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Government of Assam: State Level Police Recruitment Board, Assam Rehabari::: Guwahati

The document is an application form for a police recruitment board in Assam, India. It contains details of an applicant named Matibar Rahman, including biographical information like date of birth, family details, qualifications, and preferences for job positions. At the end, the applicant declares that the provided particulars are true and understands his candidature can be rejected if any information is found to be false. The notice section informs candidates to carefully check the entered data and contact help desk in case of any issues.

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Matibar Rahman
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117 views

Government of Assam: State Level Police Recruitment Board, Assam Rehabari::: Guwahati

The document is an application form for a police recruitment board in Assam, India. It contains details of an applicant named Matibar Rahman, including biographical information like date of birth, family details, qualifications, and preferences for job positions. At the end, the applicant declares that the provided particulars are true and understands his candidature can be rejected if any information is found to be false. The notice section informs candidates to carefully check the entered data and contact help desk in case of any issues.

Uploaded by

Matibar Rahman
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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GOVERNMENT OF ASSAM

STATE LEVEL POLICE RECRUITMENT BOARD, ASSAM


REHABARI::: GUWAHATI

(NO APPLICATION FEE IS APPLICABLE)

APPLICATION FORM

ADVT NO: SLPRB/ REC/JA-STENO/2018/159 APPLY DATE: 17-MAY-2020

APPLICATION NO. NAME: DATE OF BIRTH:


JRA22393 MATIBAR RAHMAN 11-01-1994

FATHERS' NAME: MOTHERS' NAME: CASTE:


MAKBUL ALI MAIRUM BIBI GENERAL

EMAIL: PHONE: ADD. PHONE: GENDER:


[email protected] 8011849899 NA MALE

NATIONALITY: RELIGION: EMPLOYMENT NO. :


INDIAN ISLAM 16705/15

POST APPLIED FOR :


JUNIOR ASSISTANT DISTRICT LEVEL (PREFERENCE 1)
JUNIOR ASSISTANT ASSAM POLICE HEAD QUARTERS (PREFERENCE 2)

PERMANENT ADDRESS CORRESPONDENCE ADDRESS

VILL KHARIDAL PO HATIPARA PS CHHAYGAON DIST KAMRUP ASSAM PIN CODE VILL KHARIDAL PO HATIPARA PS CHHAYGAON DIST KAMRUP ASSAM PIN CODE
781137 781137

DISTRICT: POLICE STATION: PIN: DISTRICT: POLIOCE STATION: PIN:


KAMRUP CHAYGAON 781137 KAMRUP CHAYGAON 781137

ACAMEDIC QUALIFICATION: EXTRA CURRICULAR ACTIVITIES:

STENOGRAPGY
COLLEGE NAME: COMPUTER CERTIFICATE
CERTIFICATE
CHHAYGAON COLLEGE YES
NA

QUALIFICATION: DEPARTMENT: PERCENTAGE: EWS CERTIFICATE


GRADUATE COMMERCE 55 % NA

DECLARATION:
It is certified that above particulars are true to my knowledge and belief. Further, I understand that if any of the above particulars is found false, my candidature will
be automatically rejected.

NOTICE:
Candidate should check all the data entered in the application form very carefully. Any issue noticed, candidate may contact recruitment Help Desk Tel: 7636071991, 7636071992, 7636071993 (09:00am -
06:00pm) or Email: [email protected].

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