INSTITUTE OF FORENSIC SCIENCEGUJARAT FORENSIC SCIENCES UNIVERSITY

Sector-18/A, B/h. Police Bhavan, Gandhinagar, Gujarat State - 382007

Form No.______________

Enrolment for On-Line Certificate Courses for Gujarat Police(Kindly Tick the appropriate box, for each of the section below)

*COURSE CHOICE:

Cyber Security 6 MonthsAffix a

recent

passport size

photograph

Cyber Crime Investigation 6 Months

Computer Forensic 6 Months

BATCH July-14 Jan-15July-15 Jan-16

PERSONAL INFORMATION: (To be filled in Capital letters)

Name of Applicant: ________________________________________________________________________

Designation: ___________________________Office Address: ___________________________________________________________________________

_____________________________________________________________________________________________________________________________________________________ Postcode: ___________________

Date of Joining: _____/_____/201___

Date of Joining Current Post: _____/_____/201___

Permanent Address: ______________________________________________________________________

_______________________________________________________________________________________ Correspondence Address: __________________________________________________________________

________________________________________________________________________________________

__________________________________________________________ Postcode: _____________________

E-mail ID: (Compulsory) _______________________________________ Tel. No.:_______________ Mobile: ______________________ Nationality: __________

CATEGORY: General SC ST SEBC OTHER

Date of Birth: ___/____/_____ (DD/MM/YYYY) Place of Birth: ______________Gender: Male / Female ACADEMIC RECORD:

Examination

passed/appearedSubjects Institute/University/

Board Year of Passing Marks (%) / Grade

SSC/ HIGH SCHOOL

HSC/

INTERMEDIATE

GRADUATION

ANY OTHER

DECLARATION: I _________________________________ certify that above information is correct to the best of my knowledge & belief. I understand that if any information is found false, my admission is liable to be cancelled.Place: _________________ Date: ______________

Signature of Applicant: ______________________

FOR OFFICE USE ONLYReceived by: _____________

Checked by: _____________

Verified by: ______________

Signature of Director: ___________

Note - This application should be submitted through the Training Department, Gujarat Police, Police Bhavan, Sector 18/A, Gandhinagar 382 007.