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 : Combat0000559058 Application : Submitted Payment : Paid
No / आवेदन संख्या Status / आवेदन Status / भुगतान
की स्थिति की स्थिति
Personal Information
Candidate's Name / : PEEYUSH KUMAR MISHRA Mobile No. / मोबाइल संख्या : 75******97
प्रत्याशी का नाम
Email Id / इ-मेल आई. डी : mipeey******[at]gmail[dot]com
Identity Details
Aadhar : xxxxxxxx0486
Aadhar No / आधार संख्या : xxxxxxxx0486
Additional Information
Date of Birth / : 17-05-2004 Age / आयु : 20 Years, 2 Months, 15 Nationality / : INDIAN
जन्मतिथि Days राष्ट्रीयता
Father Name / : BIPIN BIHARI MISHRA Mother's : BIMALA MISHRA Permanent : Mole on forehead
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 : 2478
state certificate
number
Category Reservation
Religion / धर्म : Hindu Category / श्रेणी : EWS
Certificate : BICDM/2023/45207 Certificate : BIHAR Certificate : EAST CHAMPARAN
Number / प्रमाण Issuing State / Issuing
पत्र संख्या प्रमाणपत्र जारी करने District /
वाले राज्य का नाम प्रमाणपत्र जारी करने
वाले जिला का नाम
Certificate : District Magistrate (DM) Certificate Issuing Date / प्रमाणपत्र : 28-12-2023
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 : RAGHUNATHPUR PINCODE / पिन : 845401 State/UT / राज्य : BIHAR
Address / स्थायी MOTIHARI EAST कोड / कें द्रीय शासित प्रदेश
पता CHAMPARAN BIHAR
PIN-845401
District / जिला : EAST CHAMPARAN Village/City / गांव / शहर : RAGHUNATHPUR
Police Station / : TURKAULIYA Post Office / : MOTIHARI Tehsil / तहसील : TURKAULIYA
पुलिस स्टेशन डाक-घर
Correspondence Address Details
Correspondence : RAGHUNATHPUR PINCODE / पिन : 845401 State/UT / राज्य : BIHAR
Address / MOTIHARI EAST कोड / कें द्रीय शासित प्रदेश
पत्राचार पता CHAMPARAN BIHAR
PIN-845401
District / जिला : EAST CHAMPARAN Village/City / गांव / शहर : RAGHUNATHPUR
Police Station / : TURKAULIYA Post Office / : MOTIHARI Tehsil / तहसील : TURKAULIYA
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) : 175.00 Chest (Male only) / छाती : 81
(के वल पुरुष) (in cms)
Weight / वजन (in Kgs) : 68
Qualifications Details
Qualification : SSC/Matric/High School Certificate : 0539540 Year / वर्ष : 2020
Type / योग्यता No. / प्रमाण पत्र
प्रकार संख्या
State / राज्य : BIHAR Board/University : State Board
/ बोर्ड /
विश्वविद्यालय
Qualification : Intermediate(10+2) Certificate : 0479036 Year / वर्ष : 2022
Type / योग्यता No. / प्रमाण पत्र
प्रकार संख्या
State / राज्य : BIHAR 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 : Indo Tibetan Boarder Police (ITBP)
Force Preference 2 : Assam Rifles (AR)
Force Preference 3 : Central Industrial Security Force (CISF)
Force Preference 4 : Central Reserve Police Force (CRPF)
Force Preference 5 : Boarder Security Force (BSF)
Force Preference 6 : Sashastra Seema Bal (SSB)
Certificate & Document
Photo Signature SSC/Matric/High School Certificate
Intermediate(10+2) Certificate Caste Certificate Qualification Document
Transaction Details
Date : 06-07-2024 07:17:22 Gateway : HDFC Transaction Id : e4198ffaec3287d6bc7d
Gateway : 113362498887 Amount : 147.20 Status : PAID
Transaction Id
Centre Preference
Date : 06-07-2024 Place : MOTIHARI Centre : Delhi
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
