1/2/2021 IB Form

Applicant Details

Personal Details

Application Sequence No
MHA140995212

Candidate's Name
AVINASH KUMAR

Father's Name Mother's Name

NARENDRA PRASAD CHOUDHARY KIRAN DEVI

Marital Status Nationality

Unmarried A Citizen of India
Religion ID Proof

Hinduism Aadhar Card

Aadhar Number Home State

522254596471 Bihar

Post Applied Details

Exam City Choice 1

Post Applied Ranchi
Assistant Central Intelligence Officer- Grade I
I/Executive
Exam City Choice 2
Patna

Exam City Choice 3 Category

Muzaffarpur SC

Gender Date of Birth same as Matriculation/ Secondary

Certificate
Male
25/May/1993
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Age as on 09.01.2021 Are you an Ex-Service man?

27 Years 7 Months 15 Days No

Are you a Departmental Candidate who have rendered 3

years of regular & continuous service in central
government ?

No

Were you originally domiciled in the state of Jammu and Are you a dependent of victim of communal riot of 2002
Kashmir between 01.01.1980 and 31.12.1989 as well as in Gujrat?
the children?
No
No

Are you a Sportsperson?

No

Contact Details

Mobile Number
7739439238 Email ID
avinashkumar1715@gmail.com

Present Address

Address Line 1
WARD NO. 10 , PURANI BANK ROAD

Address Line 2
WARISALIGANJ , NAWADA

Country
India

State City
Bihar Nawada

Pin Code
805130

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Permanent Address

Address Line 1
WARD NO. 10 , PURANI BANK ROAD

Address Line 2
WARISALIGANJ , NAWADA

Country
India

State City
Bihar Nawada

Pin Code
805130

Matriculation (10th) Details

Name of the Board/Council

CBSE

Year Of Passing
2009 Institute Name
JAWAHAR NAVODAYA VIDYALAYA REWAR NA
WADA

Percentage of Marks
Subject Combination 69.2
ENGLISH HINDI MATHEMATICS SCIENCE SOCI
ALSCIENCE
Certificate Number

0364255

Course Type
R(Regular)

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10+2 Details/Diploma Details

Select Option

10+2

Name of the Board/Council

CBSE

Year Of Passing Institute Name

2012 ST JOESPHS PUBLIC SCHOOL DALSINGHSARAI

Percentage of Marks
Subject Combination 63.6
ENGLISH CORE MATHEMATICS PHYSICS CHE
MISTRY PAINTING
Certificate Number

571066

Course Type

R(Regular)

Essential Qualification Details

Qualification Name
Graduation or Equivalent from recognized university

Specialization

MECHANICAL ENGINEERING Institute Name

BHAGALPUR COLLEGE OF ENGINEERING BHA
GALPUR

Year Of Passing Percentage of Marks

2017 77.59

Certificate Number Course Type

17102427 R(Regular)

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Desirable Qualification

Do you have Knowledge of Computers ?

Yes

Payment Details

Amount Payment Status

500 Successful

Payment Transaction No.

CPAANKHKR8

Candidate Photo and Signature Upload Details

Photo

Signature

Declaration

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I hereby, solemnly declare that the information given above is true and correct to the best of my
knowledge and I fulfil the eligibility conditions laid down in the detailed advertisement, for appearing
in the recruitment test conducted by Ministry of Home Affairs for the post of Assistant Central
Intelligence Officer Grade-II/Executive. I further declare that in case any of the above information is
found to be false/incorrect or any information is found to be suppressed or any ineligibility being
detected before, during or after the recruitment process, my candidature for this post is liable to be
forfeited. I further declare that I am not involved in any criminal case and/or no such case is pending
against me in the court of law.

Version 13.09.00

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