10/23/2020 BPSSC Online

BIHAR POLICE SUB-ORDINATE SERVICES COMMISSION

RECRUITMENT FOR BIHAR POLICE SUB INSPECTOR & POLICE SERGEANT (Advt. No. 03/2020)

ACKNOWLEDGEMENT
REGISTRATION ID : 61290154 DATE & TIME : 22-09-2020 22:34:04

POST PREFERENCES: 1. POLICE SUB INSPECTOR 2. POLICE SERGEANT

APPLICANT NAME : SHARIQUE RAZA FATHER'S NAME : NASIM UDDIN

MOTHER'S NAME : NAZMA KHATOON NATIONALITY : INDIAN

MOBILE NUMBER : 8130239531 EMAIL ADDRESS : SHARIQUEALIG2000@GMAIL.COM

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

GENDER : MALE DATE OF BIRTH : 30-01-1991

MARITAL STATUS : UNMARRIED

IDENTITY CARD NO : 622715717408 (AADHAR CARD) IDENTIFICATION MARKS : A CUT MARKS ON RIGHT WRIST

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 ALIGARH MUSLIM UNIVERSITY ALIGARH GA 8910 06-08-2011
GRADUATION (UG) JAMIA MILLIA ISLAMIA UNIVERSITY NEW DELHI 11-6555 14-04-2018
POST GRADUATION (PG) AMITY UNIVERSITY NOIDA A03104517037 02-11-2018

ADDRESS DETAILS
PERMANENT ADDRESS CORRESPONDENCE ADDRESS
HOUSE NO 2,WARD NO 1 HOUSE NO 2,WARD NO 1

STREET/MOHALLA VILLAGE BHAGWANPUR STREET/MOHALLA VILLAGE BHAGWANPUR

VILLAGE/TOWN ARARIA VILLAGE/TOWN ARARIA

POST OFFICE ARARIA BAIRGACHI POST OFFICE ARARIA BAIRGACHI

DISTRICT ARARIA DISTRICT ARARIA

STATE BIHAR STATE BIHAR

PIN CODE 854311 PIN CODE 854311

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

file:///C:/Users/SHARIQUE RAZA/Desktop/BPSSC SUB INSPECTOR AND SEARGENT FORM.html 1/2

10/23/2020 BPSSC Online

file:///C:/Users/SHARIQUE RAZA/Desktop/BPSSC SUB INSPECTOR AND SEARGENT FORM.html 2/2