PLSC Enrolment Form (Batch 03)

Personal 02 90 क्र फा मै 16. 17. RESTRICTED Police Leadership and Staff Course PLSC Batch 03 Enrolment Form Computer Code No: Rank : Full Name (in Block Letter, as per Testimonials): Devnagari: Name by which you prefer to be addressed : Presently Serving Unit: Date of Birth (date/month/year) : Date of Promotion (date/month/year) : Date of Commission (date/month/year) : Gender : . Religion : 11. 12. 13. 14, 15. Nationality : Permanent address : Temporary address (Not required if same as above): Contact No: Email Type: (a) Primary (b) Alternate Cell No: Physical statistics/medical data: (a) Height: ..meter (b) Weight : kg (c) Visible mark of identification (if any): (d) Blood Group: Professional 18. Courses attended in own country and abroad. Photo S.N. Name of Course Institution | Period (From — To) Grading Obtained 1. RESTRICTED RESTRICTED 2 10. 11. 12. 13. 14. 15. 19. Record of Service: Unit Rank Appt held From -To 90. 2) २ 2a) Aw) Ni els RESTRICTED RESTRICTED 3 10. 11. 12. 13. 14. 15. 20. UN Service: S.N. Mission Rank Appt held From -To 1. 21. Major Ops Taken part: S.N. Unit Name of the Ops Rank Appt held Year 1. 2. 3. 4. 22. Instructional Appts: S.N. Rank Institution Appt held From -To 1. 2. 23. Decorations/Medals: S.N. Decorations/Medals Year 1. 2. RESTRICTED RESTRICTED 4 24. Educational Qualification: S.N. School /Campus Level Year Special a Pp Qualification 1. 2. 3. 4. 5. University Registration Number: 25. Knowledge of Languages: S.N. | Language Ability to Read Ability to Write Ability to Speak Fluent | Fair | Weak | Fluent | Fair | Weak | Fluent | Fair | Weak 1. 2. 3. 4. Miscellaneous 26. Computer Skill: 27. Hobbies: 28. Sports: 29. Your Family: Spouse Color 30. Marital Status: Photo (Only for International 31. Family Details: Students) (a) Name of Spouse: (b) Spouse academic qualification: (0) Spouse Blood Group: (d) Children: RESTRICTED Children’s photo (Only for International Students)