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BSF - Preview Registration Form

The document is an application form for the recruitment of Head Constable (Ministerial/Combatant Ministerial) and Havildar (Clerk) in Central Armed Police Forces (CAPFs) for the year 2024. It includes personal information, identity details, qualifications, physical standards, and force preferences of the candidate, Divyanshu Rai. The application has been submitted and payment has been made successfully.
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0% found this document useful (0 votes)
21 views4 pages

BSF - Preview Registration Form

The document is an application form for the recruitment of Head Constable (Ministerial/Combatant Ministerial) and Havildar (Clerk) in Central Armed Police Forces (CAPFs) for the year 2024. It includes personal information, identity details, qualifications, physical standards, and force preferences of the candidate, Divyanshu Rai. The application has been submitted and payment has been made successfully.
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 : Combat1400007425 Application : Submitted Payment : Paid


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

Personal Information

Candidate's Name / : DIVYANSHU RAI Mobile No. / मोबाइल संख्या : 97******60


प्रत्याशी का नाम

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

Identity Details

Aadhar : xxxxxxxx1672

Aadhar No / आधार संख्या : xxxxxxxx1672

Additional Information

Date of Birth / : 15-10-2005 Age / आयु : 18 Years, 9 Months, 17 Nationality / : INDIAN


जन्मतिथि Days राष्ट्रीयता

Father Name / : NAMO NARAYAN RAI Mother's : MADHURI RAI Permanent : MOLE ON LEFT
पिता का नाम Name / माता का Identification EYBROW
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 : 202301048083


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 : NEAR PANDEY PINCODE / पिन : 492013 State/UT / राज्य / : CHHATTISGARH


Address / स्थायी DAIRY,DEVNAGRI कोड कें द्रीय शासित
पता RAIPURA,RAIPUR,CHH प्रदेश
ATTISGARH

District / जिला : Raipur Village/City / गांव / शहर : RAIPUR

Police Station / : DIN DAYAL UPADHYAY Post Office / : SUNDER NAGAR Tehsil / तहसील : RAIPUR
पुलिस स्टेशन NAGAR , RAIPURA, डाक-घर RAIPUR ,
RAIPUR , CHHATTISGARH
CHHATTISGARH

Correspondence Address Details

Correspondence : NEAR PANDEY PINCODE / पिन : 492013 State/UT / राज्य / : CHHATTISGARH


Address / DAIRY,DEVNAGRI कोड कें द्रीय शासित
पत्राचार पता RAIPURA,RAIPUR,CHH प्रदेश
ATTISGARH

District / जिला : Raipur Village/City / गांव / शहर : RAIPUR

Police Station / : DIN DAYAL UPADHYAY Post Office / : SUNDER NAGAR Tehsil / तहसील : RAIPUR
पुलिस स्टेशन NAGAR , RAIPURA, डाक-घर RAIPUR ,
RAIPUR , CHHATTISGARH
CHHATTISGARH

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) : 187.00 Chest (Male only) / छाती : 88


(के वल पुरुष) (in cms)

Weight / वजन (in Kgs) : 65

Qualifications Details

Qualification : SSC/Matric/High Certificate No. / : 20359525 Year / वर्ष : 2020


Type / योग्यता School प्रमाण पत्र संख्या
प्रकार

State / राज्य : CHHATTISGARH Board/University : State Board


/ बोर्ड /
विश्वविद्यालय

Qualification : Intermediate(10+2) Certificate No. / : 22243997 Year / वर्ष : 2022


Type / योग्यता प्रमाण पत्र संख्या
प्रकार

State / राज्य : CHHATTISGARH 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 : Sashastra Seema Bal (SSB)

Force Preference 3 : Indo Tibetan Boarder Police (ITBP)

Force Preference 4 : Assam Rifles (AR)

Force Preference 5 : Central Reserve Police Force (CRPF)

Force Preference 6 : Boarder Security Force (BSF)

Certificate & Document

Photo Signature SSC/Matric/High School Certificate


Intermediate(10+2) Certificate Qualification Document

Transaction Details

Date : 28-06-2024 03:17:44 Gateway : HDFC Transaction Id : 60bc6164b94269f5f361

Gateway : 113349909242 Amount : 147.20 Status : PAID


Transaction Id

Centre Preference

Date : 28-06-2024 Place : RAIPUR Centre : Bhilai-Chattisgarh


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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