APPLICATION FORM FOR THE RECRUITMENT OF TEMPORARY CONSTABLE (EXECUTIVE) MALE IN DELHI POLICE -2011

1. Name of Applicant :
Chaman yadav
Registration No. :1320576274
(For office use only)
06-11-2011 8:42 am
2. Father's Name:
Sh.Suresh yadav
4. Photograph
Do not Pin or Staple Paste one
recent clear Passport size with
name plate photograph should
be taken in red background
(without attestation)
Photograph must not be larger
than the box Size oI the
Photograph 35mm x 45mm
5. Applicant Signature

3. Complete Mailing Address of the Applicant with Name
Name: Chaman yadav

Address: RZ-329/2 Street no-22 Sadh nagar-II Palam colony New Delhi-45

District : South west , State Delhi , Pin: 110045
Mobile No.:+91 9810143518 Landline with STD Code: 011-25083747
Email ID (iI any): harrypotter78646gmail.com
6. Category

1. SC


2. ST


3. OBC


4. General

8. Religion

1. Hindu


2. Muslim


3. Sikh


4. Christian


5. Other


7. Other Category
Ex-Servicemen
Date OI Enlistment Date OI Discharge


D D M M Y Y Y Y

D D M M Y Y Y Y
Army/Navy/Air Force or Territorial Army
(a) Have you served in the Special Iorces/NSG (Spl. Action Group)?
(b) Have you received QI 'qualiIied Instructions' grading Commando Course ?
(c) Have you worked in the specialized commando type unit oI Navy/Air Force?
Son oI Delhi Police Personnel
Date of Enlistment

D D M M Y Y Y Y
Departmental Candidate(Delhi Police)


9. Educational
Qualification

1. XI

2. XII

3. Graduate

4. Post Graduate

10. NCC 'C'
Certificate

1. Yes


2. No

11.
Sportsman

1. Yes


2. No

12. Date of Birth

01081989
D D M M Y Y Y Y
13. Whether Belongs to Hill
areas

1. Yes


2. No


14. Driving License Details
Driving license for LMV (Motor Cycle and Car) No.: P09092008485800 issuing authority: SW Date of Issue:

30-11--0001Valid Upto: 30-11--0001

15. Bank Demand Draft Details
DD No.: 538796 Bank Name: State Bank oI India Date of Issue: 11-11-2020
16. Have you ever been debarred by Union Public Service Commission, SSC or State Public
Service Commission or any recruitment board Irom appearing in any exam?
Yes

No

17. Criminal Proceeding details, if any:
(a) Whether any FIR or criminal case has ever been registered against you?
Yes

No

(b) Whether any criminal complaint case or FIR or criminal case(s) is pending against you in any
court oI Law, or with police at the time oI submitting the application Iorm?
Yes

No

(c) Have you ever been arrested or detained in any criminal case (s)
Yes

No

(d) Have you ever been tried & convicted or acquitted by a Court oI Law in any criminal case (s)
Yes

No

(e) Have you ever been tried and convicted by the court by Iilling any bond Ior good behavior, etc.
Yes

No

18. Case Reference: II the answer to any oI the above mentioned questions is Yes` then give Iull particulars oI the
criminal complaint case, FIR No. & Date Under Sections, Police Stations, District, and Present Status oI the Case
at time oI Iilling up this application Iorm. ->
19. II aIter submission oI this application Iorm, any criminal case is registered against you or arrested/detained by
police in any criminal case relevant details regarding the same should be communicated by you immediately to the
DCP/Recruitment cell, New Police Lines kingsway Camp. Delhi-110009, Iailing which it shall deemed to be
suppression oI Iactual inIormation.
20. DECLARATION: I hereby declare and conIirm that all the entries in this application Iorm are correct. I
undertake that, incase any inIormation Iurnished by me is Iound to be Ialse or incomplete or any material
inIormation concealed by me, my candidature may be cancelled
Place: New Delhi Date: 06-11-2011 Applicant Signature:
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