2/12/24, 12:49 PM JSSC

APPLICATION FORM

Personal Details

Registration Number 82164338

Post Name CONSTABLE

Applicant's First Name PANKAJ

Last Name KUMAR

Applicant's Full Name PANKAJ KUMAR

Date of Birth (DD-MM-YYYY) 24-09-2003

Father's Name MAHESH CHAND

Mother's Name MULO DEVI

Gender MALE

Mobile Number 7456035185

Aadhaar No. 944097170518

E-Mail ID pankaj5141291@gmail.com

Nationality INDIAN

Visible Identification Mark 1 cut on forehead

Visible Identification Mark 2

Option for Language Paper II HINDI

Maritial Status UNMARRIED

Spouse Name/Others

Other Information
Vacancy Type BOTH

Are you local resedent of Jharkhand NO

Categoty UR

Are you a graduate or diploma from Raksha Shakti

University recognized by the Central Government and NO
Jharkhand Government. Yes/No?

Are you appointed to the post of Assistant police Yes/No? NO

Educational Qualification
EDUCATIONAL BOARD MONTH & YEAR OF RESULT ROLL % of Marks
QUALIFICATION NAME PASSING STATUS NUMBER Obtained
10th/Matriculation CBSE 05-2018 PASS 5141291 73.4

Correspondence address
Address Line 1 TULSI NAGAR

https://jsscjcce23.onlinereg.in/babareg24/Printapp/Printapp?RegNo=%2Bn8BQ4IR%2Fx7N768o9FPqhQ6rB19x7aLjVyAZJyUACDk%3D 1/2
2/12/24, 12:49 PM JSSC

Address Line 2 BAKALPUR

City/Village/Town MATHURA

State/Union Territory UTTAR PRADESH

Other State District Name MATHURA

Pin code 281004

Permanent address
Address Line 1 TULSI NAGAR

Address Line 2 BAKALPUR

City/Village/Town MATHURA

State/Union Territory UTTAR PRADESH

Other State District Name MATHURA

Pin code 281004

District wise Preference Details

Vacancy Type District Name Preference

REGULAR SARAIKELA KHARSAAWAN 1

REGULAR GIRIDIH 2

REGULAR WESTERN SINGHBHOOM 3

REGULAR DEOGHAR 4

REGULAR RAMGARH 5

REGULAR SAHEBGANJ 6

REGULAR JAMTADA 7

REGULAR DHANBAD 8

REGULAR JWFS 9

REGULAR SIMDEGA 10

REGULAR GUMLA 11

REGULAR RANCHI 12

REGULAR RAIL DNB 13

REGULAR CTC 14

REGULAR JAPTC 15

REGULAR BOKORO 16

REGULAR RAIL JSR 17

Payment Details
Transaction Number Amount Transaction Date

113176307603 100 2024-02-12 12:47:03

Declaration
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 false at any stage or not satisfying the eligibility criteria according to the requirements of the post, my
candidature/ appointment is liable to be cancelled/terminated.

Candidates are advised to take a print of his/her application form and keep-it with him/her along with electronically generated bank receipt in
support of payment of his/her examination fee for future communication in this regard.

System IP : 49.43.160.210
Application Print Date : 12/02/2024 12:49:13 PM

https://jsscjcce23.onlinereg.in/babareg24/Printapp/Printapp?RegNo=%2Bn8BQ4IR%2Fx7N768o9FPqhQ6rB19x7aLjVyAZJyUACDk%3D 2/2