Direct Recruitment of Assistant Sub Inspector (Stenographer/Combatant Stenographer) & Head Constable
(Ministerial/Combatant Ministerial) in Central Armed Police Forces (CAPFs) and Warrant Officer (Personal
Assistant) & Havildar (Clerk) in Assam Rifle Examination -2024
Application Form
Post Details
Applied Post / एप्लाइड पोस्ट : Head Constable (Ministerial/Combatant Ministerial) and Havildar (Clerk)
Application : Combat1700016313 Application : Submitted Payment : Paid
No / आवेदन संख्या Status / आवेदन Status / भुगतान
की स्थिति की स्थिति
Personal Information
Candidate's Name / : SHIVA MISHRA Mobile No. / मोबाइल संख्या : 78******29
प्रत्याशी का नाम
Email Id / इ-मेल आई. डी : mishrash********[at]gmail[dot]com
Identity Details
Aadhar : xxxxxxxx1196
Aadhar No / आधार संख्या : xxxxxxxx1196
Additional Information
Date of Birth / : 09-09-2005 Age / आयु : 18 Years, 10 Months, 23 Nationality / : INDIAN
जन्मतिथि Days राष्ट्रीयता
Father Name / : PUSHPENDRA MISHRA Mother's : SHASHI MISHRA Permanent : IN THE RIGHT CHEEK
पिता का नाम Name / माता का Identification
नाम Mark on Body /
शरीर पर स्थायी
पहचान चिह्न
Gender / लिंग : FEMALE Marital Status / : UNMARRIED Do you have : No
वैवाहिक स्थिति domicile
certificate?
Category Reservation
Religion / धर्म : Hindu Category / श्रेणी : Unreserved
Mode of Recruitment / भर्ती का तरीका : Direct entry(DE)
Subcategory
Are You Ex- : NO
Servicemen? /
क्या आप भूतपूर्व
सैनिक हैं?
Departmental / : No
विभागीय
Permanent Address Details
Permanent : NADO,MANDIR K PINCODE / पिन : 484776 State/UT / राज्य : MADHYA PRADESH
Address / स्थायी SAMNE,CHACHAI,SHAH कोड / कें द्रीय शासित प्रदेश
पता DOL,CHACHAI,MADHYA
PRADESH
District / जिला : Shahdol Village/City / गांव / शहर : BANSAGAR
Police Station / : BANSAGAR Post Office / : BANSAGAR Tehsil / तहसील : BEOHARI
पुलिस स्टेशन डाक-घर
Correspondence Address Details
Correspondence : D-1417 SUDAMANAGAR PINCODE / पिन : 452009 State/UT / राज्य : MADHYA PRADESH
Address / INDORE MADHYA कोड / कें द्रीय शासित प्रदेश
पत्राचार पता PRADESH
District / जिला : Indore Village/City / गांव / शहर : INDORE
Police Station / : ANNUPURNA POLICE Post Office / : POST OFFICE SUDAMA Tehsil / तहसील : TEHSIL MHOW
पुलिस स्टेशन STATION डाक-घर NAGAR
Other Details
Is there any criminal case pending against you.? : No
Is Communal/Gujarat Riots? : No
Is Candidate who had ordinarily been domiciled in the : No
State of Jammu & Kashmir from 01.01.1980 to
31.12.1989?
Do you have(Sport Achievement)? / क्या आपके पास खेल : No
उपलब्धि प्रमाण पत्र है?
Physical Standards
Height / ऊं चाई (in cms) : 157.00
Weight / वजन (in Kgs) : 55
Qualifications Details
Qualification : SSC/Matric/High School Certificate : 103328487 Year / वर्ष : 2020
Type / योग्यता No. / प्रमाण पत्र
प्रकार संख्या
State / राज्य : MADHYA PRADESH Board/University : State Board
/ बोर्ड /
विश्वविद्यालय
Qualification : Intermediate(10+2) Certificate : 223327181 Year / वर्ष : 2022
Type / योग्यता No. / प्रमाण पत्र
प्रकार संख्या
State / राज्य : MADHYA PRADESH Board/University : State Board
/ बोर्ड /
विश्वविद्यालय
Work Experience
Are you employed? / क्या आप सेवारत है? : No
Qualification
Candidates must have passed Intermediate or Senior : Yes
Secondary School Certificate (10+2) examination from
a recognized Board or University or equivalent.
Physical Standard
Physical Category / श्रेणी : other candidates.
Force Preference
Force Preference 1 : Central Industrial Security Force (CISF)
Force Preference 2 : Central Reserve Police Force (CRPF)
Force Preference 3 : Boarder Security Force (BSF)
Force Preference 4 : Indo Tibetan Boarder Police (ITBP)
Force Preference 5 : Sashastra Seema Bal (SSB)
Force Preference 6 : Assam Rifles (AR)
Certificate & Document
Photo Signature SSC/Matric/High School Certificate
Intermediate(10+2) Certificate Qualification Document
Transaction Details
Date : 01-07-2024 21:35:34 Gateway : HDFC Transaction Id :
16da72079787c27c3e66
Gateway : 113355771231 Amount : 47.20 Status : PAID
Transaction Id
Centre Preference
Date : 01-07-2024 Place : INDORE Centre : Indore
Preference
Declaration
1. I hereby declare and confirm that all the entries made in this application form as above are true and correct to the best of my
knowledge and belief. In the event of any information being found false or incorrect or ineligibility being detected before or after medical
examination my candidatature will stand cancelled and all my claims for the recruitment forfeited. I also understand that if at any stage I have
violated any of the rules/Regulation governing the conduct of selection process, my candidature can be cancelled or be declared to have failed
by the selection board at its sole discretion.
2.I also declare that I do not stand debarred by SSC/UPSC as on date and have never been convicted by any court of law. I also declared that
no criminal case is pending against me. Further declare that I have never been dismissed or removed from Govt Service or my service been
terminated during probation.
3.I do Hereby also opt/opt out of the disclosure scheme for making available above information filled in the application and total marks with
ranking in the merit if I stand in the final of this examination for publication in the web page of the department.
Candidate Signature
