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UNION PUBLIC SERVICE COMMISSION

DETAILED APPLICATION FORM [DAF]
CENTRAL ARMED POLICE FORCES (ASISSTANT COMMANDANTS)
EXAMINATION, 2025

RID. : 12516891362
Name : KSHITIJ ANUPAM
Have you ever changed your name? : NO
Email : [email protected]
Mobile : 8862974072

1. Name | KSHITIJ ANUPAM

2. (a) Address for correspondence to which | AT- KUMARPUR

Communication is to be sent |
Post Office: | BARIARPUR
City: | BARIARPUR
District: | MUNGER (MONGHYR)
State : | BIHAR
Pin Code : | 811211
(b) Telephone No. (with STD Code) | -
(c) Mobile No. | 8862974072
(c.1) Alternate Mobile No. |
(d) Fax No. |
(e) E-mail address | [email protected]
(f) Permanent Postal Address | AT- KUMARPUR
|
Post Office: | BARIARPUR
City: | BARIARPUR
District: | MUNGER (MONGHYR)
State : | BIHAR
Pin Code : | 811211

3. (a) Date of Birth | 25-07-2000

(b) Claimed age relaxation | YES
(c) Nature of Age relaxation claimed | OBC

4. (a) Citizenship : | A CITIZEN OF INDIA(1)

(b) Nationality : | INDIAN

5. Gender : | MALE

6. Marital Status : | UNMARRIED

(If Married, Nationality of spouse) |

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7. (a) Community | OBC (3)

Note 1:
No change in the community status already indicated by candidate in his / her application form for this
examination will be allowed by the Commission except in the circumstances mentioned in the Rules of
Central Armed Police Forces (Assistant Commandants) Examination Rules, 2025.
Note 2:
In case you are a SC or ST category candidate, upload a scanned copy of certificate in prescribed format in
support of your claim. The certificate must be issued latest by the date of closure of online application form
for Central Armed Police Forces (Assistant Commandants) Examination, 2025.i.e. 25.03.2025
Note 3:
In case you are EWS Category candidate, upload a scanned copy of ‘Income and Asset Certificate’ in
prescribed format based on the income for Financial Year 2023-24 (i.e. for the period from 1st April, 2023
to 31st March, 2024) in support of your claim. Certificate based on the income of any other Financial Year
shall not be treated as valid. The Certificate must be issued on/after 01.04.2024 (after the completion of FY
2023-24) but not later than the closing date of the application for Central Armed Police Forces(Assistant
Commandants) Examination, 2025.i.e. 25.03.2025. Such candidates must meet the Income and Asset
criteria issued by the Central Government.
Note 4:
In case you are an OBC Category candidate, upload a scanned copy of OBC (Non-Creamy Layer)
certificate in prescribed format based on the income for the Financial Years (FYs) 2023-24, 2022-23 and
2021-22.The Certificate must be issued on/after 01.04.2024 (after the completion of FY 2023-24) but not
later than the closing date of the application for Central Armed Police Forces(Assistant Commandants)
Examination, 2025. i.e. 25.03.2025

(b) Certificate No. | BOBCSDO/2024/167284

(c) Date of issue | 2024-07-04
(d) Designation of issuing authority | SUB-DIVISIONAL OFFICER OR THE AREA WHERE
THE CANDIDATE AND/OR HIS FAMILY
NORMALLY RESIDES
(e) Full address of issuing authority | SDO MUNGER SADAR

(f) Name of the Caste as mentioned in | DHANUK (56)

the Community Certificate and | BIHAR
Name of the issuing State.
[For SC/ST/OBC Candidates]
(g) State Creamy or Non Creamy Layer | Non Creamy Layer
(h) If you belong to any of the minority
Communities notified by the Government
(Muslim/Christians/Sikhs/Buddhists/
Zoroastrians[Parsi]/Jains) | NO
(i) If yes, Name of the Minority
community |

