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    SSB Online Main

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    lswapnil9579
    Ssb form pdf of recruitment of main branch

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    SSB Online Main

    Uploaded by

    lswapnil9579
    2 views2 pages
    Ssb form pdf of recruitment of main branch

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    SSB Online main

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    Ssb form pdf of recruitment of main branch

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    2 views2 pages

    SSB Online Main

    Uploaded by

    lswapnil9579
    Ssb form pdf of recruitment of main branch

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    8/12/2021 SSB Online

    >
    SASHASTRA SEEMA BAL RECRUITMENT
    RECRUITMENT OF 338/RC/SSB/HC(Min)/2020 FOR THE POST OF (Head Constable
    (Ministerial))

    ACKNOWLEDGEMENT
    REGISTRATION ID : 30818788 DATE & TIME : 2021-08-12 16:25:42

    POST APPLIED FOR : HEAD CONSTABLE (MINISTERIAL) APPLICANT NAME : SWAPNIL LANDGE

    FATHER'S NAME : RAMPRASAD LANDGE MOTHER'S NAME : SUNITA LANDGE

    DATE OF BIRTH : 03-05-1997 GENDER : MALE

    RELIGION : HINDU MARITAL STATUS : UNMARRIED

    NATIONALITY : INDIAN CATEGORY : OBC


    IDENTITY CARD NO : 621133164629 (AADHAR CARD) IDENTIFICATION MARKS : MOLE ON LEFT SHOULDER
    MOBILE NUMBER : 9579979713 EMAIL ADDRESS : [email protected]
    COMMUNITY BELONGING TO ANY : NO
    WHETHER DOMICILED ORDINARY IN J&K DURING 1980 TO 1989 : NO
    WHETHER AFFECTED IN 1984 RIOTS OR COMMUNAL RIOTS OF 2002 GUJARAT : NO
    WHETHER EX-SERVICEMAN : NO

    WHETHER DEPARTMENTAL CANDIDATES WITH THREE YEARS CONTINUOUS NO


    SERVICE IN CENTRAL GOVERNMENT :

    EDUCATION QUALIFICATION DETAILS


    AGGREGATE
    SCHOOL/ UNIVERSITY/ BOARD/ YEAR OF CERTIFICATE DATE OF
    EXAM PASSED ROLL NO SUBJECT PERCENTAGE OF
    INSTITUTE EXAM NO ISSUED
    MARKS/ GRADING

    CENTRAL BOARD OF ENGLISH MARATHI


    MATRICULATION SECONDARY EDUCATION DELHI 2013 4257773 0879227 26-05-2013 MATHEMATICS SCIENCE 77.40
    SOCIAL-SCIENCE

    CENTRAL BOARD OF ENGLISH MATHEMATICS


    12 SECONDARY EDUCATION 2015 4645007 130550 25-05-2015 PHYSICS CHEMISTRY 76
    MARATHI

    ADDRESS DETAILS
    PERMANENT ADDRESS CORRESPONDENCE ADDRESS
    VILLAGE/TOWN PALORA VILLAGE/TOWN DINKARNAGAR (MASALA)

    POST OFFICE PALORA POST OFFICE AAKOLI

    TEHSIL MOHADI TEHSIL SELOO

    POLICE STATION KARDI POLICE STATION SELOO

    DISTRICT BHANDARA DISTRICT WARDHA

    STATE MAHARASHTRA STATE MAHARASHTRA

    PIN CODE 441905 PIN CODE 442001

    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.

    DATE : 2021-08-12 16:25:42

    https://applyssb.com/hcmin2021/acknowledgement 1/2
    8/12/2021 SSB Online

    https://applyssb.com/hcmin2021/acknowledgement 2/2

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