STAFF SELECTION COMMISSION
BLOCK NO. 12, CGO-COMPLEX, LODHI ROAD, NEW DELHI
110003
HEAD CONSTABLE (MINISTERIAL) IN DELHI POLICE
EXAMINATION, 2022
REGISTRATION NO: 40003806982
APPLICATION RECEIVED (CONTENTS NOT VERIFIED)
1. NAME AS PER 2. NEW/ CHANGED 3. FATHER'S NAME 4. MOTHER'S NAME
MATRICULATION CERTIFICATE NAME
KOMAL KAUR - HARJIT SINGH SIMRANJIT KAUR
5. DATE OF BIRTH
6. AGE AS ON 01/01/2022 7. GENDER 8. CATEGORY
(DD/MM/YYYY)
18/10/1998 23.2 FEMALE SC
9. WHETHER PERSON WITH DISABILITY (PwD)? 9.1 IF YES, TYPE OF DISABILITY
NO -
10. NATIONALITY 11. MARK OF VISIBLE IDENTIFICATION
CITIZEN OF INDIA MOLE ON DOWN LIPS LEFT SIDE
14. MATRICULATION
13. MATRICULATION
12. MATRICULATION (10th CLASS) EXAMINATION BOARD (10th CLASS) YEAR OF
(10th CLASS) ROLL NO
PASSING
PUNJAB SCHOOL EDUCATION BOARD 1014544770 2014
15. DO YOU POSSESS OBC CATEGORY CERTIFICATE NOTIFIED IN THE CENTRAL LIST OR BY THE GOVT. OF NCT OF
DELHI ?
-
16. WHETHER A WIDOW/ DIVORCED/ JUDICIALLY SEPARATED WOMEN?
NO
17. WHETHER DEPARTMENTAL CANDIDATE OF DELHI POLICE ?
NO
18. WHETHER SON/ DAUGHTER OF SERVING, RETIRED OR DECEASED PERSONNEL/ MULTI-TASKING STAFF OF DELHI
POLICE
NO
19. HAVE YOU REPRESENTED A STATE AT THE NATIONAL LEVEL OR THE 19.1. IF YES, DISCIPLINE OF YOUR
COUNTRY AT THE INTERNATIONAL LEVEL IN SPORTS DURING PRECEEDING 3 SPORT
YEARS FROM THE CLOSING DATE OF RECEIPT OF ONLINE APPLICATIONS?
YES KARATE
20. MEDIUM OF COMPUTER BASED EXAMINATION (CBE)
ENGLISH
21. PREFERENCE OF EXAMINATION CENTERS
EXAMINATION CENTER EXAMINATION CENTER EXAMINATION CENTER
(FIRST PREFERENCE) (SECOND PREFERENCE) (THIRD PREFERENCE)
AMRITSAR ( 1404 ) JALANDHAR ( 1402 ) CHANDIGARH ( 1601 )
22.1. WHETHER YOU ARE AN EX- 22.2. DATE OF JOINING THE ARMED [Link] OF DISCHARGE/ LIKELY
SERVICEMAN (ESM) OR SERVING FORCES (DD/MM/YYYY) DATE OF DISCHARGE FROM ARMED
IN THE ARMED FORCES? FORCES (DD/MM/ YYYY)
NO - -
22.5. HAVE YOU ALREADY JOINED A
22.4. LENGTH OF SERVICE IN THE CIVIL POST BY AVAILING BENEFIT OF 22.6. DATE OF JOINING TO CIVIL POST
ARMED FORCES RESERVATION FOR EX-SERVICEMAN (DD/MM/YYYY)
(ESM) ?
- - -
23.1. WHETHER SEEKING AGE 23.2. IF YES,INDICATE CODE
RELAXATION ?
NO -
24.1. ARE YOU A NATIONAL CADET CORPS (NCC)
24.2. TYPE OF THE NCC CERTIFICATE
CERTIFICATE HOLDER ?
NO -
25. MEDIUM FOR TYPING TEST:
ENGLISH
26.1. DO YOU POSSESS DEGREE/ POST GRADUATE
26.2. IF YES, CLASS OBTAINED IN DEGREE/ POST
DIPLOMA AWARDED BY RASHTRIYA RAKSHA
GRADUATE DIPLOMA:
UNIVERSITY (RRU)?
NO -
27. HIGHEST EDUCATIONAL QUALIFICATION
INTERMEDIATE/ HIGHER SECONDARY/ 10+2 (2)
28. DETAILS OF QUALIFYING EDUCATION
12TH STANDARD
STATE/ UT OF
NAME OF BOARD/ PERCENT
STATUS PASSING YEAR BOARD/ ROLL NO CGPA
UNIVERSITY AGE
UNIVERSITY
PUNJAB SCHOOL
PASSED 2016 PUNJAB 2017173604 72.44 -
EDUCATION BOARD
29. 22. DO YOU WANT TO MAKE AVAILABLE YOUR PERSONAL INFORMATION FOR ACCESSING JOB OPPORTUNITY IN
TERMS OF DoP&T'S O.M NO.39020/1/2016-ESTT.(B) DATED 21.06.2016 ?
NO
ADDRESS DETAILS
30. POSTAL ADDRESS 31. PERMANENT ADDRESS
PATTI MANSOOR DI SULTANWIND PIND AMRITSAR PATTI MANSOOR DI SULTANWIND PIND AMRITSAR
DISTRICT: AMRITSAR DISTRICT:AMRITSAR
STATE: PUNJAB STATE: PUNJAB
PIN : 143001 PIN : 143001
MOBILE NO: 8559052850 EMAIL: komalkaurcu97@[Link]
32. WHETHER THE PHOTOGRAPH HAS BEEN TAKEN ON OR AFTER 17-FEB-2022?
YES
FEE PAYMENT AMOUNT TRANSACTION NO TRANSACTION DATE
EXEMPTED - - -
DECLARATION
1. I HAVE READ THE NOTICE OF THE EXAMINATION AND ACCEPT ALL THE TERMS & CONDITIONS OF THE
NOTICE OF THE EXAMINATION.
2. I HEREBY DECLARE THAT ALL STATEMENTS MADE IN THIS APPLICATION ARE TRUE, COMPLETE AND
CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. I UNDERSTAND THAT IN THE EVENT OF ANY
INFORMATION BEING FOUND SUPPRESSED/FALSE OR INCORRECT OR INELIGIBILITY BEING DETECTED
BEFORE OR AFTER THE EXAMINATION, MY CANDIDATURE/ APPOINTMENT IS LIABLE TO BE CANCELLED.
3. I DECLARE THAT THE PHOTOGRAPH UPLOADED IN THE APPLICATION FORM HAS BEEN TAKEN ON OR
AFTER THE STIPULATED DATED.
PRINT TAKEN ON: 14/06/2022 5:42:40 PM IP ADDRESS: [Link]