JAMMU & KASHMIR SERVICES SELECTION BOARD

GOVERNMENT OF JAMMU & KASHMIR

APPLICANT ID: 493682 APPLICATION DATE: 22/01/2021 7:40:54 PM

APPLIED APPLICATION FORM FOR DIVISION/DISTRICT CADRE POSTS

NAME OF POST - Assistant Compiler/Care Taker
ADVERTISEMENT NUMBER - 04 OF 2020

PERSONAL DETAILS

Full Name Father's Name

MR Maqsood Ahmad Bhat Mohd Sultan bhat

Mother's Name Gender

Haja Begum Male

Date Of Birth Age as on 01.01.2020

16/11/1996 23

Mobile Number Email Whether Married

6006385131 maqsoodsultan2297@gmail.com No

Whether you are Domicile of Jammu Division District

and Kashmir or not?
yes Kashmir Baramulla

Has Domicile Certificate been issued

(If No, Domicile Certificate needs to be produced at the time of Document Verification)

yes
Permanent Address

House No./ Room No. Locality/ Mohalla/ Ward Village/ Town/ City
Number
10 Gundaripora kunzar
1

Division District Tehsil

Kashmir Baramulla Kunzar

 Block Panchayat Pincode

Wailoo kralpora Waigund 193401

Correspondence Address

House No./ Room No. Locality/ Mohalla/ Ward Village/ Town/ City
Number
10 Gundaripora kunzar
1

Division District Tehsil

Kashmir Baramulla Kunzar

Block Panchayat Pincode

Wailoo kralpora Waigund 193401

Category of Applicant

Category

RBA

Date of Issue of Certificate Date of Validity of the Issuing Authority

Category Certificate
27/07/2020 27/07/2025 Tehsildar kunzer

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

FIR(s) details
 No
  

Whether any prosecution is pending in any Court of Law against you?

No

Was any Court Case been filed against you?

No

Whether any disciplinary action has been initiated by Government/Semi-Government

Organisations against you?

No
Qualification Details

Matric Board Matric Percentage Matric Result Date

JK State Board 57 05/12/2012

Whether 10+2

SSC(12th) Board SSC(12th) Percentage SSC(12th) Result Date

JK State Board 77.4 01/05/15

Other Details

Do you possess the prescribed educational qualifications as Choice of Examination

per the advertisement / notification? Center at

YES Kashmir 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.350
and are non-refundable. I am aware that I shall not have claim over the charges, once
successfully paid to J&K Services Selection Board, J&K. All the disputes related to refund
of excess payment, if any, are subject matter of the J&K Service Selection Board.
Candidates are advised to apply for refund of excess payment, if any, through official
portal www.ssbjk.org only. No chargeback request shall be entertained. Do you
agree(Yes)?

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