9/22/2019 BPSSC Online

BIHAR POLICE SUB-ORDINATE SERVICES COMMISSION

RECRUITMENT FOR BIHAR POLICE SUB INSPECTOR/POLICE SERGEANT/ASSISTANT
SUPERINTENDENT JAIL, 2019 (Advt. No. 01/2019)

ACKNOWLEDGEMENT
REGISTRATION ID : 41308848 DATE & TIME : 22-09-2019 09:48:02

POST PREFERENCES: 1. POLICE SUB INSPECTOR 2. ASSISTANT SUPERINTENDENT JAIL(DIRECT RECRUITMENT) 3. POLICE SERGEANT

APPLICANT NAME : SANJEET KUMAR FATHER'S NAME : BASANT SINGH

MOTHER'S NAME : SONAJHARI DEVI NATIONALITY : INDIAN

MOBILE NUMBER : 8083702841 EMAIL ADDRESS : SANJEETIN2000@GMAIL.COM

ARE YOU A DOMICILE OF BIHAR STATE : YES CATEGORY : BC

GENDER : MALE DATE OF BIRTH : 12-04-1993

MARITAL STATUS : UNMARRIED

IDENTITY CARD NO : 273084432304 (AADHAR CARD) IDENTIFICATION MARKS : A MOLE ON THE NOSE

ARE YOU AN EX-SERVICEMAN? NO ARE YOU A WARDS OF FREEDOM FIGHTER? NO

EDUCATION QUALIFICATION DETAILS

EXAM PASSED SCHOOL/ UNIVERSITY/ BOARD/ INSTITUTE PASSING CERTIFICATE NO CERTIFICATE ISSUED DATE
MATRICULATION BSEB PATNA 481352 28-05-2008
GRADUATION (UG) VKSU ARA 13001926920106 23-11-2013

ADDRESS DETAILS
PERMANENT ADDRESS CORRESPONDENCE ADDRESS
HOUSE NO 00000 HOUSE NO 00000

STREET/MOHALLA SINGH COLONY STREET/MOHALLA SINGH COLONY

VILLAGE/TOWN PS UDWANTNAGAR VILLAGE/TOWN PS UDWANTNAGAR

POST OFFICE BHELAI POST OFFICE BHELAI

DISTRICT BHOJPUR DISTRICT BHOJPUR

STATE BIHAR STATE BIHAR

PIN CODE 802312 PIN CODE 802312

DECLARATION OF CRIMINAL CASES

HAVE YOU EVER BEEN DEBARRED BY UPSC, SSC OR SPSC OR ANY RECRUITMENT BOARD FROM APPEARING IN ANY EXAM? NO

CRIMINAL PROCEEDING DETAILS, IF ANY

A) WHETHER ANY FIR OR CRIMINAL CASE(S) HAS EVER BEEN REGISTERED AGAINST YOU? NO

B) WHETHER ANY CRIMINAL COMPLAINT CASE OR FIR OR CRIMINAL CASE(S) IS PENDING AGAINST YOU IN COURT OF LAW,
NO
OR WITH POLICE AT THE TIME OF SUBMITTING THE APPLICATION FORM?

C) HAVE YOU EVER BEEN ARRESTED/DETAINED IN ANY CRIMINAL CASE(S)? NO

D) HAVE YOU EVER BEEN TRIED & CONVICTED OR ACQUITTED BY A COURT OF LAW IN ANY CRIMINAL CASE(S)? NO

E) HAVE YOU EVER BEEN TRIED & CONVICTED BY THE COURT BY FILLING ANY BOND FOR GOOD BEHAVIOUR ETC.? NO

DECLARATION BY THE CANDIDATE

I HEREBY DECLARE THAT THE INFORMATION GIVEN ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF AND NOTHING HAS BEEN CONCEALED THEREIN. I AM
WELL AWARE OF THE FACT THAT IF THE INFORMATION GIVEN BY ME IS PROVED NOT TRUE, I WILL HAVE TO FACE THE CONSEQUENCES AS PER THE LAW. ALSO, ALL THE
BENEFITS AVAILED BY ME SHALL BE SUMMARILY WITHDRAWN.

English Signature Hindi Signature

https://apply-bpssc.com/V2/acknowledgement 1/1