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Application Form

J&K Services Selection Board

(CANDIDATES SHOULD NOT SUBMIT A PRINTOUT OF THE APPLICATION FORM TO JKSSB AT THIS STAGE.)

Name of Post SUPERVISOR Advertisement Notice No.: 02 of 2023

Item Code 90 Dated: 08-12-2023

Cadre Name 1 Department Name SOCIAL WELFARE DEPARTMENT

Examination Center: SRINAGAR Application No.: 2402000119676

Application Form Submition Date: 14/Jan/2024 Payment Mode/Status.: Online / Not Submitted

Cadre Details

Dist.Bandipora(015)

Personal Details

Full Name: FARHAT MAJEED

Father’s/ Name: : ABDUL MAJEED LONE

Mother's Name HAMIDA BEGUM

Gender: FEMALE

Date of Birth: 15/03/1996 Age as on 1st January of 2023: 26 years 09 months 17 days

Mobile Number: 9906898310 LandLine Number:

Email WANINADEEM089@GMAIL.COM Marital Status: UNMARRIED

Domicile No: 11005/D Domicile Date: 05-09-2020

Domicile District BANDIPORA District: BANDIPORA

Permanent Address

66,Nussu,bandipora

Correspondence Address

66,Nussu,bandipora

Employee of J&K Government

In Service(Are you an employee of State Government?) No

Category Details

Category Code: OM

Physically Handicapped(PH)

Are you Specially Abled Person(PH)?: No

Experience Details

Are You Ex-Service Man: No

Have you ever been selected for any other government job under ESM category? No

Black List

Whether any FIR has been lodged/registered against you? No

Whether any prosecution is pending in any Court of Law against you? No

was any Court case filed against you? No

Whether any disciplinary action has been initiated by


Government/Semi-Government Organisation against you?
No

Whether dsiplinary or any other smimilar action is initiated by


NO
Bar Council or Medical Council or Association or other Professional/Vocational Institution?

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