Scribd Logo
Upload

Welcome to Scribd!

  • 59 views

    Staff Selection Commission: Constable (GD) in Capfs, Nia, SSF and Rifleman (GD) in Assam Rifles Examination 2018

    Uploaded by

    Ravi Kumar
    This document is a registration form for the Constable (GD) in CAPFs, NIA, SSF and Rifleman (GD) in Assam Rifles Examination 2018. It provides personal details of the applicant such as name, father's name, date of birth, gender, category, nationality, education details, address, declaration, etc. The applicant's name is Yogendra Kumar, son of Shri Dev, born on 19/09/1998. He is applying under the SC category and is a citizen of India.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Staff Selection Commission: Constable (GD) in Capfs, Nia, SSF and Rifleman (GD) in Assam Rifles Examination 2018

    Uploaded by

    Ravi Kumar
    59 views2 pages
    This document is a registration form for the Constable (GD) in CAPFs, NIA, SSF and Rifleman (GD) in Assam Rifles Examination 2018. It provides personal details of the applicant such as name, father's name, date of birth, gender, category, nationality, education details, address, declaration, etc. The applicant's name is Yogendra Kumar, son of Shri Dev, born on 19/09/1998. He is applying under the SC category and is a citizen of India.

    Original Description:

    na

    Original Title

    DraftPrint (1)

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document is a registration form for the Constable (GD) in CAPFs, NIA, SSF and Rifleman (GD) in Assam Rifles Examination 2018. It provides personal details of the applicant such as name, father's name, date of birth, gender, category, nationality, education details, address, declaration, etc. The applicant's name is Yogendra Kumar, son of Shri Dev, born on 19/09/1998. He is applying under the SC category and is a citizen of India.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    59 views2 pages

    Staff Selection Commission: Constable (GD) in Capfs, Nia, SSF and Rifleman (GD) in Assam Rifles Examination 2018

    Uploaded by

    Ravi Kumar
    This document is a registration form for the Constable (GD) in CAPFs, NIA, SSF and Rifleman (GD) in Assam Rifles Examination 2018. It provides personal details of the applicant such as name, father's name, date of birth, gender, category, nationality, education details, address, declaration, etc. The applicant's name is Yogendra Kumar, son of Shri Dev, born on 19/09/1998. He is applying under the SC category and is a citizen of India.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    STAFF SELECTION COMMISSION

    BLOCK NO. 12, CGO-COMPLEX, LODHI ROAD, NEW DELHI


    110003
    CONSTABLE (GD) IN CAPFs, NIA, SSF AND RIFLEMAN
    (GD) IN ASSAM RIFLES EXAMINATION 2018

    REGISTRATION NO :73001655632

    APPLICATION IS PROVISIONALLY SUBMITTED


    1. CANDIDATE'S NAME 2. FATHER'S NAME 3. MOTHER'S NAME
    YOGENDRA KUMAR SHRI DEV SAROJ DEVI
    4. DATE OF BIRTH (DD/MM/YYYY) 5. AGE AS ON DATE (01/08/2018) 6. GENDER
    19/09/1998 19.9 MALE
    9. MARK OF VISIBLE
    7. CATEGORY 8. NATIONALITY
    IDENTIFICATION
    SC CITIZEN OF INDIA CUT MARK ON FORHEAD
    10. MATRICULATION (10th CLASS) 12. MATRICULATION (10th
    11. MATRICULATION (10th CLASS) ROLL NO
    EXAMINATION BOARD CLASS) YEAR OF PASSING
    BOARD OF HIGH SCHOOL AND
    INTERMEDIATE EDUCATION UTTAR 0285081 2015
    PRADESH
    13. PREFERENCE OF EXAMINATION CENTER
    PREFERENCE OF EXAMINATION CENTER CODE PREFERENCE OF EXAMINATION CENTER
    3001 AGRA
    3011 MEERUT
    3005 BAREILLY
    14.WHETHER EX- 14.1. IF EXS, WHETHER 14.2. LENGTH OF SERVICE ( 14.3. DATE OF DISCHARGE
    SERVICEMAN (ExS)? ELIGIBLE FOR IN YEARS )
    RESERVATION?
    NO - - -
    15. WHETHER SEEKING AGE 15.1. IF YES,INDICATE CODE 16. STATE / UT OF 17. DISTRICT OF
    RELAXATION? DOMICILE DOMICILE
    YES 01-SC/ ST UTTAR PRADESH ALIGARH
    18. HAVE YOU MIGRATED FROM THE 18.1 WHETEHR YOU WOULD LIKE TO 18.2 WHETHER YOU WANT TO BE
    STATE/ UT OF YOUR ORIGIN TO THE AVAIL RESERVATION FROM THE CONSIDERED AS A UR CANDIDATE
    STATE/ UT WHERE YOUR CASTE IS STATE/ UT OF ORIGIN FROM THE STATE/ UT OF DOMICILE
    NOT RECOGNISED AS SC/ ST/ OBC?
    YES YES -
    18.3. STATE OF ORIGIN 18.4. DISTRICT OF ORIGIN 19. CANDIDATE BELONGS 20. CANDIDATE BELONGS
    TO MILITANCY/ NAXAL TO BORDER DISTRICT
    AFFECTED DISTRICT
    UTTAR PRADESH ALIGARH NO NO

    21. PREFERENCE OF POSTS FOR CAPF'S & ORGANISATIONS


    BAGEFCDH
    22. DO YOU WANT TO MAKE AVAILABLE YOUR PERSONAL INFORMATION FOR ACCESSING JOB OPPORTUNITY IN
    TERMS OF DoP&T'S O.M NO.39020/1/2016-ESTT.(B) DATED 21.06.2016 ?
    YES
    23. EDUCATIONAL QUALIFICATION
    INTERMEDIATE/ HIGHER SECONDARY/ 10+2

    ADDRESS DETAIL
    24. POSTAL ADDRESS 25. PERMANENT ADDRESS
    VILLAGE BIJAULI POST BIJAULI VILLAGE BIJAULI POST BIJAULI

    DISTRICT: ALIGARH DISTRICT:ALIGARH


    STATE: UTTAR PRADESH STATE: UTTAR PRADESH
    PINCODE: 202131 PINCODE: 202131
    MOBILE NO: 9759547286 EMAIL: [email protected]
    SIGNATURE THUMB IMPRESSION

    FEE AMOUNT TRANSACTION NO TRANSACTION DATE


    EXEMPTED - - -
    DECLARATION
    I HEREBY DECLARE THAT ALL STATEMENTS MADE IN THIS 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 OR INELIGIBILITY BEING DETECTED
    BEFORE OR AFTER THE EXAMINATION, MY CANDIDATURE/ APPOINTMENT IS LIABLE TO BE
    CANCELLED.I AM WILLING TO SERVE ANYWHERE IN INDIA.
    PRINT TAKEN ON: 21/09/2018 7:38:20 PM

    You might also like