APPLICATION SUMMARY
APPLICATION FOR THE POST OF HEAD CONSTABLE (MINISTERIAL) EXAMINATION-2019
APPLICATION NO / आवेदन सं या : DLP1815975
POST APPLIED /आवे दत पद : HEAD CONSTABLE (MINISTERIAL)
CANDIDATE NAME /उ मीदवार का पूरा नाम: JAIKANT SINGH
GENDER/ लग : MALE
CATEGORY/वग : GENERAL
EMAIL ADDRESS / ईमेल पता : JAIKANT9889@GMAIL.COM MOBILE NO/मोबाइल नं : 8564062884
ALTERNATE EMAIL ADDRESS / वैक पक ईमेल ALTERNATE MOBILE NO/ वैक पक मोबाइल
RAJPUTJAIKANT@GMAIL.COM 7007012890
पता: नं :
ARE YOU A PERSON WITH DISABILITIES (PwD) :LOCOMOTOR DISABILITY OF 40% AND ABOVE (EITHER ONE OR
NO
BOTH LEG AFFECTED)/ या आप द ांग -गमन अ म द ांगता 40% या अ धक (एक या दोन टाँगे भा वत) है | :
WHETHER MOTHER IS A SINGLE PARENT/
NO FATHER’S NAME / पता का नाम : HARENDRA SINGH
या माता एकल अ भभावक है :
MOTHER'S NAME /माता का नाम : MAMTA SINGH MARITAL STATUS/वैवा हक थ त : UNMARRIED
AADHAAR NUMBER / आधार सं या : 346328537680
DATE OF BIRTH / ज म त थ : 16-Jan-1997
ARE YOU A SPORTS PERSON/ या आप एक
NATIONALITY/रा ीयता : INDIAN NO
खलाडी ह :
RELIGION / धम : HINDU
ARE YOU A DEPARTMENTAL CANDIDATE
OF DELHI POLICE/ या आप द ली पु लस के NO DATE OF ENLISTMENT / भत त थ: NA
वभागीय उ मीदवार ह :
LANGUAGE IN WHICH YOU WANT TO TAKE
ARE YOU AN EX-SERVICEMAN/ या आप
TYPING TEST/भाषा जसम आप टं कण परी ा दे ना ENGLISH NO
भूतपूव सै नक ह :
चाहते ह :
WHETHER ALREADY EMPLOYED/य द पहले से
NO
कायरत है :
WHETHER SON/DAUGHTER OF DELHI POLICE PERSONNEL/MULTI-TASKING STAFF OF DELHI POLICE ? / या आप द ली
NO
पु लस कम / द ली पु लस म ट -टा कंग टाफ के पु /पु ी है ? :
IDENTIFICATION MARK / पहचान च ह : WHETHER BELONGS TO HILL AREAS /
MOLE IN LEFT HAND NO
या आप पहाडी े से स बं धत है। :
CORRESPONDENCE ADDRESS : 78C, TRANSPORT NAGAR, DHOOMANGANJ ALLAHABAD, UTTAR PRADESH, ALLAHABAD, 211011
PERMANENT ADDRESS : 78C, TRANSPORT NAGAR, DHOOMANGANJ ALLAHABAD, UTTAR PRADESH, ALLAHABAD, 211011
Education Details/शै क यो यता
EDUCATIONAL BOARD/INSTITUTION/UNIVERSITY / SUBJECT/ ROLL NO/ YEAR OF PASSING/ DIGILOCKER LINK /
QUALIFICATION/शै क यो यता बोड'/ व व ालय/सं था वषय अनु मांक उ ीण होने का वष डजीलॉकर लक
ALL
10TH CLASS C.B.S.E BOARD 5118329 2013 NA
SUBJECT
12TH CLASS U.P BOARD COMMERCE 1508785 2015 NA
Documents and Photograph Upload
Photograph Uploaded
Signtaure Uploaded
Left Thumb Impression Uploaded
10th Certificate Uploaded
12th Certificate Uploaded
PAYMENT DETAILS
Amount Paid Payment Status Transaction Number Transaction Date
Rs 100 Success 6fc49c9d73e291f40b69 11/11/2019
Declaration
I HEREBY DECLARE THAT :
1. I HAVE NOT SUBMITTED ANY OTHER APPLICATION FOR THIS EXAMINATION. I AM AWARE THAT IF CONTRAVENE THIS RULE, MY
APPLICATION WILL BE REJECTED SUMMARILY BY THE DELHI POLICE.
2. I ALSO DECLARE THAT I DO NOT STAND DEBARRED BY SSC/UPSC OR ANY RECRUITMENT BOARD FROM APPEARING IN ANY EXAMINATION
AS ON DATE.
3. 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 SUPPRESSED/FALSE OR INCORRECT
OR INELIGIBILITY BEING DETECTED BEFORE OR AFTER THE EXAMINATION, MY CANDIDATURE/ APPOINTMENT IS LIABLE TO BE
CANCELLED.
OTHER DECLARATION GIVEN BY YOU :
HAVE YOU EVER BEEN ARRESTED/INDICTED OR SUMMONED IN COURT AS A DEFENDANT IN A CRIMINAL PROCEEDING OR
CONVICTED/FINED OR IMPRISONMENT FOR THE VIOLATION OF ANY LAW (EXCLUDING MINOR TRAFFIC VIOLATIONS) - NO
Date : 11-Nov-2019 JAIKANT SINGH
Place : ALLAHABAD
