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1/23/23, 9:25 PM CRPF Form 2023

Post Applied Details

Candidate Photo
Application Status Application Number Candidate's Name
SubmittedOffline CRPF231121740 PRITI KUMARI SHARMA

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1/23/23, 9:25 PM CRPF Form 2023

Date of Birth Age as on 25.01.2023 Gender


10/Sep/2000 22 Years 4 Months 16 Female
Days Marital Status
Unmarried
Father's Name Mother's Name Email ID
SUNIL SHARMA SANJU SHARMA 1sharmapriti@gmail.c
om
Mobile Number Alternate Mobile Nu
6295990616 mber
8798266587

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 Asansol 2
West Bengal Jharkhand
Preferred Test City 2 Preferred Test State Preferred Test City 3
Dhanbad 3 Patna
Bihar

Candidate Domicile and Category Details

Nationality Reservation Category


A citizen of India Other Backward Class
(OBC)

Ex Servicemen Details

Are you an Ex Service


men (ESM) or child of
ESM?
No

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

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1/23/23, 9:25 PM CRPF Form 2023

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


S.B. GORAI ROAD. SUKANTO MAIDAN, AS India
ANSOL-3 State
West Bengal
City/District Pincode/Postal Code Is Permanent Addres
Bardhaman 713303 s Same as Correspon
dence address?
Yes

Permanent Address

Address Line 1 Address Line 2 Country


S.B. GORAI ROAD. SUKANTO MAIDAN, AS India
ANSOL-3
State
West Bengal
City/District Pincode/Postal Code
Bardhaman 713303

Matriculation (10th) Details

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


ouncil Arya Kanya Uchcha Vid he following
WBBSE yalaya Percentage
Marks Obtained Maximum Marks Percentage of Marks
443 700 (%)
63.29
Year of Completion
2017

lntermediate (12th) Details

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


ouncil Arya Kanya Uchcha Vid he following
WBCHSE yalaya Percentage
Marks Obtained Maximum Marks Percentage of Marks
359 500 71.80
Year of Passing
2019

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1/23/23, 9:25 PM CRPF Form 2023

Payment Details

Amount Payment Mode


0 offline

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.

To view your copy of Caste 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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