9/8/2019 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 : 40578634 DATE & TIME : 08-09-2019 20:22:31

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

APPLICANT NAME : CHANDAN KUMAR FATHER'S NAME : MAHAVIR PRASAD

MOTHER'S NAME : ANITA DEVI NATIONALITY : INDIAN

MOBILE NUMBER : 9006511930 EMAIL ADDRESS : CHANDANCHANDAN378@GMAIL.COM

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

GENDER : MALE DATE OF BIRTH : 12-08-1992

MARITAL STATUS : UNMARRIED

IDENTITY CARD NO : BR0220150071111 (DRIVING LICENSE) IDENTIFICATION MARKS : TILL MARK BESIDE LEFT EAR

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 HARANCHANDR HIGH SCHOOL GAYA D134794 28-05-2007
GRADUATION (UG) MAGADH UNIVERSITY 0088 07-12-2015

ADDRESS DETAILS
PERMANENT ADDRESS CORRESPONDENCE ADDRESS
HOUSE NO 169 HOUSE NO 169

STREET/MOHALLA KATARI STREET/MOHALLA KATARI

VILLAGE/TOWN GAYA VILLAGE/TOWN GAYA

POST OFFICE GAYA POST OFFICE GAYA

DISTRICT GAYA DISTRICT GAYA

STATE BIHAR STATE BIHAR

PIN CODE 823001 PIN CODE 823001

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BENEFITS AVAILED BY ME SHALL BE SUMMARILY WITHDRAWN.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