8. (a) Do you possess the prescribed Educational

Qualification (Vide rule-6 of the rules of the Examination)?
Please upload a scanned copy of the Certificate
if the answer is "YES" | NO
(b) Certificate No./Enrolment No./Roll No. | 30153669
(c) Date of issue | 2022-12-15

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(d) Designation of issuing authority | VICE CHANCELLOR
(e) Full address of issuing authority | KANKABAGH ROAD NEAR RAJENDRA NAGAR
TERMINAL PATNA 800020

(f)(i) Do you have any basic Educational

Qualification or higher qualification
obtained from a foreign institution? | NO

(g)Educational Qualifications : Commencing with Matriculation or equivalent examination till Graduation:-

(Please upload scanned copy of all Certificates/Degree)
Examination Class/ Percentage CGPA Year of Subject(s) Name of Name of
Passed Division of Score Out of School/College Board/University
/Grade Marks(%) Passing /Institution
10th or Equivalent 1ST 9.2 10 2015 ALL SARASWATI VIDYA CBSE DELHI
MANDIR
JAMALPUR
MUNGER
12th or Equivalent 1ST 67.00 2017 SCIENCE SUBJECT J N K COLLEGE BSEB PATNA
DARIYAPUR H
KHARAGPUR
MUNGER
Stream at Graduation Level :-- SCIENCE
B.SC.[HONS] 1ST 67.75 2021 MATHEMATICS A N S COLLEGE PATLIPUTRA
HONS BARH UNIVERSITY,
KANKARBAGH
ROAD, NEAR
RAJENDRA
NAGAR
TERMINAL,
PATNA- 800020,
BIHAR

Higher Educational Qualifications : Commencing with Post Graduation or equivalent examination :-

Examination Class/ Year of CGPA Percentag Subject(s) College/Institution Board/
Passed/ Division Passing Score Out of e University
Appeared/ /Grade of
Appearing Marks(%)

(h) Whether you possess N.C.C. 'B' | NO

or 'C' certificate

(i) Are You an Ex-Servicemen. | NO

(j) Are You a Civilian Central | YES

Government Servant.

Note 1: Discharge Certificate, if claiming to be an Ex-servicemen, should be dated on or before 24.03.2026

i.e. within one year of closing date of online application form for Central Armed Police Forces (Assistant
Commandants) Examination, 2025.
Note 2: The term ex-servicemen will apply to the persons who are defined as ex-servicemen in the Ex-
servicemen (Re-employment in Civil Service and Posts) Rules, 1979, as amended from time to time and the

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instructions issued by the Government vide DoP&T's OM No. 36012/3/2021-Estt. (Res.II) dated 27.02.2023,
which provides, inter-alia as under:- 'Candidates working in the Armed Forces would become eligible for
applying Civil posts only when he completes the prescribed period of Armed Forces Service within a year
from the last date of receiving application in connection with Special Recruitment/Examination, etc.,
prescribed by the Competent Authority.
Provided, when selection process takes more than one year, from the last date of receiving of applications,
the candidate will not be declared ineligible under Ex-servicemen category only on the ground that he has
got himself released from Armed Forces after one year from the last date of receiving of application.' Such
candidates are also required to be in possession of prescribed certificate and the Undertaking as at
Appendix-IV (A) and IV(B) of the Rules, by the closing date of the application.i.e. by 25.03.2025

9. Force(s) for which you wish to be considered in the order of preference:

which you would like to be considered.(Indicate your first preference as 1 and second as 2 and so on.)

