6/5/23, 12:13 PM SSB Online

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SASHASTRA SEEMA BAL RECRUITMENT
RECRUITMENT OF 338/RC/SSB/ASIs(Para Medical)/2023 FOR THE POST OF (Assistant
Sub-Inspector (Stenographer))

ACKNOWLEDGEMENT
REGISTRATION ID : 22031395 DATE & TIME : 05-06-2023 12:10:04
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POST APPLIED FOR : ASSISTANT SUB-INSPECTOR (STENOGRAPHER) APPLICANT NAME : VISHAL SHARMA

FATHER'S NAME : AJAY KUMAR SHARMA MOTHER'S NAME : BINDU SHARMA

DATE OF BIRTH : 19-11-2000 GENDER : MALE

RELIGION : HINDU MARITAL STATUS : UNMARRIED

NATIONALITY : INDIAN CATEGORY : GENERAL

IDENTITY CARD NO : 581344342114 (AADHAR CARD) IDENTIFICATION MARKS : SKIN TAG MARK ON RIGHT SHOULDER
MOBILE NUMBER : 7657832114 EMAIL ADDRESS : VS8811008@GMAIL.COM
COMMUNITY BELONGING TO ANY : NO

WHETHER DOMICILED ORDINARY IN J&K DURING 1980 TO 1989 : NO

WHETHER AFFECTED IN 1984 RIOTS OR COMMUNAL RIOTS OF 2002 GUJARAT : NO
WHETHER EX-SERVICEMAN : NO
WHETHER DEPARTMENTAL CANDIDATES WITH THREE YEARS CONTINUOUS NO
SERVICE IN CENTRAL GOVERNMENT :

EDUCATION QUALIFICATION DETAILS

AGGREGATE
SCHOOL/
YEAR PERCENTAGE
CERTIFICATE DATE OF
EXAM PASSED UNIVERSITY/ BOARD/ OF ROLL NO SUBJECT
EXAM NO ISSUED OF MARKS/
INSTITUTE
GRADING
MATRICULATION CBSE 2016 2266916 0527244 28-05-2016 MATHEMATICS,ENGLISH,HINDI,SCIENCE,SOCIALSCIENCE, 6.6
12 PSEB 2018 2018100126 18170623 07-05-2018 ENGLISH,PUNJABI,PHYSICS,CHEMISTRY,MATHS,COMP,ENV- 57.3
GRADUATION PTU 2022 1931976 10033339 12-09-2022 ALL IT SUBJECTS AND MATHEMATICS 8.07

ADDRESS DETAILS
PERMANENT ADDRESS CORRESPONDENCE ADDRESS
VILLAGE/TOWN VILLAGE-JAINI KHALKI VILLAGE/TOWN VILLAGE-JAINI KHALKI

POST OFFICE MADHOPUR POST OFFICE MADHOPUR

TEHSIL PATHANKOT TEHSIL PATHANKOT

POLICE STATION SHAHPUR KANDI JUGIAL POLICE STATION SHAHPUR KANDI JUGIAL

DISTRICT PATHANKOT DISTRICT PATHANKOT

STATE PUNJAB STATE PUNJAB

PIN CODE 145024 PIN CODE 145024

DECLARATION OF CRIMINAL CASES

HAVE YOU EVER BEEN DEBARRED BY UPSC, SSC OR SPSC OR ANY RECRUITMENT BOARD FROM APPEARING IN ANY EXAM? NO
CRIMINAL PROCEEDING DETAILS, IF ANY
A) WHETHER ANY FIR OR CRIMINAL CASE(S) HAS EVER BEEN REGISTERED AGAINST YOU? NO
B) WHETHER ANY CRIMINAL COMPLAINT CASE OR FIR OR CRIMINAL CASE(S) IS PENDING AGAINST YOU IN COURT OF LAW,
NO
OR WITH POLICE AT THE TIME OF SUBMITTING THE APPLICATION FORM?
C) HAVE YOU EVER BEEN ARRESTED/DETAINED IN ANY CRIMINAL CASE(S)? NO
D) HAVE YOU EVER BEEN TRIED & CONVICTED OR ACQUITTED BY A COURT OF LAW IN ANY CRIMINAL CASE(S)? NO
E) HAVE YOU EVER BEEN TRIED & CONVICTED BY THE COURT BY FILLING ANY BOND FOR GOOD BEHAVIOUR ETC.? NO

DECLARATION BY THE CANDIDATE

I HEREBY DECLARE THAT THE INFORMATION GIVEN ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF AND NOTHING HAS BEEN CONCEALED THEREIN. I AM
WELL AWARE OF THE FACT THAT IF THE INFORMATION GIVEN BY ME IS PROVED NOT TRUE, I WILL HAVE TO FACE THE CONSEQUENCES AS PER THE LAW. ALSO, ALL THE
BENEFITS AVAILED BY ME SHALL BE SUMMARILY WITHDRAWN.

DATE : 05-06-2023 12:10:04

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