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 SUB-INSPECTOR (HOME) Advertisement Notice No.: 02 of 2024

RegNo 1900026354 Dated: 22-11-2024

Cadre Name UT J&K Department Name HOME DEPARTMENT

Examination Center: SRINAGAR Application No.: 2402100058434

Application Form Submission Date: 30/Dec/2024 Payment Mode/Status.: Online / Submitted

Cadre Details

UT(07) Sub-Inspector

Personal Details

Full Name: FURKAN HASSAN LONE

Father’s Name: : GHULAM HASSAN LONE

Mother's Name RAFIQA

Gender: MALE

Date of Birth: 06/04/2001 Age as on 1st January of 2024: 22 years 08 months 26 days

Mobile Number: 8899504068 LandLine Number:

Email LONEFURKAN789@GMAIL.COM Marital Status: UNMARRIED

Domicile No: DOM/0103/12AUG2024/115848674 Domicile Date: 12-08-2024

Domicile District ANANTNAG District: ANANTNAG

Permanent Address

31 ,Lalipora MALAPORA,Anantnag

Correspondence Address

31 ,Lalipora MALAPORA,Anantnag , Anantnag

In Service

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

Category Details

Category: OM

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

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)) Yes
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 Board/University Subject Code
Marks Type Grade CGPA Max Scored Percentage

MIDDLE PASS JKBOSE NA NA NA NA 300 262 87.33

MATRIC CBSE NA CGPA NA 9.00 NA NA NA

INTERMEDIATE CBSE NON-MEDICAL MARKS NA NA 500 372 74.40

ENGINEERING DEGREE/OTHER DEGREE ISLAMIC UNIVERSITY OF SCI CIVIL CGPA NA 8.71 NA NA NA

ENCE AND TECHNOLOGY
Photograph and Signature

Photograph:* Signature:*

Declaration

I Furkan hassan lone 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 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 I have not specifically indicated/uploaded in this online application form.The uploaded document (Regarding Vertical
Reservation Category viz. SC, ST-1, ST-2, RBA, ALC/IB, Other Backward Classes(OBCs), EWS (Economically Weaker Section) shall be produced at the time of Document
Verification (DV). 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 Relevant Bank and JAMMU AND KASHMIR
Services Selection Board.

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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