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UP Police Constable Application Form

This document is an application form submitted by Shivani Dutta for the position of Police Constable (Female) in the Uttar Pradesh Police Department. The summary includes: 1. Shivani Dutta has applied for the position of Police Constable (Female) in the Uttar Pradesh Police Department with application ID 200047103001282. 2. She has provided her personal details including name, date of birth, gender, citizenship, category, mobile number, email, and address. 3. She has declared that she meets all the eligibility criteria including qualifications, nationality, age limits, and that she does not have any criminal convictions or previous terminations from government service. 4

Uploaded by

Manish Jaiswal
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© © All Rights Reserved
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Download as PDF, TXT or read online on Scribd
322 views2 pages

UP Police Constable Application Form

This document is an application form submitted by Shivani Dutta for the position of Police Constable (Female) in the Uttar Pradesh Police Department. The summary includes: 1. Shivani Dutta has applied for the position of Police Constable (Female) in the Uttar Pradesh Police Department with application ID 200047103001282. 2. She has provided her personal details including name, date of birth, gender, citizenship, category, mobile number, email, and address. 3. She has declared that she meets all the eligibility criteria including qualifications, nationality, age limits, and that she does not have any criminal convictions or previous terminations from government service. 4

Uploaded by

Manish Jaiswal
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

2/3/2016

UttarPradeshPoliceRecruitmentandPromotionBoard,Lucknow

,
IDeclarethatIhaveReadthedetailedUserManul&Notification.

NotificationDetails(Examination)

[Link]/NotificationNumber:

PRPB1(83)/2015 /

[Link]/PostName:

UTTARPRADESHPOLICEDEPARTMENT/POLICECONSTABLE(FEMALE)DIRECT
RECRUITMENT2015
Candidate'sPersonalDetails

[Link].:

200047103001282
10301030495

[Link]'sName:

SHIVANIDUTTA

[Link]'sName:

SHANKERDUTTA

[Link]'sName:

KRISHNADUTTA

[Link]:

CitizenofIndia

[Link]:

Female03/09/1994

[Link]?/Category:

Yes/GENERAL

[Link]?:

No

[Link]/EmailID:

8948316000 /duttavikas786@[Link]

[Link]:

BankTransactionDetails

[Link]:

StateBankOfIndiaCASHATSBIBR

[Link],TransactionIDDate:

Rs.200.00,DU38249591 01/02/2016
OtherDetailsofCandidate

[Link]?

No

16.HaveyouservedUPHomeGuardforminimum03years?

No

[Link]?

No

17.1ServiceDurationforExserviceman(DayMonthYear): 0

17.2RetirementDateforExserviceman(Date/Month/Year): //
[Link]

No

18.1ServiceDurationforGovermentemployee(DayMonthYear): 0

[Link]:
EssentialQualification

NameofExamination

NameofBoard/
Institute/University

110thstandardbyboardestablishedbylawin
Indiaoraqualificationrecognizedbythe
governmentasequivalentthereto
212thstandardbyboardestablishedbylawin
Indiaoraqualificationrecognizedbythe
governmentasequivalentthereto

UTTARPRADESHBOARDOF
HIGHSCHOOLAND
INTERMEDIATEEDUCATION
UTTARPRADESHBOARDOF
HIGHSCHOOLAND
INTERMEDIATEEDUCATION

Percentage
ofMarks/
Year
Is
Total
Roll
Maximum Equivalent
Of
Grade Marks
Number
Marks
percentage
Passing
System Obtained
valueas
perCGPA
2012

1357864 No

258.00

600.00

2014

1026861 No

276.00

500.00

43.00%

55.20%

[Link]:
PreferentialQualificationDetails

Qualification
[Link]
[Link]
[Link]

Acquired
No
No
No

[Link]

LUCKNOW

[Link]

[Link]

1/2

2/3/2016

23AddressDetails

Candidate'sPermanentAddress

Candidate'sCorrespondence/Mailing
Address

Name(C/O)
Houseno./Village:
StreetNo./PostOffice:
Locality/Kasba/City:
State/DistrictName:

PAPPUSAHU
84320
KATRAMAQBOOLGANJ
LUCKNOW

PAPPUSAHU
84320
KATRAMAQBOOLGANJ
LUCKNOW

UTTARPRADESH/LUCKNOW

UTTARPRADESH/LUCKNOW

PoliceStation:

KAESARBAGH

KAESARBAGH

PIN:

226018

226018

PhotoSignatureDetails
[Link]&Signature

DECLARATION:

[Link]/advertisementoftheexaminationcarefullyandherebyundertaketo
abidebythem
[Link],agelimits,[Link]
[Link]/STcandidateistrueandcorrectandIaminpossessionofcastecertificateintheprescribed
formatgiveninthenotice/advertisement
OR
IdeclarethatmyclaimforreservationasOBCcandidateistrueandcorrectandIaminpossessionofcastecertificateintheprescribed
formatgiveninthenotice/[Link].13/22/16/92/TCiii2/2014dated17.12.2014,Idonot
belongtotheperson/sections(creamylayer)mentionedinit
4.I(formalecandidates)alsodeclarethatIhavenomorethanonewifeliving/(forfemalecandidates)havenotmarriedamanalready
havingawifeliving.
[Link]
[Link]
[Link]/statementsmadeinthisapplicationaretrue,completeandcorrecttothebestofmyknowledgeand
[Link]
takeactionagainstmeasperrulesincaseitisdetectedthatIhavemisleadtheBoardonanyissuethenIwillbesolelyresponsibleforall
penalconsequencesthereof
Iaccepttheabovedeclaration: Yes
Currentstatusofapplication
Yourapplicationisunderprocessing.

ApplicationFormSubmissionDate:03/02/2016,Tim[Link]PM
ApplicationFormprintingDate&Time:[03/02/2016,[Link]PM]

2/2

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