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Giri KSP

This document is an application form for the post of Armed Police Constable (CAR/DAR)-2019 in Karnataka State Police (KSP). It requests personal details like name, gender, address, contact information, educational qualifications, reservation category, and other details from applicants. The last section asks if the applicant has any criminal record or has been convicted in criminal cases.

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neha gowda
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
86 views6 pages

Giri KSP

This document is an application form for the post of Armed Police Constable (CAR/DAR)-2019 in Karnataka State Police (KSP). It requests personal details like name, gender, address, contact information, educational qualifications, reservation category, and other details from applicants. The last section asks if the applicant has any criminal record or has been convicted in criminal cases.

Uploaded by

neha gowda
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 6

6/27/2019 KSP

Help Line Number : 08


Support Centre Timings : 10:
( Except Govt. Holidays

APPLICATION FOR THE POST OF ARMED POLICE CONSTABLE (CAR/DAR)-2019


¸À±À¸ÀÛç ¥ÉÆ°Ã¸ï PÁ£ïìmÉçˉï (¹JDgï/rJDgï) ºÀÄzÉÝUÉ Cfð‐2019
C¢ü¸ÀÆZÀ£É ¸ÀASÉå: 04/£ÉêÀÄPÁw‐4/2019‐20, ¢£ÁAPÀ:

ASPxLabel
PERSONAL DETAILS

You Are Applying As A / ¤ÃªÀÅ Cfð ¸À°è¸ÀÄwÛgÀĪÀÅzÀÄ Direct Candidate

Unit Name / WÀlPÀzÀ ºÉ¸ÀgÀÄ *


Ballari

Applicant's Full Name / C¨sÀåyðAiÀÄ ¥ÀÆtð ºÉ¸ÀgÀÄ *


GIREESH PUJERI

Enter Your name alphabetical character only Minimum of 3 to


maximum of 80 length.

Mother's Name / vÁ¬ÄAiÀÄ ºÉ¸ÀgÀÄ *


GANGAVVA

Enter Mother name alphabetical character only Minimum of 3


to maximum of 80 length.

Father's Name / vÀAzÉAiÀÄ ºÉ¸ÀgÀÄ *


VITTHAL

Enter Father name alphabetical character only Minimum of 3 to


maximum of 80 length.

Gender / °AUÀ * Female Male

Address / «¼Á¸À

Street / ©Ã¢ *
DOOR NO 445 BADKUNDRI VILLAGE 

Enter street name any characters minimum of 3 to maximum of

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6/27/2019 KSP

80 length.

Area / ¸ÀܼÀ *
BADKUNDRI POST

Enter area name any characters minimum of 3 to maximum of


80 length.

Taluk / vÁ®ÆèPÀÄ *
HUKKERI 

Enter taluk name any characters minimum of 3 to maximum of


80 length.

District / ¸ÀéAvÀ fˉÉè *


Belagavi

To select any one of the District to apply the post.

State / ᔖ㈳ಜ⸵㈴*
Karnataka

Select Your State Name.

Pin Code / ¦£ï ¸ÀASÉå *


591221

Enter only Numerical character(0-9)

Native District / ¸ÀéAvÀ fˉÉè *


Belagavi 

To select any one of the District to apply the post.

Email Id / E‐ªÉÄÃˉï *
[email protected]

Enter Your Email Id alphabetical, Numerical & (@ _ .) characters


Minimum of 3 to maximum of 150 length

Con⤀褅rmation Email ID / E‐ªÉÄÃˉï ¹ÜjÃPÀgÀt *


[email protected]

Enter Your Con rmation Email Id alphabetical, Numerical & (@ _


.) characters Minimum of 3 to maximum of 150 length and its
same as your Email Id

Mobile Number / ªÉƨÉÊˉï ¸ÀASÉå *


9743990949

Enter only Numerical character(0-9) Maximum of 10 length.

