उत्तर प्रदेश सरकार GOVERNMENT OF UTTAR PRADESH

उत्तर प्रदेश अधीनस्थ सेवा चयन आयोग

Uttar Pradesh
Subordinate Services Selection Commission

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Print Application Form

Application  Photo & Signature  Other Details  Fee Deposition & Final Submission  Print Application Form 
Uttar Pradesh Subordinate Services Selection Detailed Application Form ( विस्तृत आवेदन पत्र )
Commission,Lucknow Under: PRELIMINARY ELIGIBILITY TEST (PET) 2022
उत्तर प्रदेश अधीनस्थ सेवा चयन आयोग, लखनऊ

Notification Details :

Advertisement Number : 01-Exam/2023

Applied For : Gram Panchayat Adhikari,

Type of Recruitment : General

Personal Details

Registration Number.
54701193848 Advertisement / Notification No 01-Exa
Candidate's Name MOHD SHKIB SIDDIQUI Father's / Husband's Name NAJMIDD

Mother's Name MISHBAHUNISHA Date of Birth 06/09/19

Domicile of Uttar Pradesh Yes Home State UTTAR P

Home District BAHRAICH Gender Male

Category General Economically Weaker Sections (EWS) No

Are you Married ? Yes Mobile Number 97* * * *9

Email ID * * *[email protected]

Other Details

Are you a Dependent of UP Freedom Fighter? No Are you a U.P. Ex. Army? No

Are you an ECO/SSCO/CO Of Army ? No Are you Handicapped of Uttar Pradesh? 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

Are you a Skilled Player of Uttar Pradesh? No Level of Player N/A

Employment Details Never Employment in Uttar Pradesh

Additional age relaxation other than above reasons(Caste category,Sub category,Service duration etc.)
Are you claiming any additional age relaxation ? No

Academic Details

Examination Board Name Year of Passing Roll Is Grade

Passed Number System
High School UTTAR PRADESH BOARD OF HIGH SCHOOL AND INTERMEDIATE EDUCATION 2004 1911776 No

Intermediate UTTAR PRADESH BOARD OF HIGH SCHOOL AND INTERMEDIATE EDUCATION 2006 1192562 No

Bank Transaction Details

Bank Name - Payment Mode : State Bank Of India - INB Fees, Transaction ID - Date: Rs. 25.0

Details of essential qualifications for the post (Gram Panchayat Adhikari, ) ↓

Sr Qualification Acquired Name of Board/ Year Of Certificate/Roll Marks Det

No. Institute/University Passing Number
Issue Date

1 Intermediate Examination from Board of High School and Intermediate Education U.P. or Yes 2006 1192562 Is Grade: No
any Examination recognized by the Government as equivalent there to. UP BOARD Obt Marks:
21/05/2006 Tot Marks: 5
Per: 81.20
2 Certificate of CCC in computer provided by NIELIT (formerly DOEACC Institute). Yes N/A N/A N/A Is Grade: N/
Obt Marks:
N/A Tot Marks: N
Per: N/A

Preferential Qualification Details

S No. Qualification

1 Served in the Territorial Army for a minimum period of two years or

2 Has obtained National Cadet Corps B certificate
3 Has a rural background,

↓ Address Details ↓ Permanent Address Correspondence/Mailing Ad

Name C/O: C/O NAJMUDDIN C/O NAJMUDDIN

Name , C/O: C/O NAJMUDDIN C/O NAJMUDDIN
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Declaration

✔ मैं एतद्द्वारा 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 एतद्द्वारा 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 एतद्द्वारा 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 प्रस्तु
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 da
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.

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Current status of application

Your application is under processing.
App. form submission date : DATE :29/05/2023 ,TIME :00:02:59 App. form p