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 JUNIOR ENGINEER (CIVIL) Advertisement Notice No.: 03 of 2025
RegNo 1900580406 Dated: 24-04-2025
Cadre Name UT J&K Department Name PUBLIC WORKS (R&B) DEPARTMENT / JAL SHAKTI DEPARTMENT
Examination Center: JAMMU Application No.: 2523450008369
Application Form Submission Date: 01/Jun/2025 Payment Mode/Status.: Online / Submitted
Cadre Details
UT(06) Junior Engineer (Civil),UT(07) Junior Engineer (Civil)
ITEM PREFERENCES
PREFERENCES : 07 UT Public Works R&B Department
PREFERENCES : 06 UT Jal Shakti Department
Personal Details
Full Name: ADIL FAROOQ BUTT
Father’s/ Name: : FAROOQ AHMED BUTT
Mother's Name SAKINA BEGUM
Gender: MALE
Date of Birth: 15/03/1995 Age as on 1st January of 2025: 29 years 09 months 17 days
Mobile Number: 8825045337 LandLine Number:
Email AADIL.BUTT40@[Link] Marital Status: UNMARRIED
Domicile No: Tn/op/dom/2020-21/899-903 Domicile Date: 15-03-1995
Domicile District KISHTWAR District: KISHTWAR
Permanent Address
Ndus 103,Bhagna,Nagseni
Correspondence Address
House no. 113,Lachkhazana,Tirsar Zewer , Kishtwar
In Service
In Service(Are you an employee of J&K Government?) No
Category Details
Category: OBC
Category Issue Date: 17/JAN/2025
Category Expiry Date: 17/JAN/2030
Category Issuing Authority: TEHSILDAR NAGSENI
Number of Category Certificate: JK-REV-SEB/2024/59242
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
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
Government/Semi-Government Organisation against you?
No
Whether disciplinary or any other similar action is initiated by
Bar Council or Medical Council or Association or other Professional/Vocational Institution?
NO
Whether debarred or Black Listed by SSB /
University / SPSC / Other P.S.C/ UPSC or any other organisation?
NO
Education Qualification
Board Marks
Exam Passed Matric Board Subject Code
Marks Type Grade CGPA Max Scored Percentage
MIDDLE PASS JKBOSE NA NA NA NA 250 175 70.00
MATRIC JKBOSE NA marks NA NA 500 279 55.80
INTERMEDIATE JKBOSE NON-MEDICAL marks NA NA 500 245 49.00
GOVERNMENT INSTIT
ITI/CERTIFICATE COURSE/PG DIPLOMA/DIPLOMA UTE 3-YEAR marks NA NA 6300 4147 65.83
Name Of ITI trade/CC/PG Diploma/Diploma Three years diploma in Civil engineering
Photograph and Signature
Photograph:* Signature:*
Declaration
I Adil Farooq butt 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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