Con⤀褅rm Mobile Number / ªÉƨÉÊˉï ¸ÀASÉå ¹ÜjÃPÀgÀt *


9743990949

Enter only Numerical character(0-9) Maximum of 10 length.

Aadhar Card No / DzsÁgï PÁqïð ¸ÀASÉå *


743628222364

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6/27/2019 KSP

RESERVATION DETAILS

Category / ¥ÀæªÀUÀð *
2A

Fee Payable : For SC,ST,CAT1 - र 100/-, Others - र 250/-

Height of the Candidate / C¨sÀåyðAiÀÄ JvÀÛgÀ *


172

Enter the your Height 155cm for Tribal, 168cm for Others. Ex:
168.25

Do you belong to a family of an Ex-servicemen Yes No


who while in service was permanently
disabled or died in action ( Only for Ex-
servicemen Children )? / ¤ÃªÀÅ, PÀvÀðªÀåzÀ°è ±Á±ÀévÀªÁV
zÉÊ»PÀ «PÀ®vÉ CxÀªÁ ªÀÄgÀt ºÉÆA¢zÀ ªÀiÁf ¸ÉʤPÀ£À PÀÄlÄA§PÉÌ
¸ÉÃjgÀÄ«gÁ? *

Are you claiming PDP Reservation ? / AiÉÆÃd£Á Yes No


¤gÁ²ævÀ C¨sÀåyð «ÄøÀˉÁw PÉÆÃgÀÄ«gÁ ? *

Are you claiming Kannada medium Yes No


Reservation ? / PÀ£ÀßqÀ ªÀiÁzsÀåªÀÄ C¨sÀåyð «ÄøÀˉÁw
PÉÆÃgÀÄ«gÁ ? *

Are you Applying for Rural Reservation ? / Yes No


UÁæ«ÄÃt ªÀiÁzsÀåªÀÄ C¨sÀåyð «ÄøÀˉÁw PÉÆÃgÀÄ«gÁ ? *

Are you a candidate belonging to Hyderabad- Yes No


Karnataka Region ? / ¤ÃªÀÅ ºÉÊzÀgÁ¨Ázï‐ PÀ£ÁðlPÀ ¥ÀæzÉÃ
±ÀzÀ C¨sÀåyðAiÉÄÃ? *

Are you a Government Employee ? / ¤ÃªÀÅ ¸ÀPÁðj Yes No


£ËPÀgÀgÉà ? *

Date of Birth (as in SSLC or its equivalent


05/Apr/1996
Marks Card) / ºÀÄnÖzÀ ¢£ÁAPÀ (J¸ïJ¸ïJˉï¹ CxÀªÁ
vÀvÀìªÀiÁ£À CAPÀ ¥ÀnÖAiÀİègÀĪÀAvÉ) * To select or Enter your date of Birth
Cutoᴀ洅 Date : GM- Born Between 29.06.1994 And 29.06.2001
(Both Days Inclusive)
Cutoᴀ洅 Date : SC,ST,CAT-01, 2A, 2B, 3A & 3B - Born Between

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6/27/2019 KSP

29.06.1992 And 29.06.2001 (Both Days Inclusive)


Cutoᴀ洅 Date :Tribal - Born Between 29.06.1989 And 29.06.2001
(Both Days Inclusive)

Have you been involved in any Criminal Case / Yes No


Departmental Enquiry ? / AiÀiÁªÀÅzÁzÀgÀÆ C¥ÀgÁzsÀ
¥ÀæPÀgÀtzÀ°è / EˉÁSÁ «ZÁgÀuÉAiÀİè zÉÆÃ¶AiÀiÁV¢ÝÃgÁ ? *

