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BSF - Preview Registration Form

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pramodrathour283
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0% found this document useful (0 votes)
18 views5 pages

BSF - Preview Registration Form

Uploaded by

pramodrathour283
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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Applied Post / एप्लाइड पोस्ट : Head Constable (Ministerial/Combatant Ministerial) and Havildar (Clerk)

Application : Combat1400005531 Application : Submitted Payment : Paid


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

Personal Information

Candidate's Name / : PRAMOD KUMAR RATHOUR Mobile No. / मोबाइल संख्या : 62******71
प्रत्याशी का नाम

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

Identity Details

Aadhar No / आधार संख्या : xxxxxxxx5667

Additional Information

Date of Birth / : 25-09-1999 Age / आयु : 24 Years, 10 Months, 7 Nationality / : INDIAN


जन्मतिथि Days राष्ट्रीयता

Father Name / : ASHOK KUMAR Mother's : MEENA DEVI Permanent : stiches mark on
पिता का नाम RATHOUR Name / माता का Identification forehead
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 : CHHATTISGARH Domicile : 0707011616015570


state certificate
number

Category Reservation

Religion / धर्म : Hindu Category / श्रेणी : OBC Do you belong : Yes


Non-creamy
Layer? / क्या
आप नॉन क्रीमी
लेयर से सम्बंधित
है?

Certificate : 0705011616008024 Certificate : CHHATTISGARH Certificate : BILASPUR


Number / प्रमाण Issuing State / Issuing (CHHATTISGARH)
पत्र संख्या प्रमाणपत्र जारी District /
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 : WARD NO. 14 PINCODE / पिन : 495117 State/UT / राज्य / : CHHATTISGARH


Address / स्थायी VILLAGE GIRWAR कोड कें द्रीय शासित
पता NEAR SHIV CHOWK प्रदेश
BESIDE
VENKATNAGAR ROAD
GIRWAR

District / जिला : Gaurella Pendra Village/City / गांव / शहर : GIRWAR


Marwahi

Police Station / : PENDRAROAD Post Office / : PENDRAROAD Tehsil / तहसील : GOURELA


पुलिस स्टेशन डाक-घर

Correspondence Address Details

Correspondence : WARD NO. 14 PINCODE / पिन : 495117 State/UT / राज्य / : CHHATTISGARH


Address / VILLAGE GIRWAR कोड कें द्रीय शासित
पत्राचार पता NEAR SHIV CHOWK प्रदेश
BESIDE
VENKATNAGAR ROAD
GIRWAR

District / जिला : Gaurella Pendra Village/City / गांव / शहर : GIRWAR


Marwahi

Police Station / : PENDRAROAD Post Office / : PENDRAROAD Tehsil / तहसील : GOURELA


पुलिस स्टेशन डाक-घर

Other Details

Is there any criminal case pending against you.? : No

Is Communal/Gujarat Riots? : No
Height / ऊंचाई (in cms) : 170.00 Chest (Male only) / छाती : 87
(के वल पुरुष) (in cms)

Weight / वजन (in Kgs) : 69

Qualifications Details

Qualification : SSC/Matric/High Certificate No. / : 15150158 Year / वर्ष : 2015


Type / योग्यता School प्रमाण पत्र संख्या
प्रकार

State / राज्य : CHHATTISGARH Board/University : State Board


/ बोर्ड /
विश्वविद्यालय

Qualification : Intermediate(10+2) Certificate No. / : 17064862 Year / वर्ष : 2017


Type / योग्यता प्रमाण पत्र संख्या
प्रकार

State / राज्य : CHHATTISGARH Board/University : State Board


/ बोर्ड /
विश्वविद्यालय

Qualification : Graduate Certificate No. / : 303102017023 Year / वर्ष : 2021


Type / योग्यता प्रमाण पत्र संख्या
प्रकार

State / राज्य : CHHATTISGARH Board/University : Chhattisgarh Swami


/ बोर्ड / Vivekanand Technical
विश्वविद्यालय University, North Park
Avenue, Sector-8,
Bhilai.

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 6 : Assam Rifles (AR)

Certificate & Document

Photo Signature SSC/Matric/High School Certificate

Intermediate(10+2) Certificate Graduate Certificate Caste Certificate

Qualification Document

Transaction Details

Date : 25-06-2024 12:03:07 Gateway : HDFC Transaction Id : 15d5fc0ecf88e3d956bf

Gateway : 113345654401 Amount : 147.20 Status : PAID


Transaction Id

Centre Preference
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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