APPLICATION FORM
Personal Details
Registration Number 81677581
Post Name CONSTABLE
Applicant's First Name CHAND
Last Name ANSARI
Applicant's Full Name CHAND ANSARI
Date of Birth (DD-MM-YYYY) 10-01-2003
Father's Name MD LUKMAN ANSARI
Mother's Name AFTARUN BIBI
Gender MALE
Mobile Number 9801072955
Aadhaar No. 694551512279
E-Mail ID [email protected]
Nationality INDIAN
Visible Identification Mark 1 MOLE ON NOSE
Visible Identification Mark 2 --
Option for Language Paper II KHORTHA
Marital Status UNMARRIED
Spouse Name/Others
Other Information
Vacancy Type REGULAR
Are you local resident of Jharkhand YES
Your District of local residence DUMKA
Category EBC-1
Are you an Ex-Servicemen? NO
Have you served in home guard of 3 year or at least six
NO
months
Do you claim reservation under Sports Quota NO
Are you a graduate or diploma from Raksha Shakti
University recognized by the Central Government and NO
Jharkhand 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 JAC 06-2018 PASS 0004 83
Correspondence address
Address Line 1 RASIKAPUR ROAD KUMHARPARA
Address Line 2 ---
City/Village/Town DUMKA
State/Union Territory JHARKHAND
District DUMKA
Pin code 814101
Permanent address
Address Line 1 RASIKAPUR ROAD KUMHARPARA
Address Line 2 ---
City/Village/Town DUMKA
State/Union Territory JHARKHAND
District DUMKA
Pin code 814101
District wise Preference Details
Vacancy Type District Name Preference
REGULAR HAZARIBAGH 1
REGULAR RAIL DNB 2
REGULAR CHATRA 3
REGULAR JAPTC 4
REGULAR RAIL JSR 5
Payment Details
Transaction Number Amount Transaction Date
113184690715 100 2024-02-19 13:34:21
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.
Application Print Date : 26/11/2024 10:29:32 PM
Registration Date : 20-02-2024 16:17:17 System IP : 49.37.53.105
