CRPF Form 2023

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1/22/23, 11:33 AM CRPF Form 2023

Post Applied Details

Candidate Photo
Application Status Application Number Candidate's Name
SubmittedOffline CRPF232044944 PUJA KUMARI
Date of Birth Age as on 25.01.2023 Gender
10/Feb/1999 23 Years 11 Months 1 Female
6 Days Marital Status
Married
Father's Name Mother's Name Email ID
RADHESHYAM SHAR MIRA DEVI Ved96ved@gmail.co
MA m
Mobile Number Alternate Mobile Nu
8340562587 mber
8603606551

Post Details

Post Name Post Code


Assistant Sub Inspect 05
or(Steno)

Test City Preferences

Preferred Test State Preferred Test City 1 Preferred Test State


1 Patna 2
Bihar Jharkhand
Preferred Test City 2 Preferred Test State Preferred Test City 3
Dhanbad 3 Ranchi
Jharkhand

Candidate Domicile and Category Details

Nationality Reservation Categor


A citizen of India y
UR

Ex Servicemen Details

Are you an Ex Servic


emen (ESM) or child
of ESM?
No

Departmental Employee Details

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1/22/23, 11:33 AM CRPF Form 2023

Are you a Central Go


vt. Servants who ha
ve rendered not less
than 3 years regula
r/ continuous servic
e as on 21/01/2023?
No
Are you a Children a
nd dependent of vic
tims killed in the 19
84 riots or commun
al riots of 2002 in Gu
jarat?
No

Correspondence Address

Address Line 1 Address Line 2 Country


KANHAIPUR, WARD N PATNA India
O-2 SULTANPUR State City/District
Bihar Patna
Pincode/Postal Code Is Permanent Addre
803221 ss Same as Correspo
ndence address?
Yes

Permanent Address

Address Line 1 Address Line 2 Country


KANHAIPUR, WARD N PATNA India
O-2 SULTANPUR State City/District
Bihar Patna
Pincode/Postal Code
803221

Matriculation (10th) Details

Name of the Board/ Institute Name Please select any of


Council SRI BHAGWATI HIGH the following
B.S.E.B PATNA SCHOOL MOR PATNA Percentage
Marks Obtained Maximum Marks Percentage of Marks
243 500 (%)
48.60
Year of Completion
2015

lntermediate (12th) Details

Name of the Board/ Institute Name Please select any of


Council V.R. COLLEGE KONDI, the following
B.S.E.B PATNA BARH, PATNA Percentage
Marks Obtained Maximum Marks Percentage of Marks

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1/22/23, 11:33 AM CRPF Form 2023

227 500 45.40


Year of Passing
2018

Payment Details

Amount Payment Mode


0 offline

Documents Upload

Signature

View / Downloa
Document
d

To view your copy of scanned 10th class certificate/Mark


Click here.
sheet:

To view your copy of scanned 12th class certificate: Click here.

Declaration

I hereby certify that the information given by me in this Application Form is t


rue to the best my knowledge. I certify that I fulfill the Govt Form eligibility cr
iteria and undertake to produce original documents whenever necessary an
d I will not demand any reschedule of exam. I agree to abide by the declarati
on of the authorities regarding the eligibility of my application and understa
nd that any misrepresentation or omission of facts in my application may ju
stify cancellation of my Govt Form application & scores. I understand that all
disputes will be subject to the territorial jurisdiction of city of Indore only.

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