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Print Form: Staff Selection Commission

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0% found this document useful (0 votes)
16 views3 pages

Print Form: Staff Selection Commission

Uploaded by

Sumit Rawat
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Government of India

Staff Selection Commission

Print Form
STAFF SELECTION COMMISSION
BLOCK NO. 12, CGO COMPLEX, LODHI ROAD, NEW DELHI
110003

Constable (GD) in Central Armed Police Forces (CAPFs), SSF, Rifleman (GD) in Assam
Rifles and Sepoy in Narcotics Control Bureau Examination-2025
REGISTRATION NO: 10000962236

Application Completed(Contents Not Verified)

1. CANDIDATE'S NAME (AS PER THE


2. NEW/ CHANGED NAME 3. GENDER 4. CATEGORY
MATRICULATION CERTIFICATE)

SUMIT SINGH - Male EWS

7. DATE OF BIRTH (DD/MM/YYYY)


5. FATHER'S NAME 6. MOTHER'S NAME
(AS PER THE MATRICULATION CERTIFICATE)

SHIV SINGH REKHA DEVI 05/04/2004


8. AGE AS ON 01/01/2025 9. NATIONALITY 10. VISIBLE IDENTIFICATION MARK

20 Years 8 Months 28 Days Citizen of India NO


11. WHETHER A PERSON WITH BENCHMARK DISABILITY (PwBD) ? 11.1. IFYES, TYPE OF DISABILITY (OH, HH, VH, OTHERS)

No -

12. MATRICULATION (10th CLASS) EXAMINATION BOARD 13. MATRICULATION (10th CLASS) YEAR OF PASSING 14. MATRICULATION (10th CLASS) ROLL NO.
Uttarakhand Board of School Education 2019 19065811

ADDRESS DETAILS
15.1 CORRESPONDENCE ADDRESS 16.1 PERMANENTADDRESS
GADKHARK MALLA GADKHARK MALLA

15.2. STATE: Uttarakhand 16.2. STATE: Uttarakhand


15.3. DISTRICT: Pauri Garhwal 16.3. DISTRICT: Pauri Garhwal

15.4. PIN: 246275 16.4. PIN: 246275


17. EMAIL sr5380615@gmail.com 18. MOBILE NUMBER 8126725409

19. HIGHEST EDUCATIONAL QUALIFICATION


Graduation
20. DETAILS OF QUALIFYING EDUCATIONAL QUALIFICATION

10th Standard

20.1. EQ STATUS 20.2. PASSING YEAR 20.3. STATE/ UT of BOARD

Passed 2019 Uttarakhand

20.4. NAME OF BOARD

UTTARAKHAND BOARD OF SCHOOL EDUCATION

20.5. ROLL NUMBER 20.6. PERCENTAGE 20.7. CGPA


19065811 74

21. WHETHER YOU ARE AN EX-SERVICEMAN (ESM) OR SERVING IN THE ARMED FORCES? 21.1 DATE OF JOINING THE ARMED FORCES (DD/MM/YYYY)
No -

21.2. DATE OF DISCHARGE FROM ARMED FORCES (DD/MM/YYYY)? 21.3. LENGTH OF SERVICE IN ARMED FORCES

- -
21.4. HAVE YOU ALREADY JOINED A CIVIL POST BYAVAILING BENEFIT OF RESERVATION FOR EX-
21.5. DATE OF JOINING TO CIVIL POST (DD/MM/YYYY)
SERVICEMAN (ESM) ?

No -

22. WHETHER SEEKING AGE RELAXATION ? 22.1. IFYES, AGE RELAXATION CODE

No

23. DO YOU WANT TO MAKE YOUR PERSONAL INFORMATION AVAILABLE FOR ACCESSING JOB OPPORTUNITIES IN TERMS OF DOP&T'S OM NO.39020/1/2016-ESTT.(P) DATED 21/06/2016?

No

24. PREFERENCE OF EXAMINATION CENTER

24.1. EXAMINATION CENTER (FIRST PREFERENCE ) 24.2. EXAMINATION CENTER (SECOND PREFERENCE ) 24.3. EXAMINATION CENTER (THIRD PREFERENCE )

NR-Delhi (2201) NR-Dehradun (2002) NR-Jodhpur (2406)

25. MEDIUM FOR COMPUTER BASED EXAMINATION (CBE)

02 - English

26. ARE YOU A NATIONAL CADET CORPS (NCC) CERTIFICATE HOLDER? 26.1 TYPE OF THE NCC CERTIFICATE

No -
27. HAVE YOU PARTICIPATED IN ANY GAME/ SPORTAT THE DISTRICT/ STATE/ NATIONAL/ INTERNATIONAL LEVEL?

No

27.1 NAME OF SPORTS/GAME 27.2 LEVEL OF PARTICIPATION


- -

27.3 YEAR OF COMPETITION 27.4 MEDAL/ POSITION ACHIEVED


- -

28. STATE/ UT OF DOMICILE 29. DISTRICT OF DOMICILE

Uttarakhand Pauri Garhwal

30.1.WHETHER YOU WOULD LIKE TO AVAILTHE BENEFIT OF RESERVATION FROM THE STATE/ UT OFYOUR
30. HAVE YOU MIGRATED FROM THE STATE/ UT OFYOUR ORIGIN TO STATE/ UT OFYOUR DOMICILE?
ORIGIN?

No -

30.2. STATE/ UT OF ORIGIN 30.3. DISTRICT OF ORIGIN

- -

31. CANDIDATE BELONGS TO MILITANCY/ NAXALAFFECTED DISTRICT?

No

32. CANDIDATE BELONGS TO BORDER DISTRICT?


No

33. PREFERENCE OF POSTS FOR CAPFS/ ORGANISATIONS

G,B,A,C,D,E,F,H

FEE PAYMENT AMOUNT TRANSACTION NO TRANSACTION DATE

NOT EXEMPTED 100 250906b33d9f8397c6 19/09/2024

DECLARATION

1. I HAVE READ THE NOTICE OF EXAMINATION AND ACCEPTALL THE TERMS & CONDITIONS MENTIONED THEREIN.

2. I HEREBY DECLARE THATALL 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.

3. I AGREE TO AUTHORIZE SSC TO USE MYAADHAR DATA FOR VERIFICATION PURPOSE.

PRINT TAKEN ON: 27-09-2024 4:43 PM


NUMBER OF ATTEMPT(s): 1

(Signature)

IP ADDRESS: 2409:4085:8382:e84a:6445:8c1a:4de4:d765

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