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Government of Assam: State Level Police Recruitment Board, Assam Rehabari::: Guwahati

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Matibar Rahman

This document is an application form for police recruitment in Assam. It contains personal details of the applicant such as name, date of birth, parents' names, address, education qualifications, and extracurricular activities. Matibar Rahman has applied for the posts of Assistant Inspector of Excise (preference 1) and Excise Constable (preference 2). He declares that the information provided is true and understands that any false information will lead to rejection of his candidature. The notice section provides contact details for queries regarding the application.

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Government of Assam: State Level Police Recruitment Board, Assam Rehabari::: Guwahati

Uploaded by

Matibar Rahman
68 views1 page
This document is an application form for police recruitment in Assam. It contains personal details of the applicant such as name, date of birth, parents' names, address, education qualifications, and extracurricular activities. Matibar Rahman has applied for the posts of Assistant Inspector of Excise (preference 1) and Excise Constable (preference 2). He declares that the information provided is true and understands that any false information will lead to rejection of his candidature. The notice section provides contact details for queries regarding the application.

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EXC259403

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This document is an application form for police recruitment in Assam. It contains personal details of the applicant such as name, date of birth, parents' names, address, education qualifications, and extracurricular activities. Matibar Rahman has applied for the posts of Assistant Inspector of Excise (preference 1) and Excise Constable (preference 2). He declares that the information provided is true and understands that any false information will lead to rejection of his candidature. The notice section provides contact details for queries regarding the application.

Copyright:

© All Rights Reserved
Download as PDF, TXT or read online from Scribd
Download as pdf or txt
68 views1 page

Government of Assam: State Level Police Recruitment Board, Assam Rehabari::: Guwahati

Uploaded by

Matibar Rahman
This document is an application form for police recruitment in Assam. It contains personal details of the applicant such as name, date of birth, parents' names, address, education qualifications, and extracurricular activities. Matibar Rahman has applied for the posts of Assistant Inspector of Excise (preference 1) and Excise Constable (preference 2). He declares that the information provided is true and understands that any false information will lead to rejection of his candidature. The notice section provides contact details for queries regarding the application.

Copyright:

© All Rights Reserved
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GOVERNMENT OF ASSAM

STATE LEVEL POLICE RECRUITMENT BOARD, ASSAM


REHABARI::: GUWAHATI

(NO APPLICATION FEE IS APPLICABLE)

APPLICATION FORM
SLPRB/REC/EXCISE/ASI & CN/2019/135 APPLY DATE: 19-07-2020

APPLICATION NO. NAME: DATE OF BIRTH:


EXC259403 MATIBAR RAHMAN 11-01-1994

FATHERS' NAME: MOTHERS' NAME: CASTE:


MAKBUL ALI MAIRUM BIBI GENERAL

EMAIL: PHONE: ADD. PHONE: GENDER:


MATIBAR89@GMAIL.COM 8011849899 NA MALE

NATIONALITY: RELIGION: EMPLOYMENT NO. :


INDIAN ISLAM 16705/15

POST APPLIED FOR :


ASSISTANT INSPECTOR OF EXCISE (PREFERENCE 1)
EXCISE CONSTABLE (PREFERENCE 2)

PERMANENT ADDRESS CORRESPONDENCE ADDRESS

C/O MAKBUL ALI VILL KHARIDAL PO HATIPARA C/O MAKBUL ALI VILL KHARIDAL PO HATIPARA

DISTRICT: POLICE STATION: PIN: DISTRICT: POLIOCE STATION: PIN:


KAMRUP CHAYGAON 781137 KAMRUP CHAYGAON 781137

ACAMEDIC QUALIFICATION

COLLEGE / SCHOOL NAME: QUALIFICATION: STREAM: PERCENTAGE:


CHHAYGAON COLLEGE H.S COMMERCE 63.6 %

EXTRA CURRICULAR ACTIVITIES

COMPUTER HOME GUARD SPORTS


NCC CERTIFICATE EMPLOYMENT EXCHANGE CERTIFICATE
CERTIFICATE CERTIFICATE CERTIFICATE
NA YES
YES NA NA

DECLARATION:
It is certified that above particulars are true to my knowledge and belief. Further, I understand that if any of the above particulars is found false, my
candidature will be automatically rejected.

NOTICE:
Candidate should check all the data entered in the application form very carefully. Any issue noticed, candidate may contact recruitment Help Desk Tel: 7636071991, 7636071992, 7636071993 (09:00am -
06:00pm) or Email: slprbrect@gmail.com.

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