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 SUB-INSPECTOR (HOME) Advertisement Notice No.: 02 of 2024
RegNo 1900293100 Dated: 22-11-2024
Cadre Name UT J&K Department Name HOME DEPARTMENT
Examination Center: JAMMU Application No.: 2402100002691
Application Form Submission Date: 04/Dec/2024 Payment Mode/Status.: Online / Submitted
Cadre Details
UT(07) Sub-Inspector
Personal Details
Full Name: ROHIT KUMAR GOSWAMI
Father’s Name: : PARSHOTAM KUMAR
Mother's Name SUNITA DEVI
Gender: MALE
Date of Birth: 22/10/2000 Age as on 1st January of 2024: 23 years 02 months 10 days
Mobile Number: 9149921120 LandLine Number:
Email MOHAN1438826@[Link] Marital Status: UNMARRIED
Domicile No: DOM/0407/29JUN2020/202418681 Domicile Date: 07-08-2020
Domicile District UDHAMPUR District: UDHAMPUR
Permanent Address
Mand,Bikhangala,UDHAMPUR
Correspondence Address
Mand,Bikhangala,UDHAMPUR , Udhampur
In Service
In Service(Are you an employee of J&K Government?) No
Category Details
Category: OM
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
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 Yes
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))
Chest girth: 32” (unexpanded)
Chest girth: 33 1/2 ” (expanded)
For Female(Height: 5’2” (minimum))
Black List
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 Board/University Subject Code
Marks Type Grade CGPA Max Scored Percentage
MATRIC CBSE NA CGPA NA 9.30 NA NA NA
INTERMEDIATE CBSE NON-MEDICAL MARKS NA NA 500 411 82.20
GRADUATION (ACADEMIC) UNIVERSITY OF JAMMU BSC MARKS NA NA 3300 2531 76.70
Photograph and Signature
Photograph:* Signature:*
Declaration
I Rohit kumar goswami 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 fulfill all 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 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. 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 [Link] uploaded document (Regarding Vertical
Reservation Category viz. SC, ST-1, ST-2, RBA, ALC/IB, Other Backward Classes(OBCs), EWS (Economically Weaker Section) shall be produced at the time of Document
Verification (DV). 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 at any stage. The charges for filling up the form would be as mentioned in the
advertisement and are non-refundable. I am aware that I shall not have 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 Relevant Bank 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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