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1/6/2020 BPSSC Online

BIHAR STATE SUB-ORDINATE SERVICES COMMISSION


Recruitment of Enforcement Sub Inspector 2019 (Advt. No. 02/2019)
Under Bihar State Transport Department

ACKNOWLEDGEMENT
REGISTRATION ID : 50358351 DATE & TIME : 06-01-2020 19:35:06

APPLICANT NAME : PALLAVI KUMARI FATHER'S NAME : LAXMI NARAYAN RAN

MOTHER'S NAME : MAMTA DEVI NATIONALITY : INDIAN

MOBILE NUMBER : 8544161870 EMAIL ADDRESS : RANPALLAVI21@GMAIL.COM

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

GENDER : FEMALE DATE OF BIRTH : 21-11-1994

MARITAL STATUS : UNMARRIED

IDENTITY CARD NO : 795239905210 (AADHAR CARD) IDENTIFICATION MARKS : MOLE ON LEFT CHEEK

ARE YOU AN EX-SERVICEMAN? NO ARE YOU A WARDS OF FREEDOM FIGHTER? NO

EDUCATION QUALIFICATION DETAILS


EXAM PASSED SCHOOL/ UNIVERSITY/ BOARD/ INSTITUTE PASSING CERTIFICATE NO CERTIFICATE ISSUED DATE
MATRICULATION GOVERNMENT HIGH SCHOOL BIRPUR 0197545 06-05-2009
GRADUATION (UG) L.N.M.S COLLEGE BIRPUR 5202228 05-06-2011
POST GRADUATION (PG) B.N.MANDAL UNIVERSITY 14332 10-07-2015

ADDRESS DETAILS
PERMANENT ADDRESS CORRESPONDENCE ADDRESS
HOUSE NO HOUSE NO-31 HOUSE NO HOUSE NO-31

STREET/MOHALLA PROFESSOR COLONY STREET/MOHALLA PROFESSOR COLONY

VILLAGE/TOWN BIRPUR VILLAGE/TOWN BIRPUR

POST OFFICE BIRPUR POST OFFICE BIRPUR

DISTRICT SUPAUL DISTRICT SUPAUL

STATE BIHAR STATE BIHAR

PIN CODE 854340 PIN CODE 854340

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BENEFITS AVAILED BY ME SHALL BE SUMMARILY WITHDRAWN.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-bpssc.com/V2/acknowledgement 1/1

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