The document contains an application submitted by Sandeep Kumar, a male Indian citizen born on February 5, 1992, for the position of Sub-Inspector in the Uttar Pradesh Police. It includes his personal details, educational qualifications, address, declaration of eligibility, and details of the application submission. Sandeep is providing his photo, signature, and accepting the declaration for consideration for the police recruitment examination.

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Uttar Pradesh Police Recruitment and Promotion Board, Lucknow
उ鼀र 婙墐देश पुिलस भत剳ሀ एवं 婙墐ो咐ित बोड㈭㘶, लखनऊ
I Declare that I have Read the detailed User Manul & Notification.
Notification Details ( Examination )
1. Advertisement/Notification Number : PRPB­TWO­1(2)/2015 /
2. Department/Post Name : UTTAR PRADESH POLICE / SI and Equivalent Post Direct Recruitment 2016 for Male
Candidate's Personal Details
3. Application ID : 210999601001177
4. Registration No. : 60101054919
5. Candidate's Name : SANDEEP KUMAR
6. Father's Name : PRAMOD KUMAR
7. Mother's Name : SAVITA DEVI
8. Citizenship : Citizen of India
9. Gender ­ Date of Birth : Male ­ 05/02/1992
10. Are you Domicile of UP? / Category : No / General
11. Are you Married ? : No
12. Mobile Number/ Email­ID : 8527150765 / sandeepsharmalike@gmail.com
Bank Transaction Details
13. Bank Name ­ Payment Mode : State Bank Of India ­ SBINET
14. Fees, Transaction ID ­ Date: Rs. 400.00 , IG0CHQDNM6 ­ 08/07/2016
Other Details of Candidate
15. Are you Dependent of Freedom Fighter? No
17. Are you Ex. Service Man? No
17.1 Service Duration for Ex­service man (Day­Month­Year) : 0 ­ 0 ­ 0
17.2 Retirement Date for Ex­service man (Date/Month/Year) : //
18. Are you a UP Government Employee No
18.1 Service Duration for Goverment employee (Day­Month­Year) : 0 0 0
19. Educational Qualification Details :­
Educational Qualification
Name of Examination
Name of Board/
Institute/University
Year Of
Passing
Roll
Number
Percentage of Marks/
Equivalent percentage
value as per CGPA
1 10th standard by board established by law in India or a qualification
recognized by the government as equivalent thereto
CENTRAL BOARD OF
SECONDARY EDUCATION
2008 6345141
40.00 %
2 12th standard by board established by law in India or a qualification
recognized by the government as equivalent thereto
CENTRAL BOARD OF
SECONDARY EDUCATION
2010 6637502
58.00 %
3 Bachelors Degree from a University established by law in India or a
qualification recognised by the government as equivalent thereto
Stream : Arts
Board/Inst: Delhi university
2014 5047839
50.00 %
4 Any Other Qualification 0
0.00 %
20. Preferential Qualifications:­
Preferential Qualification Details
Qualification Acquired
1 Obtained O LEVEL Certificate in Computer from DOEACC or NIELIT Society No
2 Served in the Territorial Army for a minimum period of two years No
3 Obtained a B Level certificate of National Cadet Corps No
21. Home District N/A
22. Order of Post Preference 1­SI Civil Police 2­PC PAC
23 ↓ Address Details ↓ Candidate's Permanent Address
Candidate's Correspondence/Mailing
Address
Photo Signature Details

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Name (C/O) SANDEEP KUMAR SANDEEP KUMAR Photo&Signature↓
House no./Village : D­1,HOUSE NO.197 D­1,HOUSE NO.197
Street No./Post Office : GALI NO. 8 GALI NO. 8
Locality/ Kasba/City: SONIA VIHAR SONIA VIHAR
State / District Name : Delhi /
NORTH EAST
DELHI / NORTH EAST
Police Station : SONIA VIHAR SONIA VIHAR
PIN : 110094 110094
DECLARATION :
1. I hereby declare that I have read all the provisions in the notice/advertisement of the examination carefully and hereby undertake to abide
by them.
2. I further declare that I fulfil all the conditions of eligibility regarding nationality, age limits, educational qualifications etc. as prescribed.
3. I declare that my claim for reservation as SC /ST candidate is true and correct and I am in possession of caste certificate in the prescribed
format given in the notice/advertisement.
OR
I declare that my claim for reservation as OBC (Non Creamy Layer) candidate is true and correct and I am in possession of caste certificate
in the prescribed format given in the notice/advertisement .I also declare that as per Govt. order No.13/22/16/92/TC­iii का­2/2014 dated
17.12.2014, I do not belong to the person /sections (creamy layer) mentioned in it.
4. I (for male candidates ) also declare that I do not have more than one wife living/(for female candidates) have not married a man already
having a wife living.
5. I also declare that I have never been convicted by any court of law.
6. I further declare that I have never been dismissed or removed from Govt. Service or my service been terminated during probation.
7. I hereby declare that all the entries/statements made in this application are true, complete and correct to the best of my knowledge and
belief. In the event of any information being found false or incorrect or ineligibility being detected before or after selection the Board can
take action against me as per rules in case it is detected that I have misled the Board on any issue then I will be solely responsible for all
penal consequences thereof.
I accept the above declaration : Yes
↓ Current status of application ↓
Application Form Submission Date and Time : DATE :16/07/2016 ,TIME :19:51:43
Application Form printing Date & Time : [ 16/07/2016 ,7:50:36 PM ]