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CRPF Form 2023

Uploaded by

Kunal Sharma
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© © All Rights Reserved
Available Formats
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0% found this document useful (0 votes)
16 views

CRPF Form 2023

Uploaded by

Kunal Sharma
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Post Applied Details

Candidate Photo
Application Status Application Number Candidate's Name
PaymentSuccess CRPF231489835 KUNAL SHARMA
Date of Birth Age as on 25.01.2023 Gender
30/Oct/2004 18 Years 2 Months 27 Male
Days Marital Status
Unmarried
Father's Name Mother's Name Email ID
PRAMOD SHARMA URMILA SHARMA kunalsharma3460@g
mail.com
Mobile Number Alternate Mobile Nu
9828833946 mber
8949567045

Post Details

Post Name Post Code


Head Constable(Minis 04
terial)

Test City Preferences

Preferred Test State Preferred Test City 1 Preferred Test State


1 Bikaner 2
Rajasthan Rajasthan
Preferred Test City 2 Preferred Test State Preferred Test City 3
Jodhpur 3 Sikar
Rajasthan

Candidate Domicile and Category Details

Nationality Reservation Categor


A citizen of India y
UR

Ex Servicemen Details

Are you an Ex Servic


emen (ESM) or child
of ESM?
No

Departmental Employee Details

Are you a Central Go


vt. Servants who ha
ve rendered not less
than 3 years regula
r/ continuous servic
e as on 21/01/2023?
No
Are you a Children a
nd dependent of vic
tims killed in the 19
84 riots or commun
al riots of 2002 in Gu
jarat?
No

Correspondence Address

Address Line 1 Address Line 2 Country


India
MADHUBANI VIKAS K THANA BARIYA TAHSI State
HAND BARIYA L BARIYA MADHUBAN Uttar Pradesh
I
City/District
Ballia
Pincode/Postal Code Is Permanent Addre
277208 ss Same as Correspo
ndence address?
Yes

Permanent Address

Address Line 1 Address Line 2 Country


MADHUBANI VIKAS K THANA BARIYA TAHSI India
HAND BARIYA L BARIYA MADHUBAN
State
I
Uttar Pradesh
City/District Pincode/Postal Code
Ballia 277208

Matriculation (10th) Details

Name of the Board/ Institute Name Please select any of


Council HOLY MISSION PUBLI the following
BSER C SECANDARY SCHOO Percentage
L
Marks Obtained
470
Maximum Marks Percentage of Marks Year of Completion
600 (%) 2019
78.33

lntermediate (12th) Details

Name of the Board/ Institute Name Please select any of


Council NNRSV SENIOR SECA the following
BSER NDARY SCHOOL Percentage
Marks Obtained Maximum Marks Percentage of Marks
450 500 90.00
Year of Passing
2021

Payment Details

Amount Payment Mode Payment Status


100 online Payment Success
Payment Transactio
n No.
CPACKJYGF3

Documents Upload
Signature

View / Downloa
Document
d

To view your copy of scanned 10th class certificate/Mark


Click here.
sheet:

To view your copy of scanned 12th class certificate: Click here.

Declaration

I hereby certify that the information given by me in this Application Form is t


rue to the best my knowledge. I certify that I fulfill the Govt Form eligibility cr
iteria and undertake to produce original documents whenever necessary an
d I will not demand any reschedule of exam. I agree to abide by the declarati
on of the authorities regarding the eligibility of my application and understa
nd that any misrepresentation or omission of facts in my application may ju
stify cancellation of my Govt Form application & scores. I understand that all
disputes will be subject to the territorial jurisdiction of city of Indore only.

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