. handwriting: feat oferta asfier at fm gr dito é wear FY weet aa ued ania Ges week az, ford Oat F Gath via afta BW | ta ae 2 fH sora TH vita get wre arr ang @ 1 af 2014 FY ot oneet fea aa ot aReT ats yr Wor SB ered a eee wala wach Bar Ah eft 1 18, Mode of payment: (Application fee Rs.140/ for General Category and Rs.35/ for SC/STIOBC/IRDP.) Bank Draft \PO [ Name of Bank Name of [Name of Branch [Draft No. ac [Date of issue : Date: (i). I certify that | have read the instructions for filling the form. | certify that information given above is true to the best of my knowledge and belief. | understand that willful misrepresentation of any fact will lead to rejection of my candidature for the post of constable in HP Police Department at any stage. Date: Place: Signaure of the Candidate Name of the Candidate)...