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 CONSTABLES (EXECUTIVE) Advertisement Notice No.: 12 of 2025

RegNo 1900255793 Dated: 24-12-2025

Cadre Name DIVISION Department Name HOME DEPARTMENT

Examination Center: JAMMU Application No.: 2632970143371

Application Form Submission Date: 25/Feb/2026 Payment Mode/Status.: Online / Submitted

Cadre Details

Div. Jammu (273) Constable Executive Police,Div. Kashmir (274) Constable Executive Police

Cadre With Prefrence

CadreWithName PreferenceNo

Div. Jammu (273) Constable Executive Police 1

Div. Kashmir (274) Constable Executive Police 2

Personal Details

Full Name: AKSHAY KUMAR

Father’s/ Name: : CHAMAN LAL

Mother's Name KAMLA DEVI

Gender: MALE

Date of Birth: 02/03/2003 Age as on 1st January of 2025: 21 years 09 months 30 days

Mobile Number: 9797643107 LandLine Number:

Email WWWAKSHAYKROTTRA6565@[Link] Marital Status: UNMARRIED

Domicile No: teh/dom/hgr/7856-7860 Domicile Date: 08-09-2020

Domicile District KATHUA District: KATHUA

Permanent Address

WARD NO 6,KOOTAH,HIRANAGAR

Correspondence Address

WARD NO 6,KOOTAH,HIRANAGAR, Kathua

In Service

In Service(Are you an employee of J&K Government?) No

Category Details

Category: SC

Category Issue Date: 05/JAN/2026

Category Expiry Date: NOT REQUIRED

Category Issuing Authority: TEHSILDAR HIRANAGAR

Number of Category Certificate: JK-REV-SC/2025/40730

Specially abled

Are you Specially abled Person: No

Experience Details

Are You Ex-Service Man: No

Have you ever been appointed for any other Government Job under J&K Government Under ESM Category No

Special Police Officer(SPO)

Date of Joining as SPO :*

 Do you have minimum 3 years of experience as SPO? No

VHG (Volunteer Home Guard)

Date of joining as VHG :*

Do you have minimum 3 years of engagement as VHG? No

National Cadet Corps(NCC)

Do you possess National Cadet Corps(NCC) Certificate : No

Select NCC Certificate :

Date of Issuance (NCC Certificate):

In service(Are you In-service Police Personnel)

Are you In-service Police Personnel No

Physical Standards

Do you possess the requisite physical standards (Provided that for the candidates belonging
to the Gorkha Community/ Bot Tribe, the minimum height shall be relaxed by 2"):
Do you have Physical Standards as follows:
For Male(Height: 5’6” (minimum)) Yes
Chest girth: 32” (unexpanded)
Chest girth: 33 1/2 ” (expanded)
For Female(Height: 5’2” (minimum))

Do you belong to the Gorkha Community/ Bot Tribe No

Other Details

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

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

Is any case filed against you in court: No

Whether any disciplinary action has been initiated by

No
Government/Semi-Government Organisation against you?
Whether disciplinary or any other similar action is initiated by
NO
Bar Council or Medical Council or Association or other Professional/Vocational Institution?

Whether debarred or Black Listed by SSB /

NO
University / SPSC / Other P.S.C/ UPSC or any other organisation?
Education Qualification

Board Marks
Exam Passed Matric Board Subject Code Passing Year Roll Number
Marks Type Grade CGPA Max Scored Percentage

MATRIC JKBOSE NA 2019 2638162 marks NA NA 500 212 42.40

INTERMEDIATE JKBOSE ARTS 2022 32601792 marks NA NA 500 266 53.20

GOVERNME
ITI/CERTIFICATE COURSE/PG DIPLOMA/DIPLOMA NT INSTITUT 1-YEAR 2024 240120002389295 marks NA NA 600 416 69.33
E

Name Of ITI trade/CC/PG Diploma/Diploma ITI HIRANAGAR

Photograph and Signature

Photograph:* Signature:* Live Photograph:

Declaration

I Akshay kumar 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 am eligible for the above post as per 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 Acknowledge that
my candidature shall be provisional throughout the selection process, and mere participating in the recruitment/ selection process shall not accrue any right to me, till
formal appointment order will be issued by the Indenting Department. 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 at any stage. I further stipulate that I have carefully read the 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 I have not
specifically indicated/uploaded in this online application form. The uploaded document (Regarding Vertical Reservation Category viz. SC, ST-1, ST-2, RBA, ALC/IB,
Other Backward Classes (OBCs), EWS (Economically Weaker Section) are valid as on cut-off date and I shall produce the same at the time of Document Verification
(DV), if short listed by the Board. 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 /false/misleading at any stage. I am fully aware that the information
provided by me in the Application form can be legally used by the Board in case of any litigation and that the Board is very much within its rights to do so. The charges
for filling up the form would be as mentioned in the advertisement and are non-refundable in any case. I am aware that I shall have no 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 concerned Bank branch and JAMMU AND KASHMIR Services Selection Board.

ONLY FOR IN-SERVICE CANDIDATES

CERTIFIED THAT S/O W/O DO

SIGNATURE WITH
IS WORKING AS______________________________________________________________________________________________ STAMP OF HEAD OF
DEPARTMENT

IN

FROM

TO_____________________________________________________________________________________________________________________

ON BASIS

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