J&K SERVICES SELECTION BOARD

GOVERNMENT OF JAMMU & KASHMIR

APPLIED APPLICATION FORM FOR UT CADRE POSTS

NAME OF POST - Sub-Inspector
Application ID - 1598579
Date - 17-12-2021 15:13:14
ADVERTISEMENT NUMBER - 6 OF 2021

Post Department Sub Department Cadre/Item No.

Sub-Inspector Home Department J&K Police Department UT (Item No. 668)

PERSONAL DETAILS
Full Name Father's Name

Mr. Malik Ishfaq Ahmad Farooq Ahmad Malik

Mother's Name Gender

Aumtul Basit Male

Date Of Birth Age as on 01.01.2021

04-June-1996 24

Mobile Number Email Whether Married

7780940928 malik.ishfaq36@gmail.com No

Division District

kashmir Kulgam

Domicile Certificate Detail

NOTE :- Domicile Certificate needs to be produced at the time of Document Verification.

Certificate Number Certificate Issuing Authority

TDHP/DC/2021/877 Concern Tehsildar

Whether You Are National Cadet Crops (NCC)

No

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

3A A D K Marg

Division District Tehsil

kashmir Kulgam D H Pora

Block Panchayat Pincode

D K MARG D K MARG 192231

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

3A A A

Division District Tehsil

kashmir Kulgam D H Pora

Block Panchayat Pincode

D K MARG D K MARG 192231

Category of Applicant
Category

RBA

Date of Issue of Certificate Issuing Authority

17-02-2021 TEHSILDAR

Are you In-Service Police Personnel ?

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
10th Board 10th Percentage 10th Result Date

Jammu & Kashmir Board Of School Education 49.6 28/12/2011

10th Obtain Marks 10th Maximum Marks

242 500

12th Board 12th Percentage 12th Result Date

Jammu & Kashmir Board Of School Education 58.8 20/08/2015

12th Obtain Marks 12th Maximum Marks

294 500
Whether Graduate

Yes

Graduation Degree Graduation Institution/University Percentage Result Date

Bachelor's In Computer IK Gujral Punjab TECHNICAL University 75.90 10/01/2021

Application

Obtain Marks Maximum Marks

3036 4000

Do you have Physical Standards: For Males (Provided that for the candidates belonging to the Gorkha Community , the minimum Height shall be relaxable
by 2”)

(i) Height : 5’6”(minimum)

(ii) Chest girth: 32”(unexpanded)

(iii) Chest girth: 331/2” (expanded)

Do you have Physical Standards: For Females (Provided that for the candidates belonging to the Gorkha Community , the minimum Height shall be
relaxable by 2”)

(i) Height : 5’2” ( minimum ).

Yes

Do you have Indian Army Certificate of Education/corresponding certificate in the Navy or Air force With not less than 15 years of service in the
armed/Navy/Air force.

No

Other Details
Do you possess the prescribed educational qualifications as per the advertisement / notification? Choice of Examination 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.
550/-
(Five Hundred Fifty only). In case of candidates belonging to SC/ST category, the fee payable shall be Rs.400/- (Four Hundred only) only 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.
Candidates are advised to apply for refund of excess payment, if any, through official portal www.ssbjk.org.in only. No chargeback request shall be
entertained. Do you agree?
*

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