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Registration Form IB

The document contains an application for the position of Assistant Central Intelligence Officer - Grade IV Executive, submitted by a candidate named Suraj Kumar. It includes personal details, educational qualifications, preferred test cities, and confirms successful payment for the application. The candidate is 25 years old, unmarried, and has no prior work experience or government service background.

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Rahul gautam
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0% found this document useful (0 votes)
20 views4 pages

Registration Form IB

The document contains an application for the position of Assistant Central Intelligence Officer - Grade IV Executive, submitted by a candidate named Suraj Kumar. It includes personal details, educational qualifications, preferred test cities, and confirms successful payment for the application. The candidate is 25 years old, unmarried, and has no prior work experience or government service background.

Uploaded by

Rahul gautam
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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22072025, 14:48 IBACIO Executive INTELLIGENCE BUREAU (iinstey of Home Affairs) Government of Inia Eligibility Criteria Candidate Photo Application Status PaymentSuccess Email ID 28febsuraj@gmail.com Post Details Post Name ASSISTANT CENTRAL | NTELLIGENCE OFFICER -GRADE-IVEXECUTIVE Test City Preferences Preferred Test State 1 Uttarakhand Preferred Test City 2 Bhagalpur Preferred Test City 4 New Delhi/NCR Personal Details Date of Birth 28/Jun/2000 Religion Hindu Application Number IBACIO250167801 Mobile Number 6207721048 Preferred Test City 1 Dehradun Preferred Test State 3 Bihar Preferred Test State 5 Uttar Pradesh ‘Age as on 10.08.2025 25 Years 1 Months 14 Days Father's Name SANTOSH KUMAR SIN GH hips ww cigialm com Forms/SBINewAfterPaymentAction do?943192212582Zonline Candidate's Name ‘SURAJ KUMAR Preferred Test State 2 Bihar Preferred Test City 3 Patna Preferred Test State 4 Delhi Preferred Test City 5 Agra Gender Male Marital Status Unmarried Mother's Name MANISHA KUMARI Nationality A citizen of india ue 207 2026, 14:48 Reservation Category UR Ex Servicemen Det: ‘Are you an Ex Service men (ESM)? No Other Details Are you a sportspers on specified in Para 1 {a) of D.0.P. KAR, O. M. No. 14015/1/76-Est t(D), dated 4.8.1980. No No Correspondence Address Address Line 1 Q.NO 32/CD CLUB RO AD Is Permanent Addres 5 Same as Correspon dence address? Yes Permanent Address Address Line 1 Q.NO 32/CD CLUB RO AD Name of the Board/C council CBSE Qualified Pass IBACIO Executive Unique Identification Mark black mark on middle of the chest Departmental Employee Details Are you a government servant (departmental candidate)? Country State India Bihar City/District Pincode/Postal Code Munger 811214 Country State India Bihar City/District Pincode/Postal Code Munger 811214 Matriculation (10th) Details Institute Name Notre Dame Academy Subject Combination Maths,Science,Social S cience,English,Hindi,Co mputer Please select any oft CGPA obtained he following 68 hips hw cigialm com Forms/SBINewAfterPaymentAction do?943192212582Zonline 207 2026, 14:48 IBACIO Executive GPA Year of Completion 2016 Intermediate (12th) Details Name ofthe Board/C Institute Name Subjects ‘ouncil Srashwati VidyaMandir —_PhysiesChemistryMath CBSE sEnglishPhy. Education Qualified Please select any of t Pass he following Percentage Percentage of Marks —_Year of Passing obtained (%) 2018 52.4 Essential Qualification Details Essential qualificatio Specialization Institute /College/Un nName Bachelor Of Technolog Iversity Full Name Graduation or Equivale Yin Computer Science —_Uttranchal University ntfrom recognized Uni nstitute /College/Un _ Institute /College/Un - versity City iversity State Dehradun Uttrakhand Qualified Month and Year ofJo Month and Year of P Pass ining assing 08/2019 07/2023 Please select any of t CGPA obtained he following 8.22 CGPA Desirable Qualification Details Do you have Knowled ge of Computers? Yes Other Qualification , If Any Do you have knowled ge of foreign/local la nguage except Englis hand Hindi? No. Experience Details Do you have any work experience? No hips ww cigialm com Forms/SBINewAfterPaymentAction do?943192212582Zonline 22072025, 14:48 IBACIO Executive Form Submission Details Submission Date/Time 2025-07-23 14:44:46 Payment Details Amount Payment Mode Payment Status 650 online Payment Success Payment Transaction No. CPAFKLKDMO Documents Upload Signature Declaration I hereby certify that the information given by me in this Application Form is tru e to the best my knowledge. | certify that | fulfil the IB ACIO Executive 2025 For m eligibility criteria and undertake to produce original documents whenever ne cessary and | will not demand any reschedule of exam. | agree to abide by the declaration of the authorities regarding the eligibility of my application and un derstand that any misrepresentation or omission of facts in my application ma y lead to cancellation of my candidature. tips shwww cig comvEForms/S8INewARerPaymentAction do?94319221258ZZonIine 4a

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