11/4/2019

APPLICATION SUMMARY

APPLICATION FOR THE POST OF HEAD CONSTABLE (MINISTERIAL) EXAMINATION-2019

APPLICATION NO / आवेदन सं ा: DLP1998849

POST APPLIED /आवेिदत पद : HEAD CONSTABLE (MINISTERIAL)

CANDIDATE NAME /उ ीदवार का पूरा नाम: ADITYA KAUSHIK

GENDER/ िलंग : MALE

CATEGORY/वग : GENERAL

EMAIL ADDRESS / ईमेल पता : ADIKAUSHIK4@GMAIL.COM MOBILE NO/मोबाइल नं : 9999212295

ALTERNATE EMAIL ADDRESS / वैक क ALTERNATE MOBILE NO/ वैक क

ADIKAUSHIK81@GMAIL.COM NA
ईमेल पता: मोबाइल नं :
ARE YOU A PERSON WITH DISABILITIES (PwD) :LOCOMOTOR DISABILITY OF 40% AND ABOVE (EITHER ONE OR
NO
BOTH LEG AFFECTED)/ ा आप िद ां ग -गमन अ म िद ां गता 40% या अिधक (एक या दोनों टाँ गे भािवत) है | :
WHETHER MOTHER IS A SINGLE PARENT/
NO FATHER’S NAME / िपता का नाम : MUKESH KAUSHIK
ा माता एकल अिभभावक है :

MOTHER'S NAME /माता का नाम : RITA KAUSHIK MARITAL STATUS/वैवािहक थित : UNMARRIED

AADHAAR NUMBER / आधार सं ा: 809215525207

DATE OF BIRTH / ज ितिथ : 6-Mar-1996

ARE YOU A SPORTS PERSON/ ा आप

NATIONALITY/रा ीयता : INDIAN NO
एक खलाडी ह :

RELIGION / धम : HINDU

ARE YOU A DEPARTMENTAL CANDIDATE

OF DELHI POLICE/ ा आप िद ी पुिलस के NO DATE OF ENLISTMENT / भत ितिथ: NA
िवभागीय उ ीदवार ह :
LANGUAGE IN WHICH YOU WANT TO
ARE YOU AN EX-SERVICEMAN/ ा
TAKE TYPING TEST/भाषा िजसम आप टं कण ENGLISH NO
आप भूतपूव सैिनक ह :
परी ा दे ना चाहते ह :

WHETHER ALREADY EMPLOYED/यिद पहले

NO
से कायरत है :

WHETHER SON/DAUGHTER OF DELHI POLICE PERSONNEL/MULTI-TASKING STAFF OF DELHI POLICE ? / ा आप

िद ी पुिलस कम /िद ी पुिलस म ी-टा ं ग ाफ के पु /पु ी है ? :
IDENTIFICATION MARK / पहचान िच
CORRESPONDENCE ADDRESS :
PERMANENT ADDRESS :
NO
WHETHER BELONGS TO HILL AREAS
: SCAR ON CHEST NO
/ ा आप पहाडी े से स ंिधत है । :
GALI NO. 8, VILLAGE WAZIRABAD NEAR MCD SCHOOL, GALI NO. 8, VILLAGE WAZIRABAD, GALI NO.
8, VILLAGE WAZIRABAD, DELHI, NEW DELHI, 110084
GALI NO. 8, VILLAGE WAZIRABAD NEAR MCD SCHOOL, GALI NO. 8, VILLAGE WAZIRABAD, GALI NO.
8, VILLAGE WAZIRABAD, DELHI, NEW DELHI, 110084

1/2
11/4/2019

Education Details/शैि क यो ता

EDUCATIONAL
BOARD/INSTITUTION/UNIVERSITY ROLL NO/ YEAR OF PASSING/ DIGILOCKER LINK
QUALIFICATION/शैि क SUBJECT/िवषय
/ बोड'/िव िव ालय/सं था अनु मांक उ ीण होने का वष /िडजीलॉकर िलंक
यो ता
HINDI ENGLISH
10TH CLASS CBSE 8133766 2011 NA
MATHS SCIENCE
HISTORY ENGLISH
12TH CLASS CBSE 9651443 2013 NA
POLITICAL SCIENCE

Documents and Photograph Upload

Photograph Uploaded
Signtaure Uploaded
Left Thumb Impression Uploaded
10th Certificate Uploaded
12th Certificate Uploaded

PAYMENT DETAILS

Amount Paid Payment Status Transaction Number Transaction Date

Rs 100 Success 4a04287413bf4c53e513 04/11/2019

Declaration

I HEREBY DECLARE THAT :

1. I HAVE NOT SUBMITTED ANY OTHER APPLICATION FOR THIS EXAMINATION. I AM AWARE THAT IF CONTRAVENE THIS RULE, MY

APPLICATION WILL BE REJECTED SUMMARILY BY THE DELHI POLICE.

2. I ALSO DECLARE THAT I DO NOT STAND DEBARRED BY SSC/UPSC OR ANY RECRUITMENT BOARD FROM APPEARING IN ANY

EXAMINATION AS ON DATE.

3. I HEREBY DECLARE THAT ALL STATEMENTS MADE IN THIS APPLICATION ARE TRUE, COMPLETE AND CORRECT TO THE BEST OF MY

KNOWLEDGE AND BELIEF. I UNDERSTAND THAT IN THE EVENT OF ANY INFORMATION BEING FOUND SUPPRESSED/FALSE OR INCORRECT

OR INELIGIBILITY BEING DETECTED BEFORE OR AFTER THE EXAMINATION, MY CANDIDATURE/ APPOINTMENT IS LIABLE TO BE

CANCELLED.

OTHER DECLARATION GIVEN BY YOU :

HAVE YOU EVER BEEN ARRESTED/INDICTED OR SUMMONED IN COURT AS A DEFENDANT IN A CRIMINAL PROCEEDING OR

CONVICTED/FINED OR IMPRISONMENT FOR THE VIOLATION OF ANY LAW (EXCLUDING MINOR TRAFFIC VIOLATIONS) - NO

Date : 04-Nov-2019 ADITYA KAUSHIK

Place : NEW DELHI

2/2