11/4/2019 CSBC Online

CENTRAL SELECTION BOARD OF CONSTABLE

RECRUITMENT FOR BIHAR POLICE CONSTABLES, 2019 (Advt. No. 02/2019)

ACKNOWLEDGEMENT
REGISTRATION ID : 11711561 DATE & TIME : 04-11-2019 09:40:04

POST PREFERENCES: 1. DISTRICT POLICE 2. BISF 3. SIRB 4. BMP

APPLICANT NAME : SUNIL KUMAR YADAV FATHER'S NAME : RAMJI YADAV

MOTHER'S NAME : HIRAWATI DEVI NATIONALITY : INDIAN

MOBILE NUMBER : 8687534230 EMAIL ADDRESS : SUNILYADAVBHU10796@GMAIL.COM

ARE YOU A DOMICILE OF BIHAR STATE : NO CATEGORY : GENERAL

ARE YOU HOMEGUARD OF BIHAR STATE: NO

GENDER : MALE DATE OF BIRTH : 10-07-1996

MARITAL STATUS : UNMARRIED

AADHAR NO : 992755330128 IDENTIFICATION MARKS : A BLACK MOLE ON LEFT HAND

ARE YOU A GURKHA? NO

ARE YOU A WARDS OF FREEDOM FIGHTER? NO

EDUCATION QUALIFICATION DETAILS

EXAM PASSED SCHOOL/ UNIVERSITY/ BOARD/ INSTITUTE PASSING CERTIFICATE NO CERTIFICATE ISSUED DATE
10 UP BOARD ALLAHABAD 84091557 15-05-2016
10+2 UP BOARD ALLAHABAD 84021961 08-06-2012

ADDRESS DETAILS
PERMANENT ADDRESS CORRESPONDENCE ADDRESS
HOUSE NO NA HOUSE NO NA

STREET/MOHALLA RAMANA STREET/MOHALLA RAMANA

VILLAGE/TOWN RAMANA VILLAGE/TOWN RAMANA

POST OFFICE RAMANA POST OFFICE RAMANA

DISTRICT VARANASI DISTRICT VARANASI

STATE UTTAR PRADESH STATE UTTAR PRADESH

PIN CODE 221011 PIN CODE 221011

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BENEFITS AVAILED BY ME SHALL BE SUMMARILY WITHDRAWN.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

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