Welcome to Haryana Police Recruitment Board, Bays No 31 - 32 Sector - 4, Panchkula

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9/20/2014 Welcome to HARYANA POLICE RECRUITMENT BOARD, Bays No 31 - 32 Sector - 4, Panchkula

http://www.hprbonline.in/apply_online_form_3_2014.php

HOME ABOUT HPRB RECRUITMENT ADMIT CARDS RESULTS CITIZEN CORNER CONTACT US

Online Application FormPost Details

Advertisement Number : Advertisement No. 3/2014

Post Code / Post Name : 1 / WATER CARRIER IN HARYANA POLICE

Personal Details (as per matriculation certificate)

Candidate Name*: * As per certificate

Father's Name*: * As per certificate

Mother's Name*: * As per certificate

Date of Birth * : Date Month Year * As per certificate

Age on eligibility date (26/09/2014)* : YearsMonthsDays

Visible Identitification Mark * :

Gender*: Male Female

Whether you can read and write in Hindi or passed Matric with Hindi? *: Yes No

Email ID*:

Confirm Email ID*:

Mobile No*:

Nationality of the Candidate* : Indian Others

Candidate's Home State* : Select State

Candidate's Home District* :

Bank Name for E-CHALLAN (applicable if fee is payable) * : State Bank of Patiala

Correspondence Address

Address 1*:

Address 2 :

Address 3 :

State *: Select State

District /City*:

Pin Code :

Permanent Address

Same as above

Address 1*:

Address 2 :
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Address 3 :

State *: Select State

District /City*:

Pin Code:

Other Details

Are you domicile of Haryana*: Yes No

Category *:

Gen SC BCA BCB SBC EBPG

ESM DESM DFF OSP

Criminal Proceedings detail. If any

(a). Whether any Criminal case(s) has been registered against you

and were you arrested?Yes No

(b). Have you ever been convicted by Court of law in any criminal

case?Yes No

(C). Whether any criminal case(s) is pending against you in any court

of Law or with police, at present? Yes No

If. the answer to any of the above mentioned questions is Yes, then

give full particulars of the case FIR NO. and date, Sections of offence,Police Station, District and status of the case at the time of filling up

this application form.

(Note :- If it ever comes to the notice that the candidate has furnished false information or has suppressed any factual Information his candidature shall

be rejected)

Education qualification

Educational QualificationsYear of

Passing

Marks Obtained Total Marks % age Division

Name of School /

Board / University

(Maximum 15Characters)

Subjects

5th Class Year NA NA NA NA NA



10th Class Year Select Select

ITI Year Select Select

Name of Educational institution (School/College/University) last attended *:

Experience

Sno. Experience As From Date To Date Duration Organization Name

1. Select YearsMonthsDays





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DECLARATION

I) I hereby declare that the statements made in this application are true and complete to the best of my knowledge and belief. In the event of

any information being found false or incorrect, or ineligibi lity being detected before or after the test and interview, my candidature will standcancelled and all my claims for the recruitment will stand forfeited.

II) That I have read the provision in the advertisement carefully and I hereby undertake to abide by them, I fulfill all the conditions of eligibility

regarding age and educational qualification prescribed In the advertisement.

I Accept.

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Welcome to Haryana Police Recruitment Board, Bays No 31 - 32 Sector - 4, Panchkula

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