STAFF SELECTION COMMISSION
BLOCK NO. 12, CGO-COMPLEX, LODHI ROAD, NEW DELHI
110003
SUB-INSPECTOR IN DELHI POLICE AND CENTRAL
ARMED POLICE FORCES EXAMINATION
2020
REGISTRATION NO: 73000558010
APPLICATION IS PROVISIONALLY ACCEPTED
1. NAME AS PER 2. NEW/ CHANGED 3. FATHER'S NAME 4. MOTHER'S NAME
MATRICULATION NAME
CERTIFICATE
NISHANT KUMAR GAUTAM - RAJESH GAUTAM GEETA GAUTAM
5. DATE OF BIRTH
6. AGE AS ON 01/01/2021 7. GENDER 8. CATEGORY
(DD/MM/YYYY)
08/07/1998 22.5 MALE SC
9. NATIONALITY 10. MARK OF VISIBLE IDENTIFICATION
CITIZEN OF INDIA ACCIDENTAL MARK ON HEAD
11. MATRICULATION (10th CLASS) EXAMINATION 12. MATRICULATION (10th 13. MATRICULATION (10th
BOARD CLASS) ROLL NO CLASS) YEAR OF PASSING
CENTRAL BOARD OF SECONDARY EDUCATION
5216696 2013
(CBSE)
14. DO YOU BELONG TO CASTES NOT INCLUDED IN CENTRAL LIST OF OBCs BUT NOTIFIED AS OBC BY THE GOVT OF
NCT OF DELHI (SUCH CANDIDATES WILL BE CONSIDERED AS OBC FOR DELHI POILICE AND UR FOR OTHER POSTS)?
-
15. WHETHER DEPARTMENTAL CANDIDATE OF DELHI POLICE ?
NO
16.1. ARE YOU A NATIONAL CADET CORPS (NCC) CERTIFICATE HOLDER 16.2. TYPE OF CERTIFICATE
?
NO -
17. PREFERENCE OF EXAMINATION CENTERS
EXAMINATION CENTER EXAMINATION CENTER EXAMINATION CENTER
(FIRST PREFERENCE ) (SECOND PREFERENCE) (THIRD PREFERENCE)
LUCKNOW ( 3010 ) BAREILLY ( 3005 ) KANPUR ( 3009 )
[Link] EX- 18.1. DATE OF DISCHARGE 18.2. HAVE YOU ALREADY JOINED A CIVIL POST BY
SERVICEMAN (ESM)? FROM ARMED FORCES AVAILING BENEFIT OF RESERVATION FOR EX-
(DD/MM/YYYY) SERVICEMAN (ESM) ?
NO - -
18.4. LENGTH OF SERVICE IN
18.3. DATE OF JOINING THE 19. WHETHER ELIGIBLE FOR SPECIAL QUOTA AS ESM
ARMED FORCES
CIVIL POST (DD/MM/YYYY) FOR DELHI POLICE?
(IN YEARS)
- - -
20. WHETHER SEEKING AGE 20.1 IF YES,INDICATE CODE 21. HIGHEST QUALIFICATION
RELAXATION ?
YES 01-SC/ST BA
22. DETAILS OF QUALIFYING EDUCATIONAL QUALIFICATION 23. WHETHER PASSED THE QUALIFYING
EXAMINATION:
GRADUATION NO
UNIVERSITY/ BOARD ROLL NO SUBJECTS YEAR OF PASSING PERCENTAGE CGPA
LUCKNOW UNIVERSITY - HISTORY AND - - -
SOCIOLOGY
24. 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 DETAIL
25. POSTAL ADDRESS 26. PERMANENT ADDRESS
669 RESERVE POLICE LINE KHAJUR GANV KHAJURGANV RAEBARELI UTTAR
LUCKNOW PRADESH
DISTRICT: LUCKNOW DISTRICT:RAEBARELI
STATE: UTTAR PRADESH STATE: UTTAR PRADESH
PIN : 226007 PIN : 229216
MOBILE NO: 8765013258 EMAIL: nishantjuly98@[Link]
FEE PAYMENT AMOUNT TRANSACTION NO TRANSACTION DATE
EXEMPTED - - -
DECLARATION
1. I HAVE READ THE NOTICE OF EXAMINATION AND ACCEPT ALL THE TERMS & CONDITIONS MENTIONED
THEREIN.
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.I AM WILLING TO SERVE ANYWHERE IN INDIA.
PRINT TAKEN ON: 26/06/2020 12:25:13 PM IP ADDRESS: [Link]