J&K SERVICES SELECTION BOARD

GOVERNMENT OF JAMMU & KASHMIR

APPLICATION FORM FOR DIVISION/DISTRICT CADRE POSTS

NAME OF POST - Forester
Application ID - 2263978
Date - 07-09-2022
ADVERTISEMENT NUMBER - 4 OF 2022

Post Department Sub Department Cadre/Item No. Preference No.

Forester Forest,Ecology and Pr.Chief conservator of Div.Kashmir (Item No. Div.Kashmir-1

Environment Forests/(HOFF )J&K 192)

Div.Jammu-2

Div.Jammu (Item No.

193)

PERSONAL DETAILS
Full Name Father's Name

Mr. UMAR FAROOQ FAROOQ AHMAD DAR

Mother's Name Gender

HASEENA BANOO Male

Date Of Birth Age as on 01.01.2022

12-May-2002 19

Mobile Number Email Whether Married

7051455749 umairdar734@gmail.com No

Division District

kashmir Anantnag

Domicile Certificate Detail

NOTE :- Domicile Certificate needs to be produced at the time of Document Verification.

Certificate Number Certificate Issuing Authority

DOM/0113/02Sep2020/101659320 TEHSILDAR

Permanent Address
House No./ Room No. Locality/ Mohalla/ Ward Number Village/ Town/ City

45 HERPORA MAHIND

Division District Tehsil

kashmir Anantnag Srigufwara

Block Panchayat Pincode

Srigufwara SRIGUFWARA 192401

Correspondence Address
House No./ Room No. Locality/ Mohalla/ Ward Number Village/ Town/ City

45 HERPORA MAHIND

Division District Tehsil

kashmir Anantnag Srigufwara

Block Panchayat Pincode

Srigufwara SRIGUFWARA 192401

Category of Applicant
Category

OM

Are you Specially Abled Person (PH)?

No

Are you an employee of J&K Government?

No

Are you an Ex-Servicemen?

No

Have you ever been selected for any other Government Job under ESM Category?

No

Criminal Proceedings
Whether any FIR has been lodged/registered against you?

No

Whether any prosecution is pending in any Court of Law against you?

No

Whether any Chargesheet has been filed against you?

No

Whether you have been convicted by any court of competent jurisdiction in any offence?

No

Was any Court Case been filed against you?

No

Whether any disciplinary action has been initiated by Government/Semi-Government Organisations against you?

No

Qualification Details
10th Board 10th Percentage 10th Result Date

Jammu & Kashmir Board Of School Education 91.2 09/01/2018

10th Obtain Marks 10th Maximum Marks

456 500

12th Board 12th Percentage 12th Result Date

Jammu & Kashmir Board Of School Education 75.4 22/01/2020

12th Obtain Marks 12th Maximum Marks

377 500
Physical Standard:-

(i) Male Minimum Height 163cms Chest Normal 84cms Chest expansion 5cms

(ii)Female Minimum Height 150cms Chest Normal 79cms Chest expansion 5cms

Yes

Physical Fitness Test Walk to be completed in four hours on Foot.

(a) Male -25 kms.

(b) Female -16 kms

Yes

Physical fitness certificate from CMO

Yes

Other Details
Do you possess the prescribed educational qualifications as per the advertisement / notification? Choice of Examination Center at

Yes Kashmir Division

Declaration
I 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 Government 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 have not specifically indicated in this online application
form. 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 are Rs.
550 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 JAMMU AND KASHMIR Service Selection
Board. Candidates are advised to apply for refund of excess payment, if any, through official portal www.ssbjk.org.in only. No chargeback request shall be
entertained. Do you agree?
*

-
ONLY FOR INSERVICE CANDIDATES

SIGNATURE WITH
CERTIFIED THAT S/O W/O D/O
STAMP OF HEAD OF
IS WORKING AS
DEPARTMENT
______________________________________________________________________
IN

From

To _________________________

ON
BASIS

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