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 1900489426 Dated: 16-07-2024
Cadre Name DIVISION Department Name HOME DEPARTMENT
Examination Center: JAMMU Application No.: 2401000249410
Application Form Submition Date: 06/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 SDRF
PREFERENCES 3: Constable Executive Police Div Jammu
PREFERENCES 4: Constable Executive Police Div Kashmir
Personal Details
Full Name: KAMAL NAIN
Father’s/ Name: : SURESH CHANDER
Mother's Name SANSARU DEVI
Gender: MALE
Date of Birth: 12/02/2001 Age as on 1st January of 2024: 22 years 10 months 20 days
Mobile Number: 7051082144 LandLine Number:
Email MUKESHRANA05004@GMAIL.COM Marital Status: UNMARRIED
Domicile No: 614 Domicile Date: 30-01-2021
Domicile District KISHTWAR District: KISHTWAR
Permanent Address
12,Chishoti,Machail
Correspondence Address
12,Chishoti,Machail, Kishtwar
In Service
In Service(Are you an employee of J&K Government?) No
Category Details
Category: ST2
Category Issue Date: 04/SEP/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
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
Government/Semi-Government Organisation against you? No
Whether disciplinary or any other similar action is initiated by
Bar Council or Medical Council or Association or other Professional/Vocational Institution? NO
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 500 270 54.00
INTERMEDIATE JKBOSE NON-MEDICAL marks NA NA 500 299 59.80
Photograph and Signature
Photograph:* Signature:*
Declaration
I Kamal nain 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
Print