Name of Service/Post Indicate your order of preference

BORDER SECURITY FORCE(BSF) 3
CENTRAL RESERVE POLICE FORCE(CRPF) 5
CENTRAL INDUSTRIAL SECURITY FORCE (CISF) 1
INDO-TIBETAN BORDER POLICE (ITBP) 4
SASHASTRA SEEMA BAL (SSB) 2

10. Were you ever employed? : | YES

If yes, Are you in

Government/Public Enterprise | YES

If yes, Date of intimation in writing | 2024-07-13

to your Head of Office/Department
regarding appearing in Central
Armed Police Forces (AC's)
Examination 2025

Note: The candidates employed in Government/Public Sector Enterprise/Government Autonomous Bodies

must ensure that they have intimated their parent Department before applying for this Examination with
proof of receipt by the Department. If it is found, that the candidates have not done the same, their
candidature is liable to be rejected forthwith without any further notice.

Details of your employments (in chronological order till date)

Designation/Posi Monthly Whether Perman Period Name of Place of Employment
tion remuneration ent/Temporary/ From To employer/ (Address)
(Total) in Rupee Ad-hoc dd-mm- dd-mm- Organisation/
yyyy yyyy Firm/Individual
SUB-INSPECTOR 62000 PERMANENT 2024-07-13 Presently SASHASTRA BALEMA AT
Continuing SEEMA BAL BHAIRABKUNDA 61 BN
ASSAM

10.1 Have you been self-employed?: | YES

If yes, please give details.

Nature of employment Monthly Income Period Place of employment Remarks
From To (Address)

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11. Place of Birth :
If born in India: | YES
Post Office | BARIARPUR
City/Town/Village | PS- BARIARPUR
District | MUNGER (MONGHYR)
State | BIHAR
Pincode | 811211

12. Whether you have ever applied for

U.P.S.C. Examination /Recruitment
(Excluding Current Examination): - | NO

13. Have you ever been debarred by

the UPSC from any of its
Examinations/Selections? | NO

14. (a) Name of Father | JITENDRA MANDAL

(a.1) Status | ALIVE
(b) Name of Mother | BINDU DEVI
(b.1) Status | ALIVE
(c) Nationality of Father | INDIAN
(d) Nationality of Mother | INDIAN
(e) Father's Profession: | LABOUR
(f) Mother's Profession: | HOMEMAKER
(g) If Father is in service, post held by him | NA
(g)(i) if retired indicate the post held
by him at the time of his retirement,
otherwise fill 'NOT APPLICABLE' | NOT APPLICABLE
(h) If Mother is in service, post held by her | NA
(h)(i) if retired indicate the post held
by her at the time of her retirement,
otherwise fill 'NOT APPLICABLE' | NOT APPLICABLE
(i) Annual income of your Father for | Rs.160000
financial year 2023-2024
(j) Annual income of your Mother for | Rs.0
financial year 2023-2024
(k) State to which your Father originally | BIHAR
belongs
(l) District to which your Father originally | MUNGER (MONGHYR)
belongs
(m) State to which your Mother originally | BIHAR
belongs
(n) District to which your Mother originally| MUNGER (MONGHYR)
belongs
(o) Father's present postal Address | AT- KUMARPUR
(If deceased give last address) |
Post Office: | BARIARPUR

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City: | BARIARPUR
District: | MUNGER (MONGHYR)
State : | BIHAR
Pin Code : | 811211
(p) Mother's present postal Address | AT- KUMARPUR
(If deceased give last address) |
Post Office: | BARIARPUR
City: | BARIARPUR
District: | MUNGER (MONGHYR)
State : | BIHAR
Pin Code : | 811211

15.a.Mother tongue : | HINDI

b. What Languages(including Indian Languages) can you read/write or speak ? Give particulars and state the
examination(s) passed, if any, for each :-

Read Only Speak Only Read & Speak Read, Write & Examination(s)
Speak passed
HINDI HINDI HINDI HINDI SUB-INSPECTOR SSB

16. Please give Particulars of:-

(a) Prizes,Medals,Scholarships etc. that you have been | NO

awarded :
(b) Do you have any sports achievement : | NO
(c) Team/Games/Sports/N.C.C./ | NO
Hitch-hiking/Mountaineering etc.
(d) Position(s) of distinction / leadership held in | NO
School/College
(e) Other extra curricular activities and interests (Such | NO
as hobbies etc.)