Have you been convicted in a Criminal Case ? / Yes No


¤ÃªÀÅ C¥ÀgÁzsÀ ªÉÆPÀzÀݪÉÄAiÀÄ°è ²PÉëUÉ M¼À¥ÀnÖgÀÄ«gÁ ? *

EDUCATIONAL QUALIFICATION
DETAILS

Are you a P.U.C holder or holder of a Yes No


Equivalent quali⤀褅cation ? / ¤ÃªÀÅ ¦.AiÀÄÄ.¹ «zÁåºÀðvÉ
ºÉÆA¢gÀÄ«gÁ ? *

Educational Quali⤀褅cation / «zÁåºÀðvÉ *


SSLC­ STATE BOARD

Year of passing / GwÛÃtðgÁzÀ ªÀμÀð *


2012

Enter Your SSLC or Equivalent Quali cation Marks As Shown In


the Marks Card Not Your Higher Education or Degree Marks

Maximum Marks / UÀjμÀ× CAPÀUÀ¼ÀÄ *


625

Applicant Will Be Disquali ed For Wrong Entry of Maximum


Marks and Secured Marks

Secured Marks / UÀ½¹zÀ CAPÀUÀ¼ÀÄ *


436

Enter only Numerical character(0‐9) Minimum of 2 to maximum

of 3 length

n¥ÀàtÂ:

1. ¸ÀPÁðgÀzÀ ¥ÀvÀæ ¸ÀASÉå: ME 207 ¥ÉƹE 2018, ¢£ÁAPÀ:05.02.2019 gÀ°è ªÀiÁf ¸ÉÊ

¤PÀ C¨sÀåyðUÀ¼À£ÀÄß DAiÉÄÌUÉ ¥ÀjUÀt¸ÀĪÀ ¸ÀA§AzsÀ ¸Àà¶ÖÃPÀgÀt ¤ÃrzÀÄÝ, CzÀgÀAvÉ CºÀð

ªÉägÀmï C¨sÀåyðUÀ¼À£ÀÄß DAiÉÄÌ ªÀiÁqÀĪÀ ¸À®ÄªÁV ¸ÀàzsÁðvÀäPÀ ¥ÀjÃPÉëUÀ¼À£ÀÄß

£ÀqɸÀˉÁUÀÄvÀÛzÉ. DzÀÝjAzÀ C¨sÀåyðUÀ¼ÀÄ ±ÀÆ£Àå ºÁUÀÆ ±ÀÆ£ÀåQÌAvÀ PÀrªÉÄ CAPÀUÀ¼À£ÀÄß

¥ÀqÉzÀ°è CAvÀºÀ C¨sÀåyðUÀ¼À£ÀÄß DAiÉÄÌUÉ ¥ÀjUÀt¸ÀĪÀåzÀÄ ¸ÀÆPÀÛªÀ®è ªÀÄvÀÄÛ

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6/27/2019 KSP

¸ÀªÀÄAd¸ÀªÁVgÀĪÀÅ¢®èªÉAzÀÄ ¸Àà¶ÖÃPÀgÀt ¤ÃqÀˉÁVgÀĪÀÅzÀjAzÀ ±ÀÆ£Àå ºÁUÀÆ ±ÀÆ

£ÀåQÌAvÀ PÀrªÉÄ CAPÀUÀ¼À£ÀÄß ¥ÀqÉzÀAvÀºÀ C¨sÀåyðUÀ¼ÀÀ£ÀÄß DAiÉÄÌUÉ ¥ÀjUÀt¸ÀzÉ DAiÀiÁ

ªÀUÀðPÉÌ ¸ÉÃjzÀ EvÀgÉà CºÀð C¨sÀåyðUÀ¼À£ÀÄß DAiÉÄÌUÉ ¥ÀjUÀt¸ÀˉÁUÀĪÀÅzÀÄ.

