Staff Selection Commission

Block No. 12, CGO-Complex, Lodhi Road, New Delhi 110003

Recruitment of Sub-Inspector in Delhi Police,CAPFs and Assistant Sub-
Inspectors In CISF Examination,2018
Registration No: 60002549569

Application Status: Application provisionally submitted

Name of the Examination Centre Examination Centre Code

CR-Lucknow(3010) 3010
CR-Gorakhpur(3007) 3007
CR-Varanasi(3013) 3013
Candidate's Full Name Father's Name Mother's Name Date of Birth
PURNIMA YADAV SHRIRAM YADAV MAYA DEVI 1995-09-12
Gender Nationality Fee Option Category
Female Indian Exemption claimed OBC
Whether Ex-serviceman If ExS, Whether eligilble for Length of Service (in years) Date of Discharge
reservation
No
Whether Departmental Whether eligible for special If eligible for special quota Whether seeking Age Age Relaxation code
candidate of Delhi police quota for Exs for Delhi for ExS for Delhi Police relaxation?
Police then select sub-category
No No No
Age as on (01.08.2018) Whether belong to Minority Preference for Posts Mark of visible identification
Communities as per Govt. Orders?
22.10 No ABCDEFG
Fee Option Amount Transaction-ID Transaction Date

Educational Qualification(As on 01.08.2018)

EQ Code Subject Code Percentage(%) of marks
BA History 59.05

Do you want to make available your personal information for accessing job opportunity in terms of Dop&T's O.M
No.39020/1/2016-Estt.(B) dated 21.06.2016?
No

Details of Work Experience/Govt. Service rendered

Organization Name Designation Nature of Duty(ies) Period of Service
-

Address Detail
Communication Address Permanent Address
BALLIA VILL SAMSUDDINPUR POST SISYAND KALA DITT BALLIA
City: SHAMSUDDIN PUR State: Uttar Pradesh
District: BALLIA Pin Code: 221718
State: Uttar Pradesh Mobile No.: 8808495510
Pin Code: 221718 Email Id: punamy99@gmail.com

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 suppressed/false or incorrect or ineligibility
being detected before or after the examination, my candidature/appointment is liable to be cancelled

Printed on:(dd/mm/yyyy): 23/03/2018 17:41:10