17.a.How many times have you appeared

at the CAPF(ACs) Examination
held by the UPSC. | 0

(b).Details of CAPF(AC's) Examination in which you have appeared

Year Roll No.

Note: The candidates who are not in possession of their Roll Nos. for previous year examination are advised
to fill 0000000 in place of their Roll Nos.

(c) Have you ever been selected

to a Service/Post on the basis
of CAPF(ACs) Examination
held in earlier years? | NO

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18. Photo-ID Proof | AADHAR CARD (XXXXXXXX9508)

19. List of Scanned documents uploaded by the candidate:-

--> Matriculation Certification / School Leaving Certificate as proof of date of birth or any other
certificate/document as prescribed in the rules for the exam.
--> Certificate in support of claim for age relaxation
--> Certificate in support of claim to belong to SC / ST / OBC (Non Creamy Layer)/ EWS .
--> Certificate of UNDERTAKING FOR OBC/EWS CANDIDATES, as applicable in a single file.The
original physical copy of UNDERTAKING must be submitted at the time of Personality Test.
--> The certificate of graduation or equivalent educational qualifications (including a copy of recognition
letter / equivalence certificate from AIU/UGC, if applicable)
--> The selected Photo ID Proof (viz. Aadhaar Card, Voter Card, PAN Card, Passport, Driving Licence or
any other Photo ID Proof issued by the Central/State Government.)
--> Undertaking “A” for Government employees in the prescribed format annexed with Instructions to
Candidates. The original physical copy must be submitted at the time of Personality Test.

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OBC ANNEXURE

1. Name of the Candidate | KSHITIJ ANUPAM

2. RID | 12516891362

3. (a) Name of Father | JITENDRA MANDAL

(b) Date of birth of Father | 1972-12-05
(c) Whether your Father is having Permanent Account | NO
Number(PAN)
(d) PAN No. of Father |

4. (a) Name of Mother | BINDU DEVI

(b) Date of birth of Mother | 1978-01-01
(c) Whether your Mother is having Permanent Account | NO
Number(PAN)
(d) PAN No. of Mother |

5.(a)(i) Profession of father | FARMER

(ii) Whether your Father is/was in service. | NO

(b)(i) If in service whether he is/was working under |

Central Government/State
Government/Central Public Sector
Undertaking/ State Government Public Sector
Undertaking/ Autonomous Body/ Bank/
Insurance Organisation/ Universities/ Private
Organisation/Govt-Aided School/ Others

(ii) Please write full name and address of the |

concerned organization. In case of
PSU/Autonomous Body/Bank/Universities/
Insurance organizations and please provide
name and address of the Controlling
Department / Ministry/Government also.

(iii) Name of the post to which he was appointed |

by direct recruitment

(iv) Group of the post (viz. group A, B, C or D) to |

which he was appointed by direct recruitment
and the year of recruitment

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(v) If post of the organization is not classified as | NO ()
Group A, B, C or D, whether the post to which
the father was appointed by direct recruitment
is comparable or equivalent to any Group A,
B, C or D post in Government as per DOPT's
OM No. 36012/22/93-Estt.(SCT), dated
8.9.1993. If yes, to which it is comparable and
please upload the relevant Government
order/notification establishing such
equivalence / comparability of post if available

(vi) Complete employment details of all the posts

held by Father (From first employment till
present employment) :-

Name of the post and group of the post & Pay Scale of the post Date of Appoint Age at the Method of Recruitment
equivalence of post ment/promotion time of appoin /appointment[whether
to the post tment/promoti by Direct Recruitment/
on Promotion/Contract/oth
ers]
NA NA NA NA NA

(vii) If the father has retired/resigned or terminated |

from service, the details of present status from
the time of retirement/resignation/termination.
If reemployed, mode of re-employment.

