8/27/24, 12:13 AM Application Form
Application Form
J&K Services Selection Board
Name Of Post: Constable
Advertisement Notice No.: 01 of 2024 Dated: 08/08/2024
Personal Details
Full Name of the candidate: *
Name as recorded in the Matriculation/Secondary Examination Certificat
SHIV KUMAR (Maximum 30 Characters)
e
Please do not use any prefix such as Shri/ Mr./ Ms./ Dr./ Mrs. Etc.
Father's Name :*
[Note 2: Please do not use any prefix such as Shri/ Mr./ Ms./ Dr./ Mrs. Et TARSEM LAL (Maximum 30 Characters)
c.]
Mother's Name:*
[Note 2: Please do not use any prefix such as Shri/ Mr./ Ms./ Dr./ Mrs. Et CHINTA DEVI (Maximum 30 Characters)
c.]
Gender:* Male Female Transgender
Date of Birth:*
DOB as recorded in the Matriculation/10th Standard or equivalent certifi
cate. Where Date of Birth is not available in certificate/mark sheets, issu
23 02 2005
ed by concerned Educational Boards, DOB as indicated in School leaving
certificate will be considered (in case of Jammu & Kashmir)] Required D
ocument For Age Proof.
Age as on 1st January of 2024: 18 Years-10 Months-6 Days
Mobile:* 6006898061 (Maximum 10 Digits)
Landline Number: (Maximum 10 Digits)
E-Mail:* SHARMASHIVSHARMA863@GM
Enter Your E-mail Address for receiving alerts and message.
Confirm E-Mail:* SHARMASHIVSHARMA863@GM
Marital Status:* Married Unmarried
Whether domicile of the UT of J&K:* Yes No
Domicile No:* NTKBMN/DOMIC/64 (Maximum 10 Digits)
Domicile Issuing Date:* 24 01 2022
Domicile issuing date as recorded in the Domicile certificate.
Domicile District :* Jammu-(007)
Examination Centre:* Jammu
Aadhaar Number:* 755871285589
Category:* RBA
Category(SC/ST1/ST2/RBA/ALC/IB/OBC/EWS certificate issue date):* 06 06 2023
Nationality:* Indian
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8/27/24, 12:13 AM Application Form
Select Item Number:
Cadre Item Name:- Department:-
UT(01)
Constable (Armed/IRP) HOME DEPARTMENT
UT(02)
Constable (SDRF) HOME DEPARTMENT
UT(03)
Constable (Telecommunication) HOME DEPARTMENT
UT(04)
Constable (Photographer) HOME DEPARTMENT
Div. Jammu (05)
Constable Executive Police HOME DEPARTMENT
Div. Kashmir (06)
Constable Executive Police HOME DEPARTMENT
Candidate's Permanent Mailing Address:
Flat/ Block /House No:* 20 (Maximum 35 Characters)
Apartment/ street/ lane/Vill./Colony:* THANDI CHOI (Maximum 35 Characters)
Area/Tehsil:* KHARAH BALLI (Maximum 35 Characters)
Permanent District:* Jammu-(007)
Pin Code:* 181203
Candidate's Correspondence Mailing Address: Same as permanent address
Flat/ Block /House No:* 20 (Maximum 35 Characters)
Apartment/ street/ lane/Vill./Colony:* THANDI CHOI (Maximum 35 Characters)
Area/Tehsil:* KHARAH BALLI (Maximum 35 Characters)
District Code:* Jammu-(007)
Pin Code:* 181203
ITEM PREFERENCES:
Preference 1:* Constable Executive Police Div J
Preference 2:* Constable SDRF
Preference 3:* Constable Armed / IRP
Preference 4:* Constable Executive Police Div K
Are you Specially abled Person:
Are You Specially abled: Yes No
Other Details
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8/27/24, 12:13 AM Application Form
In service(Are you an employee of J&K Government) Yes No
Are you an Ex-Service Man? Yes No
In service Police Personnel:
In service(Are you In-service Police Personnel) Yes No
National Cadet Corps(NCC)
Do you possess National Cadet Corps(NCC) Certificate: Yes No
Physical Standards
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))
Chest girth: 32” (unexpanded) Yes No
Chest girth: 33 1/2 ” (expanded)
For Female(Height: 5’2” (minimum))
Black List
Whether any FIR has been lodged/registered against you? Yes No
Whether any proceeding is pending in any Court of Law against you? Yes No
Is any case filed against you in court: Yes No
Whether any disciplinary action has been initiated by
Government/Semi-Government Organisation against you? Yes No
Whether disciplinary or any other similar action is initiated by
Bar Council or Medical Council or Association or other Professional/Vocational Institution? Yes No
Whether debarred or Black Listed by SSB /
University / SPSC / Other P.S.C/ UPSC or any other organisation? Yes No
Education Qualification
Exam Passed / Exam State Board Board/University Name Subject Marks/ Grade/CGPA Grade Max Scored Percenta
Click on checkboxes prior to filling marks in specified box .!
Matric/ JKBOSE Marks --select-- 500 449 89.8
JKBose (Maximum 100 Characters)
12th/ JKBOSE Non-Medical Marks --select-- 500 365 73
JKBose (Maximum 100 Characters)
Photograph and Signature
Click on 'Select File' to select image.
Upload images having .jpeg/.jpg format.
Size of the photograph must be between 20KB to 50KB.
Size of the Signature must be between 10KB to 20KB.
Photograph:* Signature:*
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8/27/24, 12:13 AM Application Form
Declaration
I 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 herein 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?
I accept the above declaration
Verification Code
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