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       : Combat0500016842                  Application            : Submitted                    Payment              : Paid
No / आवेदन संख्या                                     Status / आवेदन                                        Status / भुगतान
                                                      की स्थिति                                             की स्थिति
Personal Information
Candidate's Name /                     : PAL RAJEEV RANJAN RAJKUMAR                 Mobile No. /   मोबाइल संख्या : 84******91
प्रत्याशी का नाम
Email Id / इ-मेल आई. डी                                           : raju89******[at]gmail[dot]com
Identity Details
Aadhar No /          आधार संख्या                                  : xxxxxxxx9488
Additional Information
Date of Birth /           : 05-10-1996                Age /   आयु            : 27 Years, 9 Months, 27       Nationality /        : INDIAN
जन्मतिथि                                                                     Days                           राष्ट्रीयता
Father Name /             : RAJKUMAR PAL              Mother's               : REETA RAJKUMAR PAL           Permanent            : CUT OF HEAD
पिता का नाम                                           Name / माता का                                        Identification
                                                      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           : BIHAR                     Domicile               : BRCCO/2021/9743994
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               : BOBCCO202415700           Certificate            : BIHAR                        Certificate          : Bhojpur
Number / प्रमाण                                       Issuing State /                                       Issuing
पत्र संख्या                                           प्रमाणपत्र जारी करने                                  District /
                                                      वाले राज्य का नाम
                                                                                                                 प्रमाणपत्र जारी करने
                                                                                                                 वाले जिला का नाम
Certificate               : Tehsildar                        Certificate Issuing Date /    प्रमाणपत्र   : 13-02-2024
Issuing                                                      जारी करने की तिथि
Authority /
प्रमाणपत्र किसके
द्वारा जारी किया गया
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                 : RAJKUMAR PAL                     PINCODE /    पिन     : 802158                       State/UT / राज्य : BIHAR
Address / स्थायी          KAHATHU JAGDISHPUR                 कोड                                                 / कें द्रीय शासित प्रदेश
पता
District /     जिला       : Bhojpur                          Village/City /   गांव / शहर                : KAHATHU
Police Station /          : JAGDISHPUR                       Post Office /        : KAHATHU                      Tehsil /   तहसील       : JAGDISHPUR
पुलिस स्टेशन                                                 डाक-घर
Correspondence Address Details
Correspondence : A10 DIVYA NAGAR                             PINCODE /    पिन     : 382405                       State/UT / राज्य : GUJARAT
Address /      NEAR RANGOLI NAGAR                            कोड                                                 / कें द्रीय शासित प्रदेश
पत्राचार पता              NAROL
District /     जिला       : Ahmedabad                        Village/City /   गांव / शहर                : AHMEDABAD
Police Station /          : NAROL                            Post Office /        : NAROL                        Tehsil /   तहसील       : AHMEDABAD
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)      : 165.00                                 Chest (Male only) /      छाती   : 79
                                                                         (के वल पुरुष) (in cms)
Weight /    वजन (in Kgs)        : 58
Qualifications Details
Qualification       : SSC/Matric/High School   Certificate         : 1132883                         Year /   वर्ष   : 2011
Type / योग्यता                                 No. / प्रमाण पत्र
प्रकार                                         संख्या
State /   राज्य     : GUJARAT                  Board/University : State Board
                                                / बोर्ड /
                                               विश्वविद्यालय
Qualification       : Intermediate(10+2)       Certificate         : G0183257                        Year /   वर्ष   : 2013
Type / योग्यता                                 No. / प्रमाण पत्र
प्रकार                                         संख्या
State /   राज्य     : GUJARAT                  Board/University : State Board
                                                / बोर्ड /
                                               विश्वविद्यालय
Qualification       : Graduate                 Certificate         : 0497221                         Year /   वर्ष   : 2016
Type / योग्यता                                 No. / प्रमाण पत्र
प्रकार                                         संख्या
State /   राज्य     : GUJARAT                  Board/University : Gujarat University,
                                                / बोर्ड /       Navarangpura,
                                               विश्वविद्यालय       Ahmedabad
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                                        : Assam Rifles (AR)
Force Preference 6                                        : Sashastra Seema Bal (SSB)
 Certificate & Document
                     Photo                                        Signature                        SSC/Matric/High School Certificate
        Intermediate(10+2) Certificate                      Graduate Certificate                              Caste Certificate
           Qualification Document
 Transaction Details
 Date              : 08-07-2024 15:39:29         Gateway            : HDFC                       Transaction Id     :
                                                                                                                    844ae1707c4dd0155ec8
 Gateway           : 113366402401                Amount             : 147.20                     Status             : PAID
 Transaction Id
 Centre Preference
 Date              : 08-07-2024                  Place              : AHMEDABAD                  Centre             : Gandhinagar-BSF
                                                                                                 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