2. ªÉÄÃˉÉ £ÀªÀÄÆ¢¹zÀAvÉ «zÁåºÀðvÉAiÀÄ£ÀÄß ºÉÆAzÀzÉà EgÀĪÀ C¨sÀåyðUÀ¼ÀÄ £ÉêÀÄPÁw

¥ÀæQæAiÉÄAiÀÄ°è ¨sÁUÀªÀ»¹zÀgÀÆ £ÀAvÀgÀ £ÉêÀÄPÁw ¸À«ÄwUÉ «zÁåºÀðvÉ ºÉÆA¢gÀĪÀÅ

¢®èªÉAzÀÄ ¥ÀvÉÛAiÀiÁzÀ°è CAvÀºÀ C¨sÀåyðAiÀÄ C¨sÀåyðvÀ£ÀªÀ£ÀÄß AiÀiÁªÀÅzÉÃ

ºÀAvÀzÀˉÁèzÀgÀÆ gÀzÀÄÝ ¥Àr¸ÀˉÁUÀĪÀÅzÀÄ.

3. Cfð ¸À°è¸À®Ä ¤UÀ¢¥Àr¹zÀ PÉÆ£ÉAiÀÄ ¢£ÁAPÀzÀAzÀÄ ¤UÀ¢vÀ «zÁåºÀðvÉ ¥ÀqÉAiÀÄ®Ä

¥ÀjÃPÉë §gÉzÀÄ ¥sÀ°vÁA±ÀPÁÌV PÁAiÀÄÄwÛgÀĪÀ C¨sÀåyðUÀ¼ÀÄ CºÀðgÁVgÀĪÀÅ¢®è. ªÉÄð£À

«zÁåºÀðvÉAiÀÄ£ÀÄß ºÉÆgÀvÀÄ ¥Àr¹ ¨ÉÃgÉ AiÀiÁªÀ «zÁåºÀðvÉAiÀÄ£ÀÆß ¥ÀjUÀt¸ÀˉÁUÀĪÀÅ¢®è.

PÉÆ£ÉAiÀÄ ¢£ÁAPÀPÉÌ JˉÁè C¨sÀåyðUÀ¼ÀÄ J¸ï.J¸ï.Jˉï.¹./10£Éà vÀgÀUÀw CxÀªÁ vÀvÀìªÀiÁ

£À ¥ÀjÃPÉëAiÀİè GwÛÃtð ºÉÆA¢zÀ CAPÀ¥ÀnÖAiÀÄ£ÀÄß ºÉÆA¢gÀ¨ÉÃPÀÄ.

Percentage / ±ÉÃPÀqÀ *

ACCEPTABLE IDENTITY CARDS

Select the Uploading Identity Card /C¥ïˉÉÆÃqï


AADHAR CARD
ªÀiÁqÀĪÀ UÀÄgÀÄw£À aÃnAiÀÄ£ÀÄß DAiÉÄÌ ªÀiÁqÀĪÀÅzÀÄ *

Identity Card No. /UÀÄgÀÄw£À aÃnAiÀÄ ¸ÀASÉå *


743628222364

IMAGE DETAILS

zÀAiÀÄ«lÄÖ ¸ÁÌöå£ï ªÀiÁrgÀĪÀ ¤ªÀÄä ¥Á¸ï¥ÉÆÃmïð ¸ÉÊeï ¨sÁªÀavÀæ ªÀÄvÀÄÛ


¸À»AiÀÄ£ÀÄß C¥ïˉÉÆÃqï ªÀiÁqÀĪÀÅzÀÄ

Please Upload your scanned passport size
PɼÀUÉ £ÀªÀÄÆ¢¹gÀĪÀ vÁAwæPÀ «μÀAiÀÄUÀ¼ÀAvÉ C¨sÀåyðAiÀÄÄ ¨sÁªÀavÀæ ºÁUÀÆ
photograph and Signature images.
¸À»AiÀÄ£ÀÄß ¸ÁÌöå£ï ªÀiÁqÀvÀPÀÌzÀÄÝ 
All the images are mandatory. The image
properties should be as follows,     • ¨sÁªÀavÀæ (Photo) ­ 400 X 400 Pixel, Size
250 kb
    • Photo­ 400 X 400 Pixel, Size 250 kb
    • ¸À» (Signature) ­ 400 x 400 Pixel, Size
    • Signature­ 400 x 400 Pixel, Size 250 kb
© 2019 Karnataka State Police. All Rights Reserved 250 kb
    • Identity Card­ 400 x 400 Pixel, Size 250
kb     • ¸À» (Identity Card ) ­ 400 x 400 Pixel,
Size 250 kb
Valid image formats are gif, jpg, jpeg and
png.You cannot add other formats Image F £Á®ÄÌ ¥sÁgïªÀiÁåmï£À°è gif, jpg , jpeg, ªÀÄvÀÄÛ
png, ºÉÆA¢gÀvÀPÀÌzÀÄÝ. DzÀgÉ EvÀgÉ ¥sÁgïªÀiÁåmï£À°è ¸À°è¹zÀ Image
C£ÀÄß ¥ÀjUÀt¸ÀˉÁUÀĪÀÅ¢®è.