(viii) Whether the father has/had been in | NO ()

employment in any International Organisation
like U.N., IMF, World Bank etc. If yes,
duration of such employment

(ix) If father is dead, date of his demise |

(x) If father suffers from permanent incapacitation | NO

while in service.

(xi) If father suffers from permanent incapacitation |

while in service, date from which he so suffers

6. (a) Whether father of the candidate holds or has ever held | NO

a Constitutional post
(b) If yes, name of the post (s) and duration of holding |
such post(s)

7. (a) If father is/was in the rank of Colonel and above | NO

in the army and to the equivalent posts in the
Navy and the Air Force and the Para Military
Forces.
If yes, upload the relevant appointment order.

8.(a)(i) Profession of mother | HOMEMAKER

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(ii) Whether your Mother is/was in service. | NO

(b)(i) If in service whether she is/was working under |

Central Government/State
Government/Central Public Sector
Undertaking/ State Government Public Sector
Undertaking/ Autonomous
Body/Bank/Insurance
Organisation/Universities/ Private
Organisation/Govt-Aided School/Others

(ii) Please write full name and address of the |

concerned organization. In case of
PSU/Autonomous Body/Bank/Universities/
Insurance organizations and please provide
name and address of the Controlling
Department / Ministry/Government also.

(iii) Name of the post to which she was appointed |

by direct recruitment

(iv) Group of the post (viz. group A, B, C or D) to |

which she was appointed by direct recruitment
and the year of recruitment

(v) If post of the organization is not classified as | NO ()

Group A, B, C or D, whether the post to which
the Mother was appointed by direct
recruitment is comparable or equivalent to any
Group A, B, C or D post in Government as per
DOPT's OM No. 36012/22/93-Estt.(SCT),
dated 8.9.1993. If yes, to which it is
comparable and please upload the relevant
Government order/notification establishing
such equivalence/comparability of post if
available

(vi) Complete employment details of all the posts

held by Mother (From first employment till
present employment) :-

Name of the post and group of the post & Pay Scale of the post Date of Appoint Age at the Method of Recruitment
equivalence of post ment/promotion time of appoin /appointment[whether
to the post tment/promoti by Direct Recruitment/
on Promotion/Contract/oth
ers]
NA NA NA NA NA

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(vii) If the Mother has retired/resigned or |
terminated from service, the details of present
status from the time of
retirement/resignation/termination. If
reemployed, mode of reemployment.

(viii) Whether the mother has/had been in | NO ()

employment in any International Organisation
like U.N., IMF, World Bank. If yes, duration
of such employment

(ix) If mother is dead, date of her demise |

(x) If Mother suffers from permanent | NO

incapacitation while in service.

(xi) If mother suffers from permanent |

incapacitation while in service, date from
which she so suffers

9. (a) Whether mother of the candidate holds or has ever | NO

held a Constitutional post
(b) If yes, name of the post (s) and duration of holding |
such post(s)

10.(a) If Mother is/was in the rank of Colonel and above | NO()

in the army and to the equivalent posts in the
Navy and the Air Force and the Para Military
Forces.
If yes, upload the relevant appointment order.

11. (A) Whether the parents of the candidate own | NO

agricultural land

(B) If yes,
(a) Area of the irrigated land owned by father, mother |
and children put together

(b) Area of the unirrigated land owned by father, |

mother and children put together

(c) Statutory ceiling limit of irrigated land holding at |

the place where land owned is located

(d) Statutory ceiling limit of unirrigated land holding |

at the place where land owned is located

(e) If the land is both irrigated and unirrigated, |

indicate whether condition given in clause (b) (i) of
Schedule V to the DOP&T O.M.
No.36012/22/93-Estt.(CST), dated 8-9-1993
applies. Give details

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12. Annual income(in Rs.) of father for last three consecutive financial years (year-wise) :-

