S.S.S. Board, Punjab
(Advertisement No. 14 of 2024)
Online Application Form
Fields with * are mandatory
  
Post Applied:
*
Applicant's Name:
*
Father's Name:
*
Mother's Name:
*
Gender:
Male
Female
*
Marital Status:
Single
Married
Widow/Divorced
*
Domicile:
Punjab
Other
Category Code:
*
Category:
101 - General
102 - EWS (Gen.)
103 - S.C (M & B)
104 - S.C (Ramdasia & others)
105 - B.C
106 - ESM Gen. (Self)
107 - ESM Gen. (Dependent)
110 - ESM SC (R&O) (Self)
111 - ESM SC (R&O) (Dependent)
114 - Sports Gen.
118 - Physically Handicapped Visually Impaired
120 - Physically Handicapped M.D & I.D
*
Do you belong to Vimukat Jati?:
No
Yes
*
Nationality:
*
Date of Birth:
  
Age in Years (as on 01/01/2025):
*
EMail Address:
*
Mobile Number:
  
Alternate Mobile Number:
*
Identity Proof Type:
Aadhaar
PAN
Elector ID
Driving License
Passport
Any Other
*
Identity Proof:
*
ID Number:
*
Criminal Case Registered:
No
Yes
  
Case Details:
*
Have you ever been convicted by criminal court :
No
Yes
  
Please specify type of case, date of case and nature of case:
*
Already Working As Govt Employee:
No
Yes
  
Date of Joining:
  
Govt Service in Years (as on 01/01/2025):
  
Service Details(Including Deptt and Desig):
  
Type of Employment :
Regular
Contractual
  
Have you informed your office/department :
No
Yes
*
Dismissed from Govt Service:
No
Yes
  
Dismissal Detail:
*
Punjabi Passed at 10th Level or Equivalent:
No
Yes
*
Do you possess the requisite educational qualification :
No
Yes
Address:
*
Permanent
*
State/UT
Andaman and Nicobar Island (UT)
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh (UT)
Chhattisgarh
Dadra and Nagar Haveli and Daman and Diu (UT)
Delhi (NCT)
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir (UT)
Jharkhand
Karnataka
Kerala
Ladakh (UT)
Lakshadweep (UT)
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Puducherry (UT)
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttarakhand
Uttar Pradesh
West Bengal
District
*
District
Chandigarh(UT)
Amritsar
Barnala
Bathinda
Faridkot
Fatehgarh Sahib
Fazilka
Ferozepur
Gurdaspur
Hoshiarpur
Jalandhar
Kapurthala
Ludhiana
Mansa
Moga
Muktsar
Nawanshahr (Shahid Bhagat Singh Nagar)
Pathankot
Patiala
Rupnagar
Sahibzada Ajit Singh Nagar (Mohali)
Sangrur
Tarn Taran
Other
*
Pincode
(Select checkbox if Correspondence Address is same as Permanent Address)
*
Correspondence
State/UT
*
State/UT
Andaman and Nicobar Island (UT)
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh (UT)
Chhattisgarh
Dadra and Nagar Haveli and Daman and Diu (UT)
Delhi (NCT)
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir (UT)
Jharkhand
Karnataka
Kerala
Ladakh (UT)
Lakshadweep (UT)
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Puducherry (UT)
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttarakhand
Uttar Pradesh
West Bengal
District
*
District
Chandigarh(UT)
Amritsar
Barnala
Bathinda
Faridkot
Fatehgarh Sahib
Fazilka
Ferozepur
Gurdaspur
Hoshiarpur
Jalandhar
Kapurthala
Ludhiana
Mansa
Moga
Muktsar
Nawanshahr (Shahid Bhagat Singh Nagar)
Pathankot
Patiala
Rupnagar
Sahibzada Ajit Singh Nagar (Mohali)
Sangrur
Tarn Taran
Other
*
Pincode
*
Educational Qualification Details
Level
Name of Examination
Year of Passing
Name of Board/University
Marks Obtained
Total Marks
%/Grade/CGPA
Degree Mode
Regular
Private
Distance
Regular
Private
Distance
Regular
Private
Distance
Regular
Private
Distance
*
Is your degree from a University situated in Punjab?:
Yes
No
I   
s/d/o
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.