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Pandey Ji Application

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0% found this document useful (0 votes)
47 views

Pandey Ji Application

Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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 हिन्दी

उत्तर प्रदेश अधीनस्थ सेवा चयन आयोग


Uttar Pradesh
Subordinate Services Selection
Commission MENU

Home
/  Successfull Confirmation of Application Submission

Print Application Form All * fields are compulsory

Registration
 Upload Photo & Signature
 File Remaining Details

Fee Deposition & Final Submit
 Print Application Form

Uttar Pradesh Subordinate Services Selection Commission,Lucknow

उत्तर प्रदेश अधीनस्थ सेवा चयन आयोग, लखनऊ


✔ I Declare that i have Read the detailed User Manual & Notification.

Notification Details :

Advt Number :
04-Exam/2022

Applied For :
PRELIMINARY ELIGIBILITY TEST (PET) 2022,

Personal Details

Registration Number.

30231796984
Advertisement / Notification No

04-Exam/2022
Candidate Name

SURBHI KUMARI

Father's / Husband's Name

AMRENDRA PANDEY

Mother's Name

NEELAM DEVI

Date Of Birth

11/06/2001

Domicile Of UP

No

Home State

BIHAR

Home District

ROHTAS

Gender

Female

Category

General

Economically Weaker Sections(EWS)

No

Are you Married ?

No

Mobile Number

88* * * *2820

Email ID

* * *[email protected]

Candidate's Other Details

Are You Dependent of UP Freedom Fighter?

No

Are You UP Ex. Army?


No

Are You ECO/SSCO/CO Of Army

No

Are You Skilled Player Of UP?

No

Level of Player

N/A

Employment Details

Never Employment in Uttar Pradesh

Are You Handicap of UP?

No

Are you Blind Or Have Vision problem?


No
Are you Deaf or Have hearing problem?

No

Have you any physical Problem?

No

 
Have you psychological/ neurological problem? :

No

Have you Multiple Disabilities? :

No

Additional age relaxation other than above reasons(Caste category,Sub category,Service duration
etc.)

Are you claiming any additional age relaxation ?


No

Academic Qualification

Examination Board Name Year of Roll


Is Obtained Total
Percentage
Passed Passing Number Grade
Marks Marks
System
High School CENTRAL BOARD OF 2017 5175058 Yes N/A N/A 58.9
SECONDARY
EDUCATION
Intermediate BIHAR SCHOOL 2019 19010046 No 309 500 61.8
EXAMINATION BOARD

Preferential Qualification Details

S No. Qualification Acquired


1 Served in the Territorial Army for a minimum period of 02 years. No
2 Has been obtained National Cadet Corps B certificate. No

Bank Transaction Details

Bank Name - Payment Mode :

State Bank Of India - INB

Fees, Transaction ID - Date:

Rs. 185.00 , CPABXHSXK3


-27/07/2022

↓ Address Details ↓

Name , C/O:

House no./Village :

Street No./PO :

Locality/Kasba/City :

State / District Name :

Pin :

Permanent Address

Amrendra Pandey

DSP kothi ke samne wali gali no 1 Company saray

Sivil Lines

BIHAR
/
ROHTAS

821115

Correspondence/Mailing Address

Amrendra Pandey

DSP kothi ke samne wali gali no 1 Company saray

Sivil Lines

BIHAR
/
ROHTAS

821115

Declaration


1. I hereby declare that I have read all terms & conditions according advertisement and I
accept it
accept it.


2. I hereby declare that all the entries/statements made in this application are true,
complete and correct to the best of my knowledge and belief.


3. In the event of any information being found false or incorrect or ineligibility being
detect before or after Selection, the commission can take action against me as per rule
Incase it is detected that I have misled UPSSSC on any issue then I will solely be responsible
for all penal consequences thereof.
I accept the above declaration :
Yes
Current status of application

Your application is under processing.


App. form submission date :
 
DATE :24/07/2022 ,TIME :14:22:32
  
App. form printing Date & Time : [ 27/07/2022 ,1:17:19 AM ]

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