http://per.apc19.ksp­online.in/PersonalDetails.aspx 5/6
6/27/2019 KSP

Upload your recent passport size photo / EwÛÃa£À Choose File No file chosen UPLOAD
¤ªÀÄä ¥Á¸ï¥ÉÆÃmïð C¼ÀvÉAiÀÄ ¨sÁªÀavÀæªÀ£ÀÄß C¥ïˉÉÆÃqï Photo - 400 X 400 pixels, Size 250 kb ¨sÁªÀavÀæ (Photo) - 400 X
ªÀiÁqÀĪÀÅzÀÄ * 400 pixels, Size 250 kb

Upload your signature / ¤ªÀÄä ¸À»AiÀÄ£ÀÄß C¥ïˉÉÆÃqï Choose File No file chosen UPLOAD


ªÀiÁqÀĪÀÅzÀÄ * Photo - 400 X 400 pixels, Size 250 kb ¨sÁªÀavÀæ (Photo) - 400 X 400

pixels, Size 250 kb

upload your Identity Card as Choose File No file chosen UPLOAD


speci⤀褅ed/mentioned in the Noti⤀褅cation / C
Identity Card - 400 X 400 pixels, Size 250 kb ¨sÁªÀavÀæ (Identity
¢ü¸ÀÆZÀ£ÉAiÀİè w½¹gÀĪÀAvÉ UÀÄgÀÄw£À aÃnAiÀÄ£ÀÄß C¥ïˉÉÆÃqï
Card ) - 400 X 400 pixels, Size 250 kb
ªÀiÁqÀĪÀÅzÀÄ * μÀgÀvÀÄÛUÀ¼ÀÄ:
1. ¸ÀáμÀÖªÁV PÁtzÀ UÀÄgÀÄw£À aÃnAiÀÄ£ÀÄß C¥ïˉÉÆÃqï ªÀiÁrzÀgÉ
¸ÀzÀj zÁRˉÉAiÀÄ£ÀÄß ¥ÀjUÀt¸ÀˉÁUÀĪÀÅ¢®è.
2. C¸ÀàμÀÖªÁzÀ PÁtzÀ UÀÄgÀÄw£À aÃnAiÀÄ£ÀÄß C¥ïˉÉÆÃqï ªÀiÁrzÀgÉ,
¸ÀzÀjAiÀĪÀgÀ£ÀÄß ªÀÄÄAzÉ £ÀqÉAiÀÄĪÀ °TvÀ ¥ÀjÃPÉëUÉ ºÁdgÁUÀ®Ä C
£ÀĪÀÄwAiÀÄ£ÀÄß ¤ÃqÀˉÁUÀĪÀÅ¢®è
3. C¢ü¸ÀÆZÀ£ÉAiÀİè GˉÉèÃT¹gÀĪÀ zÁRˉÉAiÀÄ£ÀÄß ©lÄÖ E£ÁåªÀÅzÉÃ
zÁRˉÉUÀ¼À£ÀÄß ¥ÀjUÀt¸ÀĪÀÅ¢®è.

SUBMIT RESET

© 2019 Karnataka State Police. All Rights Reserved

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