S.S.S.

Board, Punjab
(Advertisement No. 5 of 2024)

Online Application Form

Fields with * are mandatory

Post Applied: Clerk/Storekeeper

*Applicant's Name: CHHINDER KAUR

*Father's Name: KAPOOR SINGH

*Mother's Name: AMARJEET KAUR

*Gender: Female

*Marital Status: Married

*Domicile: Punjab

*Category: 114 - Sports Gen.

*Do you belong to Vimukat Jati?: No

*Nationality: Indian

*Date of Birth: 03/07/1993

Age in Years (as on 01/01/2024): 30

*EMail Address: sucha13041994@gmail.com

*Mobile Number: 8968694134

Alternate Mobile Number:

*Identity Proof Type: Aadhaar

*Identity Proof: Aadhaar

*ID Number: 519480543650

*Criminal Case Registered: No

Case Details:
*Have you ever been convicted by criminal court : No

Please specify type of case, date of case and nature of case:

*Already Working As Govt Employee: No

Date of Joining:

Service Details(Including Deptt and Desig):

Type of Employment :
Have you informed your office/department :
*Dismissed from Govt Service: No

Dismissal Detail:

*Punjabi Passed at 10th Level or Equivalent: Yes

*Do you possess the requisite educational qualification : Yes

Address:

*Permanent W/O SUCHA SINGH, VPO BHATIWAL KALAN, TEHSIL BHAWANIGARH

*State/UT Punjab

*District Sangrur

*Pincode 148026
 (Select checkbox if Correspondence Address is same as Permanent Address)
*Correspondence W/O SUCHA SINGH, VPO BHATIWAL KALAN, TEHSIL BHAWANIGARH

*State/UT Punjab

*District Sangrur

*Pincode 148026

*Educational Qualification Details

Name of Year of Name of Marks Total Degree

Level %/Grade/CGPA
Examination Passing Board/University Obtained Marks Mode
PSEB
10th 10th 2008 484 650 74.46 Regular

PSEB
12th 12th 2010 320 450 71.11 Regular

PUNJABI
Graduate BA 2015 UNIVERSITY 1735 2400 72.29 Regular
PATIALA

KNOWLEDGE
Computer BASIC OF COMPUTER 2015 283 400 70.75 Regular
HUB EDUCARE

*Is your degree from a University situated in Punjab?: Yes

I CHHINDER KAUR s/d/o KAPOOR SINGH do hereby declare that

a) All the infomation provided in the application are true, complete and correct to the best of my knowledge and belief.
b) I am clear that I belong to above filled category and I am aware of it that after making final submission category can not be changed at any
stage.
c) This application form has been filled and submitted by me. I am completely aware of the facts/data/personal details filled in this form and
before making final submission I have checked this data again and again.
d) In future, I will not take any plea for any type of correction in this application form on the basis that information/data filled in this
application form was entered/typed by somebody else (Computer operator/Internet cafe master/any other person).
e) I understand that in the event of any particular information given above being found false or incorrect, my candidature for the above post
is liable to be rejected or cancelled and in the event of any mis-statement or discrepancy in the particulars being detected after my appointment,
my services are liable to be terminated forthwith without any notice to me.
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