Punjab Subordinate Services Selection Board

Forest Complex, Sector-68, SAS Nagar (Mohali)

Advt. No 07/2022, Dated: 19-05-2022

Application No.: PSSSBJ07054632 Post Applied For: Forest Guard

Personal Details:

Applicant's Name: LOVEPREET KAUR

Father's Name: DARSHAN SINGH
Mother's Name: TALJINDER KAUR
Date of Birth: 3 Oct 2002 Marital Status: Single
Gender: Female Email: taljinderkaurtaljinderkaur@gmail.com
Mobile No.: 9855098408 ID Proof: Aadhaar
Alternate Mobile No.: 0 Id No: 335845092270
Category Code: 101 Category: General

Domicile: Punjab Vimukat Jati: No Nationality: Indian

Permanent Address: villaeg gobindpura jawaharwala; Sangrur; Punjab; 148031

Corres Address: villaeg gobindpura jawaharwala; Sangrur; Punjab; 148031
Other Details:
Criminal case Registered: No
Convicted in criminal case No
Existing Govt Employee No Type of Employment Date of Joining Informed Department

Service Detail:

Dismissed from Government service: No

Requisite Educational Qualification: Yes Punjabi Passed at 10th level or equivalent: Yes

Payment Details:
Mode: RUPAYCARD Amount: 1000 Transaction Id: DUJ1081672 Date: 6 Jun 2022
Qualification Details:
Name of Examination Year Board/University Marks Obtained Total Marks % / Grade Study Mode
10th 2017 pseb 455 650 70.00 Regular
12th 2019 pseb 364 450 80.89 Regular

I LOVEPREET KAUR d/o DARSHAN SINGH do hereby declare that

a) All the infomation provided in the application are true, complete and correct to the best of my knowledge and belief.
b) I am clear that I belong to above filled category and I am aware of it that after making final submission category can not be changed at any stage.
c) This application form has been filled and submitted by me. I am completely aware of the facts/data/personal details filled in this form and before making final
submission I have checked this data again and again.
d) In future, I will not take any plea for any type of correction in this application form on the basis that information/data filled in this application form was entered/
typed by somebody else (Computer operator/Internet cafe master/any other person).
e) I understand that in the event of any particular information given above being found false or incorrect, my candidature for the above post is liable to be
rejected or cancelled and in the event of any mis-statement or discrepancy in the particulars being detected after my appointment, my services are liable to be
terminated forthwith without any notice to me.

Date 02/06/2022