Punjab Subordinate Services Selection Board

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

Advt. No 02/2022, Dated: 15-05-2022

Application No.: PSSSBJ02000709 Post Applied For: Clerk (Legal)

Personal Details:

Applicant's Name: SATINDER SINGH

Father's Name: RAM BADAN
Mother's Name: BUNA DEVI
Date of Birth: 10 Apr 1997 Marital Status: Single
Gender: Male Email: satindersinghpnb4@gmail.com
Mobile No.: 7696874784 ID Proof: Aadhaar
Alternate Mobile No.: 0 Id No: 874160143811
Category Code: 104 Category: S.C (Ramdasia & others)

Domicile: Punjab Vimukat Jati: No Nationality: Indian

Permanent Address: JNV FATEHPUR RAJPUTTAN P.O SANAUR; Patiala; Punjab; 147103
Corres Address: JNV FATEHPUR RAJPUTTAN P.O SANAUR; Patiala; Punjab; 147103
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
Department Preference 1. Department of Home affairs and Justice 2. Department of Local Government
3. Department of Tourism and Culture 4. Department of Excise and Taxation
5. Department of General Administration 6. Department of Town and Country Planning

Payment Details:
Mode: SBDEBIT Amount: 250 Transaction Id: DUJ1193415 Date: 7 Jun 2022
Qualification Details:
Is your Degree from a University in Punjab: Yes
Name of Examination Year Board/University Marks Obtained Total Marks % / Grade Study Mode
10th 2013 CBSE 395 600 65.83 Regular
12th 2015 CBSE 403 500 80.60 Regular
B.A LLB 2020 PUNJABI UNIVERSITY PATIALA 3671 5000 73.42 Regular
BASIC 2019 EXCEL COMPUTER CENTRE 539 600 89.83 Private

I SATINDER SINGH s/o RAM BADAN 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 19/05/2022