Financial Year Financial Year Financial Year

2023-2024 2022-2023 2021-2022
[Assessment Year [Assessment Year [Assessment Year
2024-2025] 2023-2024] 2022-2023]
(a) Income from salary 0 0 0
(b) Income from agriculture 0 0 0
(c) Income from other sources 160000 160000 160000
(d) Whether your father has filed the ITR? NO NO NO
(d)(i) Whether the ITRs for the last 3 years in
respect of your father are available with you for
uploading?
(e) Undertaking ,I will submit the complete ITRs
to the Commission before/at the date of
interview

13. Annual income(in Rs.) of mother for last three consecutive financial years (year-wise) :-

Financial Year Financial Year Financial Year

2023-2024 2022-2023 2021-2022
[Assessment Year [Assessment Year [Assessment Year
2024-2025] 2023-2024] 2022-2023]
(a) Income from salary 0 0 0
(b) Income from agriculture 0 0 0
(c) Income from other sources 0 0 0
(d) Whether your mother has filed the ITR? NO NO NO
(d)(i) Whether the ITRs for the last 3 years in
respect of your mother are available with you for
uploading?
(e) Undertaking ,I will submit the complete ITRs
to the Commission before/at the date of
interview

14. (a) Details of wealth held by parents |

(b) Whether the wealth held is above the exemption limit | NO
as prescribed in Wealth Tax Act ?

15. Whether you have any documentary proof in support | NO

of service/status/land holding/income from different
sources/property held by parents have been attached?
If yes, upload documentary proof.

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UNDERTAKING ANNEXURE-VI

I KSHITIJ ANUPAM son/daughter of Shri JITENDRA MANDAL Resident of village/town/city AT-

KUMARPUR BARIARPUR MUNGER district MUNGER (MONGHYR) state BIHAR hereby declare
that I belong to the DHANUK community which is recognized as a backward class by the Government of
India for the purpose of reservation in services as per orders contained in Department of Personnel and
Training Office Memorandum No. 36012/22/93-Estt.(SCT), dated 8.9.1993. It is also declared that I have
read and understood the instructions mentioned in the said DOPT's Office Memorandum dated 08.09.1993,
and OM No.36033/1/2013-Estt.(Res.) dated 13.09.2017 and I have reasons to declare that I do not fall under
OBC(Creamy Layer) category on the basis of the income for the Financial Years(FYs)
2023-2024,2022-2023 and 2021-2022.

DECLARATION OF OBC ANNEXURE

Information furnished above is true to the best of my knowledge and I have not concealed any relevant information.I swear,
that if it is found at any stage that information furnished by me is false or that I have concealed some relevant information,
I will forfeit the claim to appointment to any service on the basis of CAPF Examination, 2025 and also be liable for any other
civil or criminal proceedings.

Place: (Signature of the Candidate)

Date: Name of Candidate: KSHITIJ ANUPAM

RID : 12516891362
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DECLARATION BY THE CANDIDATE

I, hereby declare that all statements and entries made in all the columns of this application are true,
complete and correct to the best of my knowledge and belief.

2. That I have read rules of the Examination published in Part I –

Section 1 of the Gazette of India Extraordinary dated 05th March, 2025 and understand that in the
event of any information being found false or incorrect or ineligibility being detected before or
after the examination action can be taken against me by the Commission.

3. That I further declare that I fulfil all the eligibility conditions regarding age limits, educational
qualifications etc. prescribed for admission to the Examination.

4. That I have not withheld any information required as per this Detailed Application Form.

5. I have thoroughly scrutinised the list of scanned documents as enumerated

and uploaded scanned copies of all the documents relevant for me.

6. That I have read the Rules of Examination and the instructions carefully and I hereby undertake to abide
by them.

7. That I have informed my Head of the Office/Department in writing that I have applied for this
examination.

Signature of the Candidate

[Note: Online submission of the DAF by the candidate within prescribed time period is
construed as his/her signed application]

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