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    Application Form Draft Print For All

    Uploaded by

    Amrit Kumar
    The application is incomplete for the following reasons: 1. The candidate has not paid the application fee. The transaction number and date are blank. 2. Some personal details are missing, such as the mother's name. 3. The candidate has not selected a preference for the examination centers. The document appears to be an incomplete online application form for a recruitment examination by the Staff Selection Commission of India. The form contains details about the applicant's personal information, qualifications, preferences, and declaration, but is missing key information needed to process the application.

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

    Application Form Draft Print For All

    Uploaded by

    Amrit Kumar
    12 views3 pages
    The application is incomplete for the following reasons: 1. The candidate has not paid the application fee. The transaction number and date are blank. 2. Some personal details are missing, such as the mother's name. 3. The candidate has not selected a preference for the examination centers. The document appears to be an incomplete online application form for a recruitment examination by the Staff Selection Commission of India. The form contains details about the applicant's personal information, qualifications, preferences, and declaration, but is missing key information needed to process the application.

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    ApplicationFormDraftPrintForAll

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    The application is incomplete for the following reasons: 1. The candidate has not paid the application fee. The transaction number and date are blank. 2. Some personal details are missing, such as the mother's name. 3. The candidate has not selected a preference for the examination centers. The document appears to be an incomplete online application form for a recruitment examination by the Staff Selection Commission of India. The form contains details about the applicant's personal information, qualifications, preferences, and declaration, but is missing key information needed to process the application.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    12 views3 pages

    Application Form Draft Print For All

    Uploaded by

    Amrit Kumar
    The application is incomplete for the following reasons: 1. The candidate has not paid the application fee. The transaction number and date are blank. 2. Some personal details are missing, such as the mother's name. 3. The candidate has not selected a preference for the examination centers. The document appears to be an incomplete online application form for a recruitment examination by the Staff Selection Commission of India. The form contains details about the applicant's personal information, qualifications, preferences, and declaration, but is missing key information needed to process the application.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    STAFF SELECTION COMMISSION

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


    110003
    CONSTABLES (GD) IN CENTRAL ARMED POLICE FORCES
    (CAPFs), SSF, RIFLEMAN (GD) IN ASSAM RIFLES AND
    SEPOY IN NARCOTICS CONTROL BUREAU EXAMINATION,
    2022
    REGISTRATION NO: 20002574763

    APPLICATION IS INCOMPLETE

    1. NAME AS PER MATRICULATION 2. NEW/CHANGED


    3. FATHER'S NAME 4. MOTHER'S NAME
    CERTIFICATE NAME
    AMRIT KUMAR - JHULAN SINGH ALPNA DEVI
    5. DATE OF BIRTH (DD/MM/YYYY) 6. AGE AS ON 01/01/2023 7. GENDER 8. CATEGORY
    21/04/2001 21.8 MALE OBC
    9. NATIONALITY 10. MARK OF VISIBLE IDENTIFICATION
    CITIZEN OF INDIA A CUT MARK ON LEFT LITTLE FINGER
    12. MATRICULATION (10th 13. MATRICULATION (10th
    11. MATRICULATION (10th CLASS) EXAMINATION BOARD
    CLASS) ROLL NO CLASS) YEAR OF PASSING
    BIHAR SCHOOL EXAMINATION BOARD 1700051 2017
    14.1. WHETHER YOU ARE AN EX-SERVICEMAN (ESM) OR
    14.2. DATE OF JOINING THE ARMED FORCES (DD/MM/YYYY)
    SERVING IN THE ARMED FORCES?
    NO -
    14.3. DATE OF DISCHARGE FROM ARMED FORCES
    14.4. LENGTH OF SERVICE IN ARMED FORCES
    (DD/MM/YYYY)
    - -
    14.5. HAVE YOU ALREADY JOINED A CIVIL POST BY
    AVAILING BENEFIT OF RESERVATION FOR EX-SERVICEMAN 14.6. DATE OF JOINING TO CIVIL POST (DD/MM/YYYY)
    (ESM) ?
    - -
    15.1. WHETHER SEEKING AGE RELAXATION? 15.2 IF YES, AGE RELAXATION CODE
    NO -
    16.1. ARE YOU A NATIONAL CADET CORPS (NCC)
    16.2. TYPE OF THE NCC CERTIFICATE
    CERTIFICATE HOLDER
    NO -
    17. PREFERENCE OF EXAMINATION CENTRES

