BIHAR POLICE SUB-ORDINATE SERVICES COMMISSION

RECRUITMENT FOR BIHAR POLICE SUB INSPECTORS, 2017 (Advt. No. 01/2017)

ACKNOWLEDGEMENT
REGISTRATION ID : 1487507 DATE & TIME : 19-11-2017 20:19:43

APPLICANT NAME : RENU FATHER'S NAME : BHAGWAN SARAN

MOTHER'S NAME : RAJRANI NATIONALITY : INDIAN

MOBILE NUMBER : 9289077635 EMAIL ADDRESS : RENU.MAHOR1@GMAIL.COM

ARE YOU A DOMICILE OF BIHAR STATE : NO CATEGORY : GENERAL

GENDER : FEMALE DATE OF BIRTH : 23-08-1985

MARITAL STATUS : UNMARRIED

IDENTITY CARD NO : 460949428837 (AADHAR CARD) IDENTIFICATION MARKS : SMALL CUTE MARK ON LEFT HAND

EDUCATION QUALIFICATION DETAILS

EXAM PASSED SCHOOL/ UNIVERSITY/ BOARD/ INSTITUTE PASSING CERTIFICATE NO CERTIFICATE ISSUED DATE
MATRICULATION C.B.S.C. 00098707 31-05-2001
GRADUATION (UG) DELHI UNIVERSITY 30094/03 20-03-2010

ADDRESS DETAILS
PERMANENT ADDRESS CORRESPONDENCE ADDRESS
HOUSE NO B-31 HOUSE NO B-31

STREET/MOHALLA PALIKA KUNJ, KARBALA LANE STREET/MOHALLA PALIKA KUNJ, KARBALA LANE

VILLAGE/TOWN LODHI ROAD VILLAGE/TOWN LODHI ROAD

POST OFFICE JOR BAGH POST OFFICE JOR BAGH

DISTRICT SOUTH EAST DELHI DISTRICT SOUTH EAST DELHI

STATE DELHI STATE DELHI

PIN CODE 110003 PIN CODE 110003

DECLARATION OF CRIMINAL CASES

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

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/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 THE COURT BY FILLING ANY BOND FOR GOOD BEHAVIOUR ETC.? 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 ALSO, ALL THE BENEFITS AVAILED BY ME SHALL BE SUMMARILY WITHDRAWN.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