J&K SERVICES SELECTION BOARD
GOVERNMENT OF JAMMU & KASHMIR
APPLICATION FORM FOR DIVISION/DISTRICT CADRE POSTS
NAME OF POST - FPF Guard
Application ID - 2483322
Date - 19-09-2022 13:31:56
ADVERTISEMENT NUMBER - 4 OF 2022
Post Department Sub Department Cadre/Item No. Preference No.
FPF Guard Forest,Ecology & Director Forest Jammu (Item No. 086) Jammu-3
Environment Protection Force Kathua (Item No. 087) Kathua-7
Udhampur (Item No. 088) Udhampur-2
Reasi (Item No. 089) Reasi-1
Kishtwar (Item No. 090) Kishtwar-5
Ramban (Item No. 091) Ramban-6
Rajouri (Item No. 092) Rajouri-4
PERSONAL DETAILS
Full Name Father's Name
Mr. MOHINDER KUMAR Brij mohan
Mother's Name Gender
Maya devi Male
Date Of Birth Age as on 01.01.2022
17-January-1996 25
Mobile Number Email Whether Married
9103506805 mixermohinder@gmail.com No
Division District
jammu Reasi
Domicile Certificate Detail
NOTE :- Domicile Certificate needs to be produced at the time of Document Verification.
Certificate Number Certificate Issuing Authority
DOC/0509/07Aug2020/130527434 Katra
Permanent Address
House No./ Room No. Locality/ Mohalla/ Ward Number Village/ Town/ City
Kotli manotrian 1 Kotli Manotrian
Division District Tehsil
jammu Reasi Katra
Block Panchayat Pincode
Reasi Kotli manotrian 182311
Correspondence Address
House No./ Room No. Locality/ Mohalla/ Ward Number Village/ Town/ City
Kotli manotrian 1 1
Division District Tehsil
jammu Reasi Katra
Block Panchayat Pincode
Reasi Kotli manotrian 182311
Category of Applicant
Category
SC
Date of Issue of Certificate Issuing Authority
28-03-2016 Tehsildar katra
Are you Specially Abled Person (PH)?
No
Are you an employee of J&K Government?
No
Are you an Ex-Servicemen?
No
Have you ever been selected for any other Government Job under ESM Category?
No
Criminal Proceedings
Whether any FIR has been lodged/registered against you?
No
Whether any prosecution is pending in any Court of Law against you?
No
Whether any Chargesheet has been filed against you?
No
Whether you have been convicted by any court of competent jurisdiction in any offence?
No
Was any Court Case been filed against you?
No
Whether any disciplinary action has been initiated by Government/Semi-Government Organizations against you?
No
Qualification Details
10th Board 10th Percentage 10th Result Date
Jammu & Kashmir Board Of School Education 42.8 16/09/2013
10th Obtain Marks 10th Maximum Marks
214 500
12th Board 12th Percentage 12th Result Date
Jammu & Kashmir Board Of School Education 43.4 18/06/2015
12th Obtain Marks 12th Maximum Marks
217 500
Physical Standard:-
(i) Male Minimum Height 163cms Chest Normal 84cms Chest expansion 5cms
(ii)Female Minimum Height 150cms Chest Normal 79cms Chest expansion 5cms
Yes
Physical Fitness Test Walk to be completed in four hours on Foot.
(a) Male -25 kms.
(b) Female -16 kms
Yes
Physical fitness certificate from CMO
Yes
Other Details
Do you possess the prescribed educational qualifications as per the advertisement / notification? Choice of Examination Center at
Yes Jammu Division
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 are Rs. 450 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. Candidates are advised to apply for refund of excess payment, if any, through official portal www.ssbjk.org.in only. No chargeback request shall be
entertained. Do you agree? *
ONLY FOR INSERVICE CANDIDATES
SIGNATURE WITH
CERTIFIED THAT S/O W/O D/O
STAMP OF HEAD OF
IS WORKING AS______________________________________________________________________
DEPARTMENT
IN
From
To _________________________
ON BASIS
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