APPLICATION FORM FOR THE POST OF CONSTABLE IN J&K EXECUTIVE POLICE Redg. No._________ (to be filled by the Rectt. Board) 1. Name (in block letters).................... 2. Father's Name........................ 3. Identification marks. ..................... 4. Permanent Address: Present Address i) Village............Village.......... ii) Mohalla ........... Mohalla........... iii) Tehsil............. Tehsil............ iv) District of Domicile ...... District.......... vi) Pin Code............Pin Code.......... vii) Telephone ................ Mobile ........ 5. Date of Birth (In Christian era)........... dd mm yyyy 6. Are you a permanent resident of the J&K State? (If Yes, please attach an attested photocopy of the certificate (PRC)). 7. Do you belong to any of the below mentioned categories (if yes put , if no put i) Scheduled Caste ii) Scheduled Tribe iii) Socially and Educationally Backward Classes:- a) Resident of Backward Area b) Residents of areas adjoining line of actual control c) Social Caste (In case of "yes" attach an attested photocopy of the valid category certificate issued by competent authority as per SRO-294 of 2005). 8. Ex-serviceman if any (valid certificate to be attached). 9. Are you an in-service candidate,? (if Yes, please attach original NOC duly issued by the head of the concerned Department.) 10. For SPO/ Volunteer Home Guards (if any) a certificate issued by HOD/the concerned controlling officer be attached to this effect. 11. Educational Qualification ......... .... .... 12. List of Enclosures: - 1........... 2............. 3............4............. 5............. I, hereby, solemnly declare that the above mentioned particulars are correct to the best of my knowledge and belief, and that in case the above information is found incorrect in any manner, at any stage I shall be liable to be disqualified from the recruitment/selection process including loss of appointment, if offered to me. Dated ..... Signature of the Applicant Yes No Paste Recent attested passport size photographph Yes No X
