1/28/22, 11:02 PM Print Application Form

Uttar Pradesh Subordinate Services

Selection Commission,Lucknow

उत्तर प्रदेश अधीनस्थ सेवा चयन आयोग,

लखनऊ
Detailed Application Form ( विस्तृत आवेदन
पत्र )
Notification Details : Under: PRELIMINARY ELIGIBILITY TEST
Advt Number : 01-EXAM/2022 (PET) - 2021
Applied For : LEKHPAL,
Type of Recruitment : General

Personal Details

Registration Number.
53919881739 Advertisement / Notification No
01-EXAM/2022
Candidate Name ANKIT MAURYA Father's / Husband's Name SUNEEL MAURYA
Mother's Name ANITA MAURYA Date Of Birth 07/04/1999
Domicile Of UP Yes Home State UTTAR PRADESH
Home District AYODHYA Gender Male
Category OBC Economically Weaker Sections(EWS) No
Are you Married ? No Mobile Number 79* * * *0379
Email ID * * *[email protected]

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 Handicap of UP? No
Are You Skilled Player Of UP? No Level of Player N/A
Are You Govt/Ex-Govt Employee of UP? No Service Duration(Day-Month-Year) 0-0-0
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 No Have you Multiple Disabilities? : No
problem? :
Academic Details

Examination Board Name Year of Roll

Is Grade Obtained Total
Percentage
Passed Passing Number System Marks Marks

UTTAR PRADESH BOARD OF HIGH SCHOOL AND INTERMEDIATE

High School 2015 2058180 No 516 600 86.00
EDUCATION

Intermediate UTTAR PRADESH BOARD OF HIGH SCHOOL AND INTERMEDIATE 2017 1481789 No 358 500 71.60
EDUCATION

Bank Transaction Details

Bank Name - Payment Mode : State Bank Of India - INB Fees, Transaction ID - Date:

-
Rs. 25.00 , IGAMXGMYS8 28/01/2022

Details of essential qualifications for the post (LEKHPAL, ) ↓

Year Certificate/Roll
Sr Name of Board/
No. Qualification
Acquired Institute/University

Of Number Marks Detail

Passing Issue Date

A Candidate must have passed Intermediate Examination from Yes Is Grade:
No

Board of High School and Intermediate U.P. or any Examination Board of High School 1481789 Obt Marks:
358.00

1 recognized by the Government as equivalent there to. and Intermediate 2017 Tot Marks:
500.00

09/06/2017
Education Uttar Per:
71.60
Pradesh

Preferential Qualification Details

S No. Qualification Acquired

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

↓ Address Details ↓ Permanent Address Correspondence/Mailing Address

Name , C/O: ANKIT MAURYA ANKIT MAURYA

House no./Village : 7/4/17 7/4/17

Street No./PO : CHHOTA RAMNA CHHOTA RAMNA
Locality/Kasba/City : JAMUNIYABAGH JAMUNIYABAGH
State / District Name : UTTAR PRADESH
/
AYODHYA UTTAR PRADESH
/
AYODHYA

upsssc.gov.in/Online_App/View_ExamApplicationForm_PET_5.aspx?2GsaoSt8A5g72noXjxiEDg== 1/2
1/28/22, 11:02 PM Print Application Form
Pin : 224001 224001

Declaration

मैं एतद्द् वारा घोषणा करता/करती हूं कि मैंने विज्ञापन भलीभांति पढ़ लिया है और मैं इसके सभी नियम और शर्तों को स्वीकार करता/करती हूं ।
I hereby declare that I have read the advertisement and I accept all the terms & conditions of the same.

मैं एतद्द् वारा घोषणा करता/करती हूं कि इस आवेदन में की गई सभी प्रविष्टियां/विवरण मेरी जानकारी और विश्वास के अनुसार सत्य, पूर्ण और सही हैं।
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.

मैं एतद्द् वारा घोषणा करता/करती हूं कि आवेदन की अंतिम तिथि तक मुख्य परीक्षा के लिए निर्धारित सभी शैक्षणिक/अन्य पात्रता मानदंडों को पूरा करता/करती हूं । मै
अवगत हूं कि मेरे द्वारा प्रस्तुत की गई कोई भी जानकारी गलत/असत्य पाये जाने की दशा में मेरा अभ्यर्थन आयोग द्वारा निरस्त कर दिया जाएगा ।

I hereby declare that I fulfil all the educational/ other eligibility criteria prescribed for the Main Examination in respect of the post being applied for, as on
the last date of application. I am aware that in case any of the information submitted by me is found to be incorrect or false, then my candidature shall be
liable to be cancelled by the Commission.

Please login with your PET registration number to avail the Dashboard facility for all activities of
recruitment process.

Current status of application

Your application is under processing.

App. form submission date :
 
DATE :28/01/2022 ,TIME :22:47:59
   App. form printing Date & Time : [ 28/01/2022 ,11:02:01 PM ]

upsssc.gov.in/Online_App/View_ExamApplicationForm_PET_5.aspx?2GsaoSt8A5g72noXjxiEDg== 2/2