11/3/2019 CSBC Online

CENTRAL SELECTION BOARD OF CONSTABLE

RECRUITMENT FOR BIHAR POLICE CONSTABLES, 2019 (Advt. No. 02/2019)

ACKNOWLEDGEMENT
REGISTRATION ID : 10193777 DATE & TIME : 09-10-2019 16:51:29

POST PREFERENCES: 1. DISTRICT POLICE 2. BMP 3. BISF 4. SIRB

APPLICANT NAME : BINAY KUMAR FATHER'S NAME : JITENDRA RAY

MOTHER'S NAME : MUNITA DEVI NATIONALITY : INDIAN

MOBILE NUMBER : 8789656792 EMAIL ADDRESS : BK384375@GMAIL.COM

ARE YOU A DOMICILE OF BIHAR STATE : YES CATEGORY : BC

ARE YOU HOMEGUARD OF BIHAR STATE: NO

GENDER : MALE DATE OF BIRTH : 15-01-1998

MARITAL STATUS : UNMARRIED

AADHAR NO : 249187984041 IDENTIFICATION MARKS : A CUT MARK ON RIGHT HAND

ARE YOU A WARDS OF FREEDOM FIGHTER? NO

EDUCATION QUALIFICATION DETAILS

EXAM PASSED SCHOOL/ UNIVERSITY/ BOARD/ INSTITUTE PASSING CERTIFICATE NO CERTIFICATE ISSUED DATE
10 BSEB PATNA 0727525 05-06-2014
10+2 BSEB PATNA S090305 10-05-2016

ADDRESS DETAILS
PERMANENT ADDRESS CORRESPONDENCE ADDRESS
HOUSE NO JITENDRA RAY HOUSE NO JITENDRA RAY

STREET/MOHALLA GAURICHAK STREET/MOHALLA GAURICHAK

VILLAGE/TOWN GAURICHAK PS GAURICHAK VILLAGE/TOWN GAURICHAK PS GAURICHAK

POST OFFICE FATEHPUR POST OFFICE FATEHPUR

DISTRICT PATNA DISTRICT PATNA

STATE BIHAR STATE BIHAR

PIN CODE 800007 PIN CODE 800007

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BENEFITS AVAILED BY ME SHALL BE SUMMARILY WITHDRAWN.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

https://apply-csbc.com/V1/acknowledgement 1/2
11/3/2019 CSBC Online

https://apply-csbc.com/V1/acknowledgement 2/2