2/11/24, 4:37 PM JSSC

APPLICATION FORM

Personal Details

Registration Number 82121950

Post Name CONSTABLE

Applicant's First Name BRIJESH KUMAR

Last Name YADAV

Applicant's Full Name BRIJESH KUMAR YADAV

Date of Birth (DD-MM-YYYY) 25-04-1996

Father's Name RAM DULAR YADAV

Mother's Name BIJLAWATI DEVI

Gender MALE

Mobile Number 6394362280

Aadhaar No. 460215598682

E-Mail ID brijeshkumaryadavma@gmail.com

Nationality INDIAN

Visible Identification Mark 1 A CUT MARK ON THE LEFT EYEBROW

Visible Identification Mark 2

Option for Language Paper II HINDI

Maritial Status MARRIED

Spouse Name/Others ANJU

Other Information
Vacancy Type BOTH

Are you local resedent of Jharkhand NO

Categoty UR

Are you a graduate or diploma from Raksha Shakti

University recognized by the Central Government and NO
Jharkhand Government. Yes/No?

Are you appointed to the post of Assistant police Yes/No? NO

Educational Qualification
EDUCATIONAL BOARD MONTH & YEAR OF RESULT ROLL % of Marks
QUALIFICATION NAME PASSING STATUS NUMBER Obtained
10th/Matriculation UP BOARD 06-2011 PASS 2606042 67

Correspondence address
Address Line 1 VILL MATH AMAUNA

https://jsscjcce23.onlinereg.in/babareg24/Printapp/Printapp?RegNo=Sf%2BkXWSvZwD4nONKYIrZ3Psz7uS49XcCBUyR0d5Ns04%3D 1/2
2/11/24, 4:37 PM JSSC

Address Line 2 POST RAWATPAR AMETHIA

City/Village/Town PS LAR

State/Union Territory UTTAR PRADESH

Other State District Name DEORIA

Pin code 274502

Permanent address
Address Line 1 VILL MATH AMAUNA

Address Line 2 POST RAWATPAR AMETHIA

City/Village/Town PS LAR

State/Union Territory UTTAR PRADESH

Other State District Name DEORIA

Pin code 274502

District wise Preference Details

Vacancy Type District Name Preference

REGULAR RANCHI 1

REGULAR SIMDEGA 2

REGULAR GUMLA 3

REGULAR GIRIDIH 4

REGULAR RAMGARH 5

REGULAR BOKORO 6

REGULAR DHANBAD 7

REGULAR JAMTADA 8

REGULAR DEOGHAR 9

REGULAR WESTERN SINGHBHOOM 10

REGULAR SAHEBGANJ 11

REGULAR SARAIKELA KHARSAAWAN 12

REGULAR CTC 13

REGULAR JAPTC 14

REGULAR RAIL JSR 15

REGULAR JWFS 16

REGULAR RAIL DNB 17

Payment Details
Transaction Number Amount Transaction Date

113175519318 100 2024-02-11 16:34:36

Declaration
I hereby declare that all statements made in this application are true, complete and correct to the best of my knowledge and belief. I understand that
in the event of any information being found false at any stage or not satisfying the eligibility criteria according to the requirements of the post, my
candidature/ appointment is liable to be cancelled/terminated.

Candidates are advised to take a print of his/her application form and keep-it with him/her along with electronically generated bank receipt in
support of payment of his/her examination fee for future communication in this regard.

System IP : 42.105.209.116
Application Print Date : 11/02/2024 04:36:48 PM

https://jsscjcce23.onlinereg.in/babareg24/Printapp/Printapp?RegNo=Sf%2BkXWSvZwD4nONKYIrZ3Psz7uS49XcCBUyR0d5Ns04%3D 2/2