UserID:10003744

Password:SI_805219
APPLICATIONFORMFORTHERECRUITMENTOFSUB
INSPECTOR(TELECOM)INJ&KPOLICE2016.

Applicant'sNo
10003744
Applicant's
NIHARKUCHROO
Name
Father'sName KULDEEPKUCHROO
Mother'sName SUNITAKUCHROO
MaritalStatus UNMARRIED EmailId matrumann@gmail.com
Mobile 9419201036
EducationQualifaction
Gender DateofBirth Category ELECTRONICS&
MALE 12121993 OPENCATEGORY COMMUNICATION
ENGINEERING
InService PostAppliedFor
Province DistrictofPermanentResidence
Police? SUBINSPECTOR
Jammu JAMMU
No (Telecom)
PermanentAddress MailingAddress
#536,Suraksha
Name&
Vihar,Behind
complete #536,SurakshaVihar,BehindBSF
Name&completeMailingAddress BSFCamp,
Permanent Camp,PalouraTopJammu
PalouraTop
Address
Jammu
Jammu&
State Jammu&Kashmir State
Kashmir
District JAMMU District JAMMU
PinCode 181124 PinCode 181124
Declaration

1)Iherebydeclarethatallstatementmadeinthisapplicationaretrue,completeandcorrecttothe
bestofmyknowledgeandbelief.Intheeventofanyinformationbeingfoundfalseorincorrect,or
ineligibilitybeingdetectedbeforeoraftertheexamination,actioncanbetakenagainstmebythe
Department.

2) I have read the advertisement notice carefully and I hereby undertake to abide by conditions.I Candidate
furtherdeclarethatIfullfillallconditionsofeligibilityregardingagelimit,educationqualification Signature
Prescribedforrecruitmenttest/examination.
Date:1002
2017
TransactionId.:2615,RegistrationDate&Time:2017021012:45:12