9/23/2019 BPSSC Online

BIHAR POLICE SUB-ORDINATE SERVICES COMMISSION

RECRUITMENT FOR BIHAR POLICE SUB INSPECTOR/POLICE SERGEANT/ASSISTANT
SUPERINTENDENT JAIL, 2019 (Advt. No. 01/2019)

ACKNOWLEDGEMENT
REGISTRATION ID : 41322784 DATE & TIME : 22-09-2019 13:09:20

POST PREFERENCES: 1. POLICE SUB INSPECTOR 2. ASSISTANT SUPERINTENDENT JAIL(DIRECT RECRUITMENT) 3. POLICE SERGEANT

APPLICANT NAME : SUBRAHAM PRASAD SHARMA FATHER'S NAME : HRIDAY NARAYAN SHARMA

MOTHER'S NAME : SUCHITRA KUMARI NATIONALITY : INDIAN

MOBILE NUMBER : 7368891199 EMAIL ADDRESS : DRSPSHARMA999@GMAIL.COM

ARE YOU A DOMICILE OF BIHAR STATE : YES CATEGORY : EBC

GENDER : MALE DATE OF BIRTH : 09-04-1990

MARITAL STATUS : MARRIED

IDENTITY CARD NO : 976144893483 (AADHAR CARD) IDENTIFICATION MARKS : CUT MARKS ON LEFT INDEX FINGER

ARE YOU AN EX-SERVICEMAN? NO ARE YOU A WARDS OF FREEDOM FIGHTER? NO

EDUCATION QUALIFICATION DETAILS

EXAM PASSED SCHOOL/ UNIVERSITY/ BOARD/ INSTITUTE PASSING CERTIFICATE NO CERTIFICATE ISSUED DATE
MATRICULATION BIHAR SCHOOL EXAMINATION BOARD PATNA 05AC0058764 20-10-2005
GRADUATION (UG) TEERTHANKER MAHAVEER UNIVERSITY BDS/182 09-04-2016

ADDRESS DETAILS
PERMANENT ADDRESS CORRESPONDENCE ADDRESS
HOUSE NO 69 HOUSE NO 69

STREET/MOHALLA GANESHPUR STREET/MOHALLA GANESHPUR

VILLAGE/TOWN GANESHPUR VILLAGE/TOWN GANESHPUR

POST OFFICE KHARIK BAZAR POST OFFICE KHARIK BAZAR

DISTRICT BHAGALPUR DISTRICT BHAGALPUR

STATE BIHAR STATE BIHAR

PIN CODE 853202 PIN CODE 853202

DECLARATION OF CRIMINAL CASES

HAVE YOU EVER BEEN DEBARRED BY UPSC, SSC OR SPSC OR ANY RECRUITMENT BOARD FROM APPEARING IN ANY EXAM? NO

CRIMINAL PROCEEDING DETAILS, IF ANY

A) WHETHER ANY FIR OR CRIMINAL CASE(S) HAS EVER BEEN REGISTERED AGAINST YOU? NO

B) WHETHER ANY CRIMINAL COMPLAINT CASE OR FIR OR CRIMINAL CASE(S) IS PENDING AGAINST YOU IN COURT OF LAW,
NO
OR WITH POLICE AT THE TIME OF SUBMITTING THE APPLICATION FORM?

C) HAVE YOU EVER BEEN ARRESTED/DETAINED IN ANY CRIMINAL CASE(S)? NO

D) HAVE YOU EVER BEEN TRIED & CONVICTED OR ACQUITTED BY A COURT OF LAW IN ANY CRIMINAL CASE(S)? NO

E) HAVE YOU EVER BEEN TRIED & CONVICTED BY THE COURT BY FILLING ANY BOND FOR GOOD BEHAVIOUR ETC.? NO

DECLARATION BY THE CANDIDATE

I HEREBY DECLARE THAT THE INFORMATION GIVEN ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF AND NOTHING HAS BEEN CONCEALED THEREIN. I AM
WELL AWARE OF THE FACT THAT IF THE INFORMATION GIVEN BY ME IS PROVED NOT TRUE, I WILL HAVE TO FACE THE CONSEQUENCES AS PER THE LAW. ALSO, ALL THE
BENEFITS AVAILED BY ME SHALL BE SUMMARILY WITHDRAWN.

English Signature Hindi Signature

https://apply-bpssc.com/V2/acknowledgement 1/1