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Cisf Shivam

The document is an application form for the recruitment of a Constable-Fire position in the Central Industrial Security Force for the year 2024, submitted by Shivam Parihar. It includes personal details such as name, date of birth, education qualifications, and addresses, as well as declarations regarding the truthfulness of the information provided. The application is dated September 13, 2024, and includes a signature from the applicant.

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42 views3 pages

Cisf Shivam

The document is an application form for the recruitment of a Constable-Fire position in the Central Industrial Security Force for the year 2024, submitted by Shivam Parihar. It includes personal details such as name, date of birth, education qualifications, and addresses, as well as declarations regarding the truthfulness of the information provided. The application is dated September 13, 2024, and includes a signature from the applicant.

Uploaded by

rtc.gwl
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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CENTRAL INDUSTRIAL SECURITY FORCE

APPLICATION FORM FOR RECRUITMENT OF CONSTABLE-FIRE(2024)


1. REGISTRATION ID CISF2202729177

2 .NAME OF THE POST CT/FIRE

3. NAME OF THE CANDIDATE SHIVAM PARIHAR

4. FATHER NAME RAMLAL PARIHAR

5. MOTHER NAME RANI PARIHAR

6. DATE OF BIRTH 01-01-2003

7. GENDER MALE

8. CATEGORY SC

9. NATIONALITY INDIAN

10. HIGHEST EDUCATION QUALIFICATION 12th class passed with Science subject

11. QUALIFYING EDUCATION QUALIFICATION 12th class passed with Science subject

12. RELIGION HINDU

13. WHETHER YOU ARE AN EX-SERVICEMEN(ESM) NO

14. WHETHER SEEKING AGE RELEXATION NO

15. WHETHER BELONG TO NAXAL AFFECTED DISTRICT NO

16. DO YOU BELONG TO HILL AREA? NO

17. STATE/UT OF DOMICILE? MADHYA PRADESH

18. DISTRICT OF DOMICILE? Bhind

19. HAVE YOU MIGRATED FROM THE STATE/UT OF YOUR ORIGIN NO


TO ANOTHER STATE/UT?

20. MARKS OF VISIBLE IDENTIFICATION MOLE ON FACE


1)

2) MOLE ON NECK

21. PERMANENT ADDRESS VILL-SONI , TEHSIL - MEHGAON , DIST- BHIND


VILLAGE/WARD

POST SONI

STATE MADHYA PRADESH


DISTRICT Bhind

PINCODE 477557

22. CORRESPONDENCE ADDRESS VILL-SONI , TEHSIL - MEHGAON , DIST- BHIND


VILLAGE/WARD

POST SONI

STATE MADHYA PRADESH

DISTRICT Bhind

PINCODE 477557

23. MOBILE NUMBER 9301736339

24. EMAIL sp5954458@gmail.com

25. DATE ON WHICH PHOTOGRAPH HAS BEEN TAKEN 13-09-2024

26. WHETHER THE DATE MENTIONED AT SL NO-25 IS CLEARLY YES


PRINTED ON THE PHOTOGRAPH

27. HAVE YOU EVER BEEN CONVICTED BY ANY COURT OF LAW NO


OR ANY OTHER JUDICIAL INSTITUTION?

28. IS THERE ANY CASE PENDING AGAINST YOU IN ANY COURT NO


OF LAW?

29. HAS ANY FIR BEEN LODGED AND CASE IS PENDING NO


AGAINST YOU?

30. WAS ANY FIR EVER LODGED AGAINST YOU IN THE PAST? NO

31. HAVE YOU EVER BEEN DISMISSED FROM ANY SERVICE NO


UNDER THE CENTRAL OR STATE GOVT?

32. HAVE YOUR SERVICES EVER BEEN TERMINATED WHILE ON NO


PROBATION?

(Signature of the applicant)


DECLARATION
TO BE SIGNED BY ALL THE CANDIDATES COMPULSORILY
1. I have read the Notice of Examination and accept all the Terms and Conditions mentioned therein.
2. I hereby declare that all the statements made in the application are true, complete and correct to the best of my
knowledge and belief. I understand that in the event of any information being found suppressed/false or incorrect at
any stage or ineligibility being detected before, during or after the Examination, my candidature/appointment is liable
to be cancelled.I am willing to serve within or outside India

(Signature of the applicant)


(Application not signed by the candidate will not be
entertained)
Date: 13-09-2024

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