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SASHASTRA SEEMA BAL RECRUITMENT

R E C R U I T M E N T O F 3 8 / R C / S S B / C O M B I N E D A D V T. / H E A D C O N S TA B L E S / 2 0 2 3 F O R T H E P O S T
OF (Head Constable (Electrician))

ACKNOWLEDGEMENT
REGISTRATION ID : 40114492 DATE & TIME : 07-06-2023 16:27:06

POST APPLIED FOR : HEAD CONSTABLE (ELECTRICIAN) APPLICANT NAME : SARJEET SINGH

FATHER'S NAME : BHOLA RAM MOTHER'S NAME : PALO DEVI

DATE OF BIRTH : 01-05-1994 GENDER : MALE

RELIGION : HINDU MARITAL STATUS : MARRIED

NATIONALITY : INDIAN CATEGORY : SC

IDENTITY CARD NO : 638177634852 (AADHAR CARD) IDENTIFICATION MARKS : A MOLE ON HAND
MOBILE NUMBER : 8955531643 EMAIL ADDRESS : SARJEETSINGHSIDHU7@GMAIL.COM
COMMUNITY BELONGING TO ANY : NO

WHETHER DOMICILED ORDINARY IN J&K DURING 1980 TO 1989 : NO

WHETHER AFFECTED IN 1984 RIOTS OR COMMUNAL RIOTS OF 2002 GUJARAT : NO
WHETHER EX-SERVICEMAN : NO
WHETHER DEPARTMENTAL CANDIDATES WITH THREE YEARS CONTINUOUS NO
SERVICE IN CENTRAL GOVERNMENT :

EDUCATION QUALIFICATION DETAILS

AGGREGATE
SCHOOL/ UNIVERSITY/ BOARD/ YEAR OF CERTIFICATE DATE OF
EXAM PASSED EXAM ROLL NO NO ISSUED SUBJECT PERCENTAGE OF
INSTITUTE
MARKS/ GRADING
MATRICULATION BSER AJMER 2007 1898872 29369 05-06-2007 ALL 50.33
12 BSER AJMER 2010 1726005 0874542 07-06-2010 ANYSUBJECT 71.08

ESSENTIAL EDUCATIONAL & PROFESSIONAL QUALIFICATIONS

TWO YEARS WORK EXPERIENCE IN RESPECTIVE TRADE YES
ONE YEAR CERTIFICATE COURSE FROM A RECOGNISED INDUSTRIAL TRAINING INSTITUTE OR VOCATIONAL INSTITUTE YES
WITH AT LEAST ONE YEAR EXPERIENCE IN THE RESPECTIVE TRADE

ADDRESS DETAILS
PERMANENT ADDRESS CORRESPONDENCE ADDRESS
VILLAGE/TOWN PARLIKA VILLAGE/TOWN PARLIKA

POST OFFICE GOGAMERI POST OFFICE GOGAMERI

TEHSIL NOHAR TEHSIL NOHAR

POLICE STATION GOGAMERI POLICE STATION GOGAMERI

DISTRICT HANUMANGARH DISTRICT HANUMANGARH

STATE RAJASTHAN STATE RAJASTHAN

PIN CODE 335504 PIN CODE 335504

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.

DATE : 07-06-2023 16:27:06