H.P.Police Name of District__________ FORM OF RECRUITMENT FOR CONSTABLE PART-1 Chest No.__________ (Particulars of Candidate) 1 Name Latest passport size photograph of the candidates 2 Father's Name 3 Permanent Home Address 4 Present Address 5 Mark of Identification 6 Whether SC/ST/OBC/IRDP/ Wards of Freedom Fighter/ Distinguished Sportsman/ Home Guards. 7 Date of birth (As per Middle/Matric Certificate): (i) In figures: (ii) In words (iii) Age as on 1-8-2005 _____Years______Months_______days 8 Educational Qualification 9 Knowledge of typing, shorthand, computer etc. 10 Whether in possession of driving licence. If so, light of heavy or both. 11 Whether Bonafide Himachali Yes/No 12 Details of previous employment including that in Home Gurards. Number of years in Home Guards _______ 13 Name of Employment Exchange_____________Registration Number ________ 14 Have you ever been arrested/involved in a criminal case? If yes, give details. I certify that above details are correct to the best of my knowledge and belief and that I have not appeared for the recruitment for police constables this year in any fact will make me liable for disqualification and legal action at any stage. Dated LTI of candidate Signature of candidate PART-II (Physical Measurements) (a) Chest Measurement Category Qualifying Actual Physical deformity, if any. rendering candidate medically unfit. Signature of the Medical officer General/OBC 31"x32" SC/ST 29"x30 (b) Height Measurement General/OBC 5'-6" SC/St 5'-4" Mark for Height Minimum marks Marks awarded Name, designation and signature of officer who supervised the measurement and awarded the marks. 1) 5'7" but less than 5'-8" 1 2) 5'8" but less than 5'-9" 2 3) 5'9" but less than 5'-10" 3 4) 5'10" but less than 5'-11" 4 5) 5'11" and above 5 Physical Efficiency Test (Total Marks=25) Item Grading of Marks Item Grading of Marks Time Marks Marks awarded Time Marks Marks awarded 1 100 meters Race. Minimum qualifying time 14 seconds. ( only one attempt is allowed). Total Marks-5 14 Seconds 2 2 800 meters Race. Minimum qualifying time. 2 Minutes 45 Seconds. ( only one attempt is allowed). Total Marks-5 2.45 Minutes 2 13.5 Seconds 2 ½ 2.40 Minutes 2 ½ 13 Seconds 3 2.35 Minutes 3 12.5 Seconds 3 ½ 2.30 Minutes 3 ½ 12 Seconds 4 2.25 Minutes 4 11.5Seconds 5 2.20 Minutes 4 ½ Name and signature of the officer. Who awarded the marks. 2.15 Minutes 5 Name and signature of the officer. Who awarded the marks. 3 High Jump. 1.25 Metres ( Maximum three attempts at each level are allowed) Total Marks-5 Height Marks Marks awarded 4 Broad jump 4 Metres ( Maximum three attempts are allowed) Total Marks-5 Distance Marks Marks awarded 1.25 Metres 2 ½ 4 Metres 2 1.30 Metres 3 4.20 Metres 3 1.35 Metres 3 ½ 4.41 Metres 4 1.40 Metres 4 4.60 Metres 5 1.45 Metres 4 ½ 1.50 Metres 5 Name and signature of the officer, who awarded the marks Name and signature of the officer, who awarded the marks 5 Shot Put 7.275 Kgs. 5 metres ( Maximum three attempts are allowed) Total Marks=5 TOTAL MARKS OBTAINED IN PART-II I.E. FOR HEIGHT AND PHYSICAL EFFICIENCY = Grading of Marks PART-III Distance Marks Marks awarded I MARKS FOR PARTICIPATION IN N.C.C AND SPORTS ( Maximum 5 Marks) 5 Metres Marks Marks awarded 5 Metres 2 a. N.C.C. "C" Cetrificate 2 5.50 Metres 2 ½ b N.C.C. "B" Certificate/s.S.B. training Certificate 1 6 Metres 3 c National level Certificate 3 6.50 Metres 3 ½ d State level sportsman 1 7 Metres 4 Name and signature of the officer, who awarded the marks 7.50 Metres 4 ½ 8 Metres 5 Name and signature of the officer, who awarded the marks II Marks for educational qualification ( maximum 10 Marks) Marks awarded= Total marks obtained in Part=III i.e. for certificates and educational qualification= PART-IV I Written test 45 Minutes Total marks Marks obtained ii Personal Interview 40 Marks 15 marks Grand Total (i.e. marks obtained in Part-II to IV Name and designation of Chairman and member of the Recruitment Board 1 Chairman Signature 2 Member 3 Member 4 Member