    EXAMINATION CENTER EXAMINATION CENTER EXAMINATION CENTER


    ( FIRST PREFERENCE ) ( SECOND PREFERENCE) ( THIRD PREFERENCE)

    PATNA ( 3206 ) BHAGALPUR ( 3201 ) PURNEA ( 3209 )

    18. STATE/ UT OF DOMICILE 19. DISTRICT OF DOMICILE

    BIHAR KHAGARIA
    20.1. HAVE YOU MIGRATED FROM THE STATE/ UT OF 20.2. WHETHER YOU WOULD LIKE TO AVAIL THE BENEFIT OF
    YOUR ORIGIN TO ANOTHER STATE/ UT RESERVATION FROM THE STATE/ UT OF YOUR ORIGIN
    NO -
    20.3. STATE/ UT OF ORIGIN 20.4. DISTRICT OF ORIGIN
    - -
    21. CANDIDATE BELONGS TO MILITANCY/ NAXAL
    22. CANDIDATE BELONGS TO BORDER DISTRICT
    AFFECTED DISTRICT
    NO NO
    23. PREFERENCE OF POST FOR CAPF(S)/ ORGANIZATION(S)
    A,C,B,F,D,E,H,G
    24. HIGHEST EDUCATIONAL QUALIFICATION
    INTERMEDIATE/ HIGHER SECONDARY/ 10+2 (2)
    25. DETAILS OF QUALIFYING EDUCATION
    EQUIVALENT TO 10TH STANDARD
    STATUS PASSING STATE/ UT OF BOARD/ NAME OF BOARD/ ROLL NO PERCENTAGE CGPA
    YEAR UNIVERSITY UNIVERSITY
    PASSED 2017 BIHAR BIHAR SCHOOL 1700051 71.20 -
    EXAMINATION BOARD
    26. 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 ?
    NO
    ADDRESS DETAIL
    27. CORRESPONDENCE ADDRESS 28. PERMANENT ADDRESS
    AT-CHAIDHA PO-BABU BAGICHA AT-CHAIDHA PO-BABU BAGICHA
    PS-MAHESHKHUNT DIST-KHAGARIA PS-MAHESHKHUNT DIST-KHAGARIA
    DISTRICT: KHAGARIA DISTRICT: KHAGARIA
    STATE: BIHAR STATE: BIHAR
    PIN: 851214 PIN: 851214
    MOBILE NO. : 7282868181 EMAIL ID: [email protected]
    26. WHETHER PHOTOGRAPH HAS BEEN TAKEN ON OR AFTER 27-JULY-2022?
    YES
    FEE PAYMENT AMOUNT TRANSACTION NO TRANSACTION DATE

    NOT EXEMPTED 100 - -


    DECLARATION
    1. I HAVE READ THE NOTICE OF THE EXAMINATION AND ACCEPT ALL THE TERMS & CONDITIONS OF THE NOTICE
    OF THE EXAMINATION.

    2. 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.

    3. I DECLARE THAT THE PHOTOGRAPH UPLOADED IN THE APPLICATION FORM HAS BEEN TAKEN ON OR AFTER
    THE STIPULATED DATED.

    4. I AGREE TO AUTHORIZE SSC TO USE MY AADHAR DATA FOR VERIFICATION PURPOSE.


    PRINT TAKEN ON: 29/11/2022 4:53:18 AM IP ADDRESS: 106.77.179.88

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