3/10/25, 9:21 PM CISF | Central Industrial Security Force
CENTRAL INDUSTRIAL SECURITY FORCE
APPLICATION FORM FOR RECRUITMENT OF CONSTABLE-TRADESMAN-2024
1.Registration ID CISF2505239202
2.Name of the Trade applied for COOK
(Candidates can apply for only one trade)
3.NAME OF THE CANDIDATE GODSUN KAMAL
4.FATHER'S NAME RAJENDRA NATH
5.MOTHER'S NAME JANAK DULARI
6.CATEGORY SC
7.Name of the State/UT Belongs to(Domicile/Origin) UTTAR PRADESH
8.Have you migrated from the State/UT of your origin to NO
another State/UT
9.GENDER MALE
10.NATIONALITY INDIAN
11.Educational Qualification CIVIL
Civil education details 10TH
12.RELIGION HINDU
13.Whether falling under the category of children and NO
dependents of victim KILLED in 1984 riots/communal riots
of 2002 in Gujarat?
14.Do you belong to Hill area? NO
15.Whether you are an Ex-Serviceman NO
16.Whether you are a wards of CISF personnel NO
17.Whether you are an employee of Govt.Dept/Public Sector NO
Undertaking/Autonomous Bodies
18.Date of Birth 19-12-2002
19.Visible Identification Marks 361
1)
2) 361
20. Permanent address ASVI, ASVI KANPUR DEHAT
Village/Ward
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3/10/25, 9:21 PM CISF | Central Industrial Security Force
Post ASVI
State UTTAR PRADESH
District KANPUR DEHAT
PINcode 209310
21. Correspondence address ASVI, ASVI KANPUR DEHAT
Village/Ward
Post ASVI
State UTTAR PRADESH
District KANPUR DEHAT
PINcode 209310
22.a)Mobile 9045811871
b)Phone number,if any with STD code
23.Email [email protected]
24.Type of Id Card AADHAR CARD
24.1.Id card No/Details 960991178431
25.Whether the date printed on the photograph Taken YES
26.Have you ever been convicted by any court of law or any NO
other judicial Institution?
27. Have you ever been dismissed from any service under NO
the Central or State Govt?
28. Have your services ever been terminated while on NO
probation?
29. Sports Achievement Details
(Signature of the applicant)
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3/10/25, 9:21 PM CISF | Central Industrial Security Force
DECLARATION
TO BE SIGNED BY ALL THE CANDIDATES COMPULSORILY
1. I hereby certify that all the statements made in the application are true, complete and correct to the best of my
knowledge and belief. In the event of the information or part thereof being found false or detected incorrect during
the process of recruitment or at any stage thereafter and that I am not satisfying the eligibilty criteria prescribed in
this notice, my candidature/appointment is liable to be cancelled/terminated automatically without any notice to
me and action can be taken against me by the CISF.
2. I have read the provisions in the Notice of the examination carefully and I hereby undertake to abide by them.
3. I further declare that, I fulfill all the conditions of eligibility regarding age limits,educational
qualifications,Domicile etc prescribed for admission to the examination. I have enclosed photocopies of
certificates in support of claim of Age,Educational Qualifications and Domicile.
4.I also declare that, I do not stand debarred from Government Service as on the date and have never been
convicted by any court of law.
5.I have not submitted any other application for this examination. I am aware that if I contravene this rule, my
application will be rejected summarily.
(Signature of the applicant)
(Application not signed by the candidate will not be
entertained)
Date: 10-03-2025
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