Punjab Subordinate Services Selection Board
Forest Complex, Sector-68, SAS Nagar (Mohali)
Advt. No 02/2024, Dated: 16-02-2024
Application No.: PSSSBL02032567 Post Applied For: Labour Inspector Grade-I
Personal Details:
Applicant's Name: Rohit Kumar
Father's Name: Balram
Mother's Name: Santosh Kumari
Date of Birth: May 17, 1998 Marital Status: Single
Gender: Male Email: rohitkumar80822@gmail.com
Mobile No.: 9814641862 ID Proof: Aadhaar
Alternate Mobile No.: 9896886655 Id No: 596208539466
Category Code: 105 Category: B.C
Domicile: Punjab Vimukat Jati: No Nationality: Indian
Permanent Address: Village: Bhagwasi, Po: Dappar, Tehsil: Derabassi ; Sahibzada Ajit Singh Nagar (Mohali); Punjab; 140506
Corres Address: Village: Bhagwasi, Po: Dappar, Tehsil: Derabassi ; Sahibzada Ajit Singh Nagar (Mohali); Punjab; 140506
Other Details:
Criminal case Registered: No
Convicted in criminal case No
Existing Govt Employee No Type of Employment Date of Joining Informed Department
Service Detail:
Dismissed from Government service: No
Requisite Educational Qualification: Yes Punjabi Passed at 10th level or equivalent: Yes
Payment Details:
Mode: UPI Amount: 250 Transaction Id: DUM3235550 Date: Mar 5, 2024
Qualification Details:
Is your Degree from a University in Punjab: Yes
Name of Examination Year Board/University Marks Obtained Total Marks % / Grade Study Mode
10th 2014 Punjab School Educational Board 550 650 84.62 Regular
12th 2016 Punjab School Education Board 386 450 85.78 Regular
BA 2019 Punjabi University Patiala 2623 3300 79.48 Regular
I Rohit Kumar s/o Balram 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.
Date 02/03/2024
