2/17/23, 11:09 PM IB Form

Applicant Details HelpDesk

Personal Details

Application Sequence No
IB220792527

Candidate's Name
GAURAV

Father's Name Mother's Name

VIKRAM SINGH RAMOLA SAVITRI DEVI RAMOLA

Marital Status
Unmarried

Post Applied Details

Post Applied Post Code

Security Assistant/Executive 01

Domicile State/Union Territory Subsidiary Intelligence Bureau/SIB

Uttarakhand Dehradun

City Choice 1 City Choice 2

Dehradun Roorkee

City Choice 3 City Choice 4

New Delhi Noida

City Choice 5 Category

Haldwani EWS

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Gender Date of Birth (DD/MM/YYYY) same as Matriculation/

Secondary Certificate
Male
24/Sep/1997

Age as on 17.02.2023

25 Years 4 Months 24 Days Are you Physically Handicapped (PH) (degree of

disability 40% or above)?

No

Are you an Ex-Service man? Are you a government servant (departmental

candidate)?
No
No

Are you a Dependent of victims of 2002 riot in Gujarat Are you a Dependent of victims of Anti-Sikh riots of
? 1984?

No No

Do you have domicile certificate for the SIB you are

Are you a sportsperson specified in Para 1 (a) of D.o.P. applying to ?
& A.R., O.M. No. 14015/1/76-Estt.(D), dated 4.8.1980 ? Yes
No

Contact Details

Mobile Number

9634665448 Email ID

[email protected]

Present Address

Address Line 1
VILL. P.O NATHUWAWALA, DEHRADUN

Address Line 2
NEAR DEHRADUN WORLD SCHOOL

Country
India

State City
Uttarakhand Dehradun

Pin Code
Is Permanent Address same as Present Address?

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248001 Yes

Permanent Address

Address Line 1

VILL. P.O NATHUWAWALA, DEHRADUN

Address Line 2

NEAR DEHRADUN WORLD SCHOOL

Country
India

State City
Uttarakhand Dehradun

Pin Code

248001

Matriculation (10th) Details

Name of the Board/Council

CBSE

Institute Name

SGRR PUBLIC SCHOOL

Subject Combination

GENERAL

Year Of Passing Grading Pattern

2012 GPA

GPA

5.8

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Intermediate (12th) Details

Name of the Board/Council

CBSE

Subject Combination
COMMERCE

Institute Name
SGRR PUBLIC SCHOOL

Year Of Passing Grading Pattern

2014 Percentage

Percentage of Marks
49.5

Language Proficiency Details

Local Language/Dialect that you are proficient in.

Hindi

Work Experience Details

Do you have field experience in Intelligence work?

No

Payment Details

Amount Payment Mode

500 online

Payment Status Payment Transaction No.

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Successful CPACMNUIA0

Candidate Documents/Images Upload Details

Photograph Signature

Declaration

I hereby, solemnly declare that information provided by me in the form is true to the best of my
knowledge and belief. I understand that my candidature is subject to the conditions laid down in
the advertisement brochure. I further declare that I am not involved in any criminal case and/or no
such case is pending against me in any court of law.

Version 15.00.01

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