Side 2 of Application Form  

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Column 13 : (I) Are you residing in a remote area or abroad

If you are residing in a remote area specified in Para 6 (ii) of the Notice of the Examination or abroad, darken circle 1 for Yes and write 1 in the box; or

If you are not residing in a specified remote area/abroad, darken circle 2 for No and write 2 in the box.

N.B. : Candidates residing in a remote area specified in the Notice of the Examination or abroad are entitled to one week’s additional time for submission of application form.

(II) If yes, indicate area code :

Darken the appropriate circles for the area code as given below and then write the same code in the boxes.

  AREA CODE FOR REMOTE AREAS AND ABROAD

  Area

Code

Area

Code

Assam

01

Sikkim

08

Meghalaya

02

Jammu & Kashmir

09

Arunachal Pradesh

03

Lahaul and Spiti District and Pangi Sub Division of Chamba District of Himachal Pradesh

10

Mizoram

04

Andaman & Nicobar Island

11

Manipur

05

Lakshadweep

12

Nagaland

06

Abroad

13

Tripura

07

 

 

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Column 14 : Examination Centre Code  

Choose the Examination Centre from the list given below where you wish to appear and its code. Darken the appropriate circles and then write the same code in the boxes. Do not indicate more than one centre.

List of centres of Examination

  Centre

Code

Centre

Code

Centre

Code

Agartala

45

Gangtok

42

Panaji ( Goa )

36

Ahmedabad

01

Hyderabad

10

Patna

15

Aizawl

47

Imphal

44

Port Blair

37

Allahabad

02

Itanagar

48

Raipur

49

Bangalore

03

Jaipur

11

Ranchi

41

Bareilly

54

Jammu

34

Sambalpur

53

Bhopal

04

Jorhat

46

Shillong

16

Chandigarh

35

Kochi

24

Shimla

17

Chennai

12

Kohima

43

Srinagar

18

Cuttack

07

Kolkatta

06

Thiruvanthapuram

19

Dehradun

14

Lucknow

26

Tirupati

50

Delhi

08

Madurai

40

Udaipur

52

Dharwad

39

Mumbai

05

Vishakhapatnam

51

 Dispur

09

Nagpur

13

 

 

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Column 15 : Educational Qualification Code

Codes prescribed for educational qualification are as follows :

Code

Educational qualification

01

If you have already passed the degree or equivalent examination.

02

If you are appearing/have appeared at the final year degree or equivalent examination.

Choose the correct code applicable in your case and darken the appropriate circles. Write the same code in the boxes.

Column 16 : (I)  Whether claiming age relaxation

If you are claiming age relaxation, darken circle 1 for Yes and write 1 in the box; or

If you are not claiming age relaxation, darken circle 2 for No and write 2 in the box.

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(II) If Yes, indicate category code

Fill up this Column only if your response to Column 16(I) is Yes.

Category – Codes for Claiming Age Relaxation

(Refer Para 3 (III) (b) of Commission’s Notice published in the Employment News/Rozgar Samachar)

Code No.

Category

Extent of Age Relaxation Permissible

01

SC and ST

5 years

02

OBC

3 years

03

Ex-servicemen/Civilian Central Government Servants

5 years

04

Ex-servicemen/Civilian Central Government Servants + SC/ST

10 years

05

Ex-servicemen/Civilian Central Government Servants + OBC

8 years

06

Candidates who had ordinarily been domiciled in the State of J&K during the period from 1st January, 1980 to 31st December, 1989 .

5 years

07

Candidates who had ordinarily been        domiciled in the State of J&K (as           + SC/ST against Code No.06)

10 years

08

Candidates who had ordinarily been        domiciled in the State of J&K (as           + OBC against Code No.06)

8 years

Columns 17 to 22 :

Candidates applying for the Central Police Forces (Assistant Commandants) Examination are not required to fill any of these columns. They should therefore, leave these columns blank.

Column 23 : Declaration

The candidate must read the declaration carefully before signing. In Sub-para (i), the candidates must fill up the Examination Notice number viz. 09/2010-CPF and date of publication of Notice in Employment News/Rozgar Samachar viz., 29.05.2010 in the spaces provided before the asterisk marks.

Column 24 : Signature of candidate

 

Make your usual signature in blue or black ball pen within the box provided. Your signature must not overflow or touch the border of the box provided. Do not merely write your name in capital letters in place of signature. Unsigned applications will be rejected.

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Also write the place and date of signing the form in the spaces provided for the purpose.


  Verify the following before mailing the application

1.  That you have used the application form purchased from the designated Head Post Offices/Post Offices only.

2.  That you have filled in all the relevant columns of the application form by blackening the appropriate circles and also writing the corresponding code(s) in boxes. It may be carefully checked that there is no variation between the entries made by you by darkening the circles and those written in the accompanying boxes.

3.  That you have affixed your recent photograph preferably in black & white (unsigned and unattested) in column 11 of the application form.

4.  That in case you are required to pay fee, you have affixed a Central Recruitment Fee Stamp of Rs.100/- denomination in column 12 of the application form and have got it cancelled from the Post Office.

5.  That you have signed in column 24 of the application form.

6.    That only one application form and one acknowledgement card is being mailed in the envelope supplied to you with the Brochure and no other enclosure is attached therewith.

7. That you have written the name of examination viz.,Central Police Forces  (Assistant Commandants) Examination, 2010 on the envelope meant for despatch of application form and acknowledgement card.  

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