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PUNJAB POLICE RECRUITMENT 2016


APPLICATION FORM FOR THE POST OF BOTH DISTRICT POLICE CADRE & ARMED POLICE CADRE

APPLICATION STATUS: COMPLETE

Name:
Father's Name:
Mother's Name:
Alias:
DoB:
Category:
Post:
Prefered District:
Weight:
Qualification:

SIMARJIT SINGH
JAGROOP SINGH
HARDEEP KAUR

Registration ID:
Gender:
Mobile No:
Marital Status:

10/1/1993
General
Both District Police Cadre & Armed Police Cadre
Bathinda Range Bathinda
86
Post-Graduation

402168713
Male
9463370807
Unmarried

Address: HOUSE NO.108


State:
Punjab
District:
Mansa
Pin code:
151505
Police Station:
Jaurkian Mansa

DISTRICT PREFERENCES

First Second Third Fourth

Fifth
SAS Nagar
Mansa Bathinda Sangrur Barnala
(Mohali)

Sixth
Ludhiana
Commissionerate

Seventh
Eighth
Ludhiana Jalandhar
Rural
Commissionerate

Ninth
Jalandhar
Rural

Tenth
Pathankot

OTHER DETAILS

Driving experience:
Swimming experience:
Other skills:
Whether any FIR or Criminal case(S) has ever been registered againt you?
Have you ever been arrested/detained in any criminal case(s)
Have you ever been tried & convicted or acquitted by a Court of law in any
criminal case(s)?
Have you ever had to execute any bond for keeping peace/good behavior
under security proceeding of CrPC?
Have you ever been proceeded against by any School/College/University
/Board in case of Unfair Means (UMC) or any charges
Are you facing any Criminal Proceedings in any Court of Law in India?:

Yes
Yes
No
No
No
No
No
No

DECLARATIONS

1.) I hereby declare and confirm that all the entries made by me in this Common Application Form are correct. I undertake that
in case any information furnished by me is found to be false or incomplete or any material information is found to be concealed
by me, my candidature may be cancelled and I understand that no claim, whatsoever, shall be entertained in this regard
afterwards.
2.) I certify that the documents uploaded by me alongwith this Application Form are genuine and in case any of the documents
are found to be fake/forged, appropriate Departmental (including Dischare/Dismissal from service) and/or Criminal
proceedings may be initiated against me. I undertake to abide by the general Rules and Regulations governing the recruitment
process and I will also abide by the instructions/commands given by the staff conducting the recruitment process.
3.) I undertake that I shall not cause any disruption in the Recruitment Process and shall refrain from indulging in any
anti-social, unlawful activities during the entire recruitment process. If I am found indulging in any such activities at any time
during the Recruitment Process, my Candidature may be cancelled and I shall be liable for any Departmental and/or Criminal
Proceedings consequent upon such act/activity.
4.) I undertake that I shall not canvass for my Candidature/Selection in any form.
5.) If after the submission of this Application Form, any Criminal case(s) is/are registered against you or you are

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arrested/detained by Police in any Criminal Case, the complete details relevant to the same should be communicated by you
immediately, in writing, either personally or by registered post/email, to the Chairman, Central Recruitment Board, Punjab
Police failing which it shall be deemed to be the willful concealment of factual information on your part.
6.) I hereby giving my willingness to undergo substance abuse test for drug addiction at the District/Zonal Recruitment Center
before the Physical Measurement Test and Physical Screening Test.

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