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Bihar Driver Form

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0% found this document useful (0 votes)
54 views2 pages

Bihar Driver Form

Uploaded by

ramjisahni003
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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CENTRAL SELECTION BOARD OF CONSTABLE, BIHAR, PATNA

RECRUITMENT FOR BIHAR POLICE DRIVER CONSTABLES (Advt. No. 02/2025)

ACKNOWLEDGEMENT
1. REGISTRATION ID : 83192612 2. DATE & TIME : 19-08-2025 10:07:39

3.SERVICE PREFERENCES: 1. BIHAR POLICE 2. BIHAR SPECIAL ARMED POLICE

4. APPLICANT NAME : PAWAN KUMAR SINGH 5. FATHER'S NAME : LAXMAN SINGH

6. MOTHER'S NAME : SUMAN DEVI 7. NATIONALITY : INDIAN

8. MOBILE NUMBER : 8226857794 9. EMAIL ADDRESS : PAWANKSINGH822685@GMAIL.COM

10. ARE YOU A DOMICILE OF BIHAR STATE : YES 11. CATEGORY : EWS

12. GENDER : MALE 13. DATE OF BIRTH : 02-11-2001

14. MARITAL STATUS : UNMARRIED

15. IDENTITY CARD NO : 325764330373 (AADHAR CARD) 16. IDENTIFICATION MARK : A MOLE ON THE FACE

17. DRIVING LICENCE TYPE : LMV 18. DRIVING LICENCE NO : JH05 20240001973

19. LICENCE ISSUED DATE : 19-01-2024 20. LICENCE ISSUING DISTRICT/DTO OFFICE : JAMSHEDPUR

21. HAVE YOU EARLIER BEEN OR AT PRESENT ENGAGED AS DRIVER IN BIHAR POLICE ON CONTRACT BASIS? ? NO

22. CONTRACT START DATE : NULL 23. CONTRACT END DATE : NULL 24. DISTRICT/ UNIT NAME WHERE ENGAGED ON CONTRACT : NULL

25. ARE YOU A GURKHA OF INDIAN ORIGIN?? NO

26. ARE YOU A WARD OF FREEDOM FIGHTER? NO

EDUCATION QUALIFICATION DETAILS


EXAM PASSED SCHOOL/ UNIVERSITY/ BOARD/ INSTITUTE PASSING CERTIFICATE NO CERTIFICATE ISSUED DATE

10 BIHAR SCHOOL EXAMINATION BOARD, PATNA 171011292787 22-06-2017

10+2 BIHAR SCHOOL EXAMINATION BOARD, PATNA 0108578 30-03-2019

ADDRESS DETAILS

PERMANENT ADDRESS CORRESPONDENCE ADDRESS


HOUSE NO DALLUPUR HOUSE NO B BLOCK 5/1

STREET/MOHALLA DALLUPUR STREET/MOHALLA KUNJ NAGAR, NEHRU PATH

LANDMARK KALIMANDIR LANDMARK JAGANNATH APT,

VILLAGE/TOWN DALLUPUR VILLAGE/TOWN SONARI

POST OFFICE DALLUPUR POST OFFICE SONARI

DISTRICT BUXAR DISTRICT EAST SINGHBHUM

STATE BIHAR STATE JHARKHAND

PIN CODE 802130 PIN CODE 831011

DECLARATION OF CRIMINAL CASES


1. HAVE YOU EVER BEEN DEBARRED BY UPSC, SSC OR SPSC OR CSBC OR ANY RECRUITMENT BOARD FROM APPEARING IN ANY EXAM? NO

2. CRIMINAL PROCEEDING DETAILS, IF ANY

A) WHETHER ANY FIR OR CRIMINAL CASE(S) HAS EVER BEEN REGISTERED AGAINST YOU? NO

B) WHETHER ANY CRIMINAL COMPLAINT CASE OR FIR OR CRIMINAL CASE(S) IS PENDING AGAINST YOU IN COURT OF LAW,
NO
OR WITH POLICE AT THE TIME OF SUBMITTING THE APPLICATION FORM?

C) HAVE YOU EVER BEEN ARRESTED/SURRENDERED/DETAINED IN ANY CRIMINAL CASE(S)? NO

D) HAVE YOU EVER BEEN TRIED & CONVICTED OR ACQUITTED BY A COURT OF LAW IN ANY CRIMINAL CASE(S)? NO

E) HAVE YOU EVER BEEN TRIED & CONVICTED BY A COURT FAILING A BOND OF GOOD BEHAVIOUR ? NO

DECLARATION BY THE CANDIDATE


I HEREBY DECLARE THAT THE INFORMATION GIVEN ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF AND NOTHING HAS BEEN CONCEALED THEREIN. I AM WELL AWARE OF
THE FACT THAT IF THE INFORMATION GIVEN BY ME IS PROVED NOT TRUE, I WILL HAVE TO FACE THE CONSEQUENCES AS PER THE LAW. ALSO, ALL THE BENEFITS AVAILED BY ME SHALL BE
SUMMARILY WITHDRAWN.

English Signature Hindi Signature

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