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Upsssc Pet Form 2023

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

Upsssc Pet Form 2023

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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8/2/23, 12:47 AM Uttar Pradesh Subordinate Services Selection Commission

 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 

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8/2/23, 12:47 AM Uttar Pradesh Subordinate Services Selection Commission

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 :
07-Exam/2023

Applied For :
PRELIMINARY ELIGIBILITY TEST (PET) 2023,

Personal Details

Registration Number.

30300189983
Advertisement / Notification No

07-Exam/2023
Candidate Name

PRASHANT CHATURVEDI

Father's / Husband's Name

VINOD CHATURVEDI

Mother's Name

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8/2/23, 12:47 AM Uttar Pradesh Subordinate Services Selection Commission

SANGEETA

Date Of Birth

04/08/2000

Domicile Of UP

Yes

Home State

UTTAR PRADESH

Home District

GAUTAM BUDDHA NAGAR

Gender

Male

Category

General

Economically Weaker Sections(EWS)

No

Are you Married ?

No

Mobile Number

83* * * *0015

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
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8/2/23, 12:47 AM