Application Form https://jkssb.nic.in/Dynamic-jkssb-test/Pages/Applicant/Rep/Applicat...

Application Form
J&K Services Selection Board

(CANDIDATES SHOULD NOT SUBMIT A PRINTOUT OF THE APPLICATION FORM TO JKSSB AT THIS STAGE.)

Name of Post CONSTABLE Advertisement Notice No.: 01 of 2024

RegNo 1900105952 Dated: 16-07-2024

Cadre Name DIVISION Department Name HOME DEPARTMENT

Examination Center: JAMMU Application No.: 2401000259313

Application Form Submition Date: 07/Sep/2024 Payment Mode/Status.: Online / Submitted

Cadre Details

UT(01) Constable (Armed/IRP),UT(02) Constable (SDRF),UT(03) Constable (Telecommunication),UT(04) Constable (Photographer),Div. Jammu (05)
Constable Executive Police,Div. Kashmir (06) Constable Executive Police

ITEM PREFERENCES

PREFERENCES 1: Constable Armed / IRP

PREFERENCES 2: Constable Executive Police Div Jammu

PREFERENCES 3: Constable SDRF

PREFERENCES 4: Constable Executive Police Div Kashmir

Personal Details

Full Name: MANPREET KOUR

Father’s/ Name: : HARVINDER SINGH

Mother's Name JASBIR KOUR

Gender: FEMALE

Date of Birth: 15/05/2000 Age as on 1st January of 2024: 23 years 07 months 17 days

Mobile Number: 9906346208 LandLine Number:

Email [email protected] Marital Status: UNMARRIED

Domicile No: 488-489 Domicile Date: 19-06-2020

Domicile District POONCH District: POONCH

Permanent Address

0,GULPUR,HAVELI

Correspondence Address

0,GULPUR,HAVELI, Poonch

In Service

In Service(Are you an employee of J&K Government?) No

Category Details

Category: ST2

Category Issue Date: 03/APR/2024

Category Validation Date: NOT REQUIRED

Specially abled

Are you Specially abled Person: No

Experience Details

Are You Ex-Service Man: No

Have you ever been appointed for any other Government Job under J&K Government Under ESM Category No

(Videography / Photography)

Certificate Issuance Date: NA

Name of the Issuing Authority: NA

In service(Are you In-service Police Personnel)

Are you In-service Police Personnel No

Physical Standards

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Application Form https://jkssb.nic.in/Dynamic-jkssb-test/Pages/Applicant/Rep/Applicat...

Do you possess the requisite physical standards (Provided that for the candidates belonging
to the Gorkha Community/ Bot Tribe, the minimum height shall be relaxed by 2"):
Do you have Physical Standards as follows:
For Male(Height: 5’6” (minimum)) No
Chest girth: 32” (unexpanded)
Chest girth: 33 1/2 ” (expanded)
For Female(Height: 5’2” (minimum))
Black List

Whether any FIR has been lodged/registered against you? No

Whether any proceeding is pending in any Court of Law against you? No

Is any case filed against you in court: No

Whether any disciplinary action has been initiated by

No
Government/Semi-Government Organisation against you?
Whether disciplinary or any other similar action is initiated by
NO
Bar Council or Medical Council or Association or other Professional/Vocational Institution?
Whether debarred or Black Listed by SSB /
NO
University / SPSC / Other P.S.C/ UPSC or any other organisation?
Education Qualification

Board Marks
Exam Passed Matric Board Subject Code
Marks Type Grade Cgpa Max Scored Percentage

MATRIC JKBOSE NA marks NA NA 500 384 76.80

INTERMEDIATE JKBOSE MEDICAL marks NA NA 500 380 76.00

GRADUATION (ACADEMIC) JAMMU UNIVERSITY NA NA 7.08 2900 1950 67.24

Photograph and Signature

Photograph:* Signature:*

Declaration

I MANPREET KOUR hereby declare that I have carefully read the Advertisement Notification for this post and all the terms and conditions indicated therein and undertake
to abide by the terms and conditions of the advertisement / notification for participating in the selection process, I fulfill all the terms and conditions mentioned in the
advertisement notification and the information provided by me here in is true and correct to the best of my knowledge. I also undertake that in case of failure to possess
the qualification prescribed in the advertisement notification, the board will be fully competent to debar me from the selection process. I further stipulate that I have
carefully read the Government notification and assure that I am not barred by the provisions of the said notification. I further undertake that I shall not claim any benefit
of any qualification/ category that have not specifically indicated in this online application form. Further, I am aware that I will be liable for appropriate penal action,
disqualification from the selection process or loss of the job in the event of selection having been made, if the information provided by me is proved to be incorrect at any
stage. The charges for filling up the form would be as mentioned in the advertisement and are non-refundable. I am aware that I shall not have claim over the charges,
once successfully paid to JAMMU AND KASHMIR Services Selection Board, JAMMU AND KASHMIR. All the disputes related to refund of excess payment, if any, are
subject matter of the JAMMU AND KASHMIR Service Selection Board. Do you agree?

ONLY FOR IN-SERVICE CANDIDATES

CERTIFIED THAT S/O W/O DO

SIGNATURE WITH
IS WORKING AS______________________________________________________________________________________________ STAMP OF HEAD OF
DEPARTMENT

IN

FROM

TO_____________________________________________________________________________________________________________________

ON BASIS

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