30/01/2023, 16:16 CRPF Form 2023

Post Applied Details

Candidate Photo
Application Status Application Number Candidate's Name
PaymentSuccess CRPF233113366 AMAN KUMAR
Date of Birth Age as on 31.01.2023 Gender
10/Jul/2003 19 Years 6 Months 22 Male
Days
Marital Status
Unmarried
Father's Name Mother's Name Email ID
SHRI BHAGVAN SINGH SEETA DEVI aman494592@gmail.c
om
Mobile Number
9897640941

Post Details

Post Name Post Code

Head Constable(Minist 04
erial)

Test City Preferences

Preferred Test State Preferred Test City 1 Preferred Test State

1 Agra 2
Uttar Pradesh Uttar Pradesh
Preferred Test City 2 Preferred Test State Preferred Test City 3
Kanpur 3 Lucknow
Uttar Pradesh

Candidate Domicile and Category Details

Nationality Reservation Category

A citizen of India UR

Ex Servicemen Details

Are you an Ex Service

men (ESM) or child of
ESM?
No

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30/01/2023, 16:16 CRPF Form 2023

Departmental Employee Details

Are you a Central Go

vt. Servants who hav
e rendered not less t
han 3 years regular/
continuous service a
s on 21/01/2023?
No
Are you a Children an
d dependent of victi
ms killed in the 1984
riots or communal ri
ots of 2002 in Gujara
t?
No

Correspondence Address

Address Line 1 Address Line 2 Country

VILLAGE DHANDHAUS POST KUSMARA India
State City/District Pincode/Postal Code
Uttar Pradesh Mainpuri 205304
Is Permanent Addres
s Same as Correspon
dence address?
Yes

Permanent Address

Address Line 1 Address Line 2 Country

VILLAGE DHANDHAUS POST KUSMARA India
State City/District Pincode/Postal Code
Uttar Pradesh Mainpuri 205304

Matriculation (10th) Details

Name of the Board/C Institute Name Please select any of t

ouncil S B S I C MANIGAON KI he following
UP BOARD SHNI MAINPURI Percentage
Marks Obtained Maximum Marks Percentage of Marks
347 600 (%)
57.83
Year of Completion
2018

lntermediate (12th) Details

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Name of the Board/C Institute Name Please select any of t

ouncil SHRI JAGDISH PRASAD he following
UP BOARD GUPTA SMARAK IC VN Percentage
KUSMARA MAINPURI
Marks Obtained
267
Maximum Marks Percentage of Marks Year of Passing
500 53.40 2020

Payment Details

Amount Payment Mode Payment Status

100 online Payment Success
Payment Transaction
No.
CPACKXJQD3

Documents Upload

Signature
View / Downloa
Document
d

To view your copy of scanned 10th class certificate/Marksh

Click here.
eet:

To view your copy of scanned 12th class certificate: Click here.

Declaration

I hereby certify that the information given by me in this Application Form is tru
e to the best my knowledge. I certify that I fulfill the Govt Form eligibility criteria
and undertake to produce original documents whenever necessary and I will n
ot demand any reschedule of exam. I agree to abide by the declaration of the a
uthorities regarding the eligibility of my application and understand that any m
isrepresentation or omission of facts in my application may justify cancellation
of my Govt Form application & scores. I understand that all disputes will be sub
ject to the territorial jurisdiction of city of Indore only.

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