APPLICATION SUMMARY

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

APPLICATION NO / आवेदन सं या : DLP1667611

POST APPLIED /आवे दत पद : HEAD CONSTABLE (MINISTERIAL)

CANDIDATE NAME /उ मीदवार का पूरा नाम: PARMJEET KAUR

GENDER/ लग : FEMALE

CATEGORY/वग : OBC

EMAIL ADDRESS / ईमेल पता : NIKKUCHANNU18@GMAIL.COM MOBILE NO/मोबाइल नं : 9779330781

ALTERNATE EMAIL ADDRESS / वैक पक ईमेल ALTERNATE MOBILE NO/ वैक पक
MANNU1352725@GMAIL.COM 8898170003
पता: मोबाइल नं :

ARE YOU A PERSON WITH DISABILITIES (PwD) :LOCOMOTOR DISABILITY OF 40% AND ABOVE (EITHER ONE OR
NO
BOTH LEG AFFECTED)/ या आप द ांग -गमन अ म द ांगता 40% या अ धक (एक या दोन टाँगे भा वत) है | :

WHETHER MOTHER IS A SINGLE PARENT/

NO FATHER’S NAME / पता का नाम : GURJANT SINGH
या माता एकल अ भभावक है :

MOTHER'S NAME /माता का नाम : VEERPAL KAUR MARITAL STATUS/वैवा हक थ त : UNMARRIED

AADHAAR NUMBER / आधार सं या : 819060130319
DATE OF BIRTH / ज म त थ : 25-Apr-1998
ARE YOU A SPORTS PERSON/ या आप
NATIONALITY/रा ीयता : INDIAN NO
एक खलाडी ह :
RELIGION / धम : SIKH
ARE YOU A DEPARTMENTAL CANDIDATE
OF DELHI POLICE/ या आप द ली पु लस के NO DATE OF ENLISTMENT / भत त थ: NA
वभागीय उ मीदवार ह :

LANGUAGE IN WHICH YOU WANT TO TAKE

ARE YOU AN EX-SERVICEMAN/ या आप
TYPING TEST/भाषा जसम आप टं कण परी ा दे ना ENGLISH
भूतपूव सै नक ह :
चाहते ह  :

WHETHER ALREADY EMPLOYED/य द पहले से

NO
कायरत है :

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

NO
पु लस कम / द ली पु लस म ट -टा कंग टाफ के पु /पु ी है ? :

IDENTIFICATION MARK / पहचान च ह : WHETHER BELONGS TO HILL AREAS

MARK ON LEFT WRIST NO
/ या आप पहाडी े से स बं धत है। :

CORRESPONDENCE ADDRESS : WARD NO 1, CHANNU, CHANNU, PUNJAB, MUKTSAR, 152101

PERMANENT ADDRESS : WARD NO 1, CHANNU, CHANNU, PUNJAB, MUKTSAR, 152101
 Education Details/शै क यो यता

EDUCATIONAL YEAR OF DIGILOCKER

QUALIFICATION/शै क BOARD/INSTITUTION/UNIVERSITY ROLL NO/ LINK / डजीलॉकर
SUBJECT/ वषय PASSING/
/ बोड'/ व व ालय/सं था अनु मांक
यो यता उ ीण होने का वष लक
10TH CLASS PSEB PBI,ENG,HINDI,MATH,SCI,SST 1212670429 2012 NA
ENG,PBI,HIS,PBI
12TH CLASS PSEB 2014449014 2014 NA
ELECTIVE,PHY
GRADUATION PUCHD COMMERCE 14059322 2017 NA

Documents and Photograph Upload

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

PAYMENT DETAILS

Amount Paid Payment Status Transaction Number Transaction Date

Rs 0 Exempted NA 07/11/2019

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 I BELONG TO THE COMMUNITY WHICH IS RECOGNIZED AS A BACKWARD CLASS BY THE GOVT. OF INDIA FOR THE

PURPOSE OF RESERVATION IN SERVICE AS PER ORDER CONTAINED IN DEPTT. OF PERSONNEL AND TRAINING OFFICE MEMORANDUM NO.

36012/22/93-ESTT.(SCT) DATED 08.09.1993. I ALSO DECLARE THAT I DO NOT BELONG TO THE PERSON/SECTIONS (CREAMY LAYER)

MENTIONED IN COLUMN 3 OF THE SCHEDULE OF THE OM MENTIONED ABOVE AND MODIFIED VIDE GOVT. OF INDIA OMS MENTIONED IN

THE NOTICE. I FURTHER DECLARE THAT I WILL PRODUCE VALID OBC CERTIFICATE AS PER THE PRESCRIBED FORMAT GIVEN IN THE

NOTICE OF EXAMINATION.

4. 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 : 07-Nov-2019 PARMJEET KAUR

Place : MUKTSAR