J&K SERVICES SELECTION BOARD

GOVERNMENT OF JAMMU & KASHMIR

APPLIED APPLICATION FORM FOR DIVISION/DISTRICT CADRE POSTS

NAME OF POST - Junior Supervisor/Sub Auditor
Application ID - 541324
Date - 2021-05-12 01:57:32
ADVERTISEMENT NUMBER - 2 OF 2021

Post Department Sub Department Cadre

Junior Supervisor /Sub Cooperative Department Registrar Cooperative Jammu (Item No. 498)
Auditor Societies J&K Samba (Item No. 499)
Kathua (Item No. 500)
Udhampur (Item No. 501)
Reasi (Item No. 502)
Doda (Item No. 503)
Kishtwar (Item No. 504)
Ramban (Item No. 505)
Rajouri (Item No. 506)
Poonch (Item No. 507)
Srinagar (Item No. 508)
Budgam (Item No. 509)
Ganderbal (Item No. 510)
Pulwama (Item No. 511)
Anantnag (Item No. 512)
Kulgam (Item No. 513)
Shopian (Item No. 514)
Baramulla (Item No. 515)
Bandipora (Item No. 516)
Kupwara (Item No. 517)

PERSONAL DETAILS
Full Name Father's Name

Mr. Amar Sohail Mirza Akhlaq Hussain mirza

Mother's Name Gender

Rahila kosser Male

Date Of Birth Age as on 01.01.2021

02/04/1992 28

Mobile Number Email Whether Married

7006585513 asmirza4747@gmail.com No

Whether you are Domicile of Jammu and Kashmir or not? Division District

yes jammu Rajouri

Has Domicile Certificate been issued

(Domicile Certificate needs to be produced at the time of Document Verification)

yes

Certificate Number Certificate Issuing Authority

4820/MM Tehsildar darhal

Permanent Address
House No./ Room No. Locality/ Mohalla/ Ward Number Village/ Town/ City

72 5 Malhut
Division District Tehsil

jammu Rajouri Darhal

Block Panchayat Pincode

Darhal Malhut 185135

Correspondence Address
House No./ Room No. Locality/ Mohalla/ Ward Number Village/ Town/ City

72 5 5

Division District Tehsil

jammu Rajouri Darhal

Block Panchayat Pincode

Darhal Malhut 185135

Category of Applicant
Category

PSP

Date of Issue of Certificate Issuing Authority

12/01/2021 Tehsildar darhal

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 Organisations against you?

No

Qualification Details
Matric Board Matric Percentage Matric Result Date

Jammu & Kashmir Board Of School Education 49. 7 18/05/2006

Obtain Marks Maximum Marks

247 500

Whether 10+2

Yes

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

Jammu & Kashmir Board Of School Education 62 16/05/2008

Obtain Marks Maximum Marks

459 750

Whether Graduate

Yes

Graduation Degree Graduation Institution/University Percentage Result Date

BSc University of jammu 63 16/05/2011

Obtain Marks Maximum Marks

1042 1650

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.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)?

-
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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