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 LABORATORY ATTENDANT Advertisement Notice No.: 06 of 2025
RegNo 1900719209 Dated: 22-07-2025
Cadre Name UT J&K Department Name HOME DEPARTMENT
Examination Center: SRINAGAR Application No.: 2526630026573
Application Form Submission Date: 03/Sep/2025 Payment Mode/Status.: Online / Submitted
Cadre Details
UT(24) Laboratory Attendant
Personal Details
Full Name: MOHAMMAD UMAR
Father’s/ Name: : MANZOOR AHMAD WAR
Mother's Name KHALIDA
Gender: MALE
Date of Birth: 13/09/2003 Age as on 1st January of 2025: 21 years 03 months 19 days
Mobile Number: 7889602708 LandLine Number:
Email MOHAMMADUMAR4210@[Link] Marital Status: UNMARRIED
Domicile No: Dom/1901/13sep2023/161402156 Domicile Date: 20-07-2023
Domicile District KUPWARA District: KUPWARA
Permanent Address
36-B,DEVASPORA MAGAM ,Handwara
Correspondence Address
36-B,DEVASPORA MAGAM ,Handwara , Kupwara
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
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 Matric Board Subject Code
Marks Type Grade CGPA Max Scored Percentage
MATRIC JKBOSE NA marks NA NA 500 434 86.80
INTERMEDIATE AMU BOARD MEDICAL marks NA NA 500 442 88.40
Photograph and Signature
Photograph:* Signature:*
Declaration
I Mohammad umar 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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