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BSF - Preview Registration Form

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0% found this document useful (0 votes)
103 views4 pages

BSF - Preview Registration Form

Uploaded by

mohitsheoran059
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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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 : Combat0000719157 Application : Submitted Payment : Paid


No / आवेदन संख्या Status / आवेदन Status / भुगतान
की स्थिति की स्थिति

Personal Information

Candidate's Name / : MOHIT Mobile No. / मोबाइल संख्या : 93******68


प्रत्याशी का नाम

Email Id / इ-मेल आई. डी : mohitsh*******[at]gmail[dot]com

Identity Details

Aadhar No / आधार संख्या : xxxxxxxx0061

Additional Information

Date of Birth / : 27-05-2004 Age / आयु : 20 Years, 2 Months, 5 Nationality / : INDIAN


जन्मतिथि Days राष्ट्रीयता

Father Name / : KULDEEP Mother's : RAJ WANTI Permanent : Mole mark on left
पिता का नाम Name / माता का Identification shoulder
नाम Mark on Body /
शरीर पर स्थायी
पहचान चिह्न

Gender / लिंग : MALE Marital Status / : UNMARRIED Do you have : Yes


वैवाहिक स्थिति domicile
certificate?

Domcile issuing : HARYANA Domicile : HR/2022/4118


state certificate
number

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 : KANHRA, DAGROLI, PINCODE / पिन : 127312 State/UT / राज्य : HARYANA


Address / स्थायी BADHRA, CHARKHI कोड / कें द्रीय शासित प्रदेश
पता DADRI, HARYANA

District / जिला : Charkhi Dadri Village/City / गांव / शहर : KANHRA

Police Station / : BADHRA Post Office / : DAGROLI Tehsil / तहसील : BADHRA


पुलिस स्टेशन डाक-घर

Correspondence Address Details

Correspondence : KANHRA, DAGROLI, PINCODE / पिन : 127312 State/UT / राज्य : HARYANA


Address / BADHRA, CHARKHI कोड / कें द्रीय शासित प्रदेश
पत्राचार पता DADRI, HARYANA

District / जिला : Charkhi Dadri Village/City / गांव / शहर : KANHRA

Police Station / : BADHRA Post Office / : DAGROLI Tehsil / तहसील : BADHRA


पुलिस स्टेशन डाक-घर

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) : 173.00 Chest (Male only) / छाती : 80


(के वल पुरुष) (in cms)

Weight / वजन (in Kgs) : 61

Qualifications Details

Qualification : SSC/Matric/High School Certificate : 1120406 Year / वर्ष : 2021


Type / योग्यता No. / प्रमाण पत्र
प्रकार संख्या

State / राज्य : HARYANA Board/University : CBSE


/ बोर्ड /
विश्वविद्यालय
Qualification : Intermediate(10+2) Certificate : 1081974 Year / वर्ष : 2023
Type / योग्यता No. / प्रमाण पत्र
प्रकार संख्या

State / राज्य : HARYANA Board/University : CBSE


/ 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 : Sashastra Seema Bal (SSB)

Force Preference 3 : Indo Tibetan Boarder Police (ITBP)

Force Preference 4 : Boarder Security Force (BSF)

Force Preference 5 : Central Reserve Police Force (CRPF)

Force Preference 6 : Assam Rifles (AR)

Certificate & Document

Photo Signature SSC/Matric/High School Certificate


Intermediate(10+2) Certificate Qualification Document

Transaction Details

Date : 07-07-2024 22:40:01 Gateway : HDFC Transaction Id : fa3447ab31035b265ce0

Gateway : 113365247567 Amount : 147.20 Status : PAID


Transaction Id

Centre Preference

Date : 07-07-2024 Place : JAIPUR Centre : Jaipur


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

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