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 NAIB TEHSILDAR Advertisement Notice No.: 05 of 2025
RegNo 1900353834 Dated: 09-06-2025
Cadre Name UT J&K Department Name REVENUE DEPARTMENT
Examination Center: JAMMU Application No.: 2525510076425
Application Form Submission Date: 13/Jul/2025 Payment Mode/Status.: Online / Submitted
Cadre Details
UT(18) Naib Tehsildar
Personal Details
Full Name: DEEPAK THAKUR
Father’s/ Name: : AMREEK SINGH
Mother's Name KRISHNEE DEVI
Gender: MALE
Date of Birth: 06/04/1998 Age as on 1st January of 2025: 26 years 08 months 26 days
Mobile Number: 6005394718 LandLine Number:
Email DEEPAKDURSAL641998@GMAIL.COM Marital Status: UNMARRIED
Domicile No: DOM0404/17JUL2020/151815788 Domicile Date: 07-09-2020
Domicile District UDHAMPUR District: UDHAMPUR
Permanent Address
20,VPO AMROH ,RAMNAGAR
Correspondence Address
20,VPO AMROH ,RAMNAGAR , Udhampur
knowledge of Urdu:
Do you possess the requisite knowledge of Urdu? Yes
In Service
In Service(Are you an employee of J&K Government?) No
Category Details
Category: RBA
Category Issue Date: 13/MAR/2024
Category Expiry Date: 12/MAR/2029
Category Issuing Authority: TEHSILDAR
Number of Category Certificate: 2024/05241
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
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 500 363 72.60
INTERMEDIATE JKBOSE MEDICAL marks NA NA 500 301 60.20
GRADUATION (ACADEMIC) UNIVERSITY OF JAMMU BSC marks NA NA 3300 1843 55.85
Photograph and Signature
Photograph:* Signature:*
Declaration
I DEEPAK THAKUR 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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