APPLICATION FORM

Personal Details

Registration Number 81580151

Post Name CONSTABLE

Applicant's First Name SURAJ

Last Name KUMAR

Applicant's Full Name SURAJ KUMAR

Date of Birth (DD-MM-YYYY) 16-12-2002

Father's Name RAM NIHORA SINGH

Mother's Name POONAM DEVI

Gender MALE

Mobile Number 9128893821

Aadhaar No. 380212936181

E-Mail ID surajkumar91288921@gmail.com

Nationality INDIAN

Visible Identification Mark 1 A CUT MARK ON THE RIGHT HAND

Visible Identification Mark 2

Option for Language Paper II HINDI

Maritial Status UNMARRIED

Spouse Name/Others

Other Information

Vacancy Type BOTH

Are you local resedent of Jharkhand NO

Categoty UR

Are you a graduate or diploma from Raksha Shakti University

recognized by the Central Government and Jharkhand NO
Government. Yes/No?

Are you appointed to the post of Assistant police Yes/No? NO

Educational Qualification
EDUCATIONAL BOARD MONTH & YEAR OF RESULT ROLL % of Marks

QUALIFICATION NAME PASSING STATUS NUMBER Obtained

10th/Matriculation BSEB PATNA 06-2018 PASS 1800655 46.4

Correspondence address
Address Line 1 VILLAGE POST BAIRIYA
Address Line 2 PS PIPRAHI

City/Village/Town SHEOHAR

State/Union Territory BIHAR

Other State District Name BIHAR

Pin code 843327

Permanent address
Address Line 1 VILLAGE POST BAIRIYA

Address Line 2 PS PIPRAHI

City/Village/Town SHEOHAR

State/Union Territory BIHAR

Other State District Name BIHAR

Pin code 843327

District wise Preference Details

Vacancy Type District Name Preference

REGULAR RANCHI 1

REGULAR GUMLA 2

REGULAR SIMDEGA 3

REGULAR GIRIDIH 4

REGULAR RAMGARH 5

REGULAR DHANBAD 6

REGULAR BOKORO 7

REGULAR DEOGHAR 8

REGULAR JAMTADA 9

REGULAR WESTERN SINGHBHOOM 10

REGULAR SAHEBGANJ 11

REGULAR JAPTC 12

REGULAR SARAIKELA KHARSAAWAN 13

REGULAR RAIL DNB 14

REGULAR RAIL JSR 15

REGULAR JWFS 16

REGULAR CTC 17

Payment Details
Transaction Number Amount Transaction Date

113169838413 100 2024-02-06 21:42:30

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 false at any stage or not satisfying the eligibility criteria according to the requirements of the post,
my candidature/ appointment is liable to be cancelled/terminated.

Candidates are advised to take a print of his/her application form and keep-it with him/her along with electronically generated bank receipt in
support of payment of his/her examination fee for future communication in this regard.

System IP : 122.167.122.103
Application Print Date : 06/02/2024 09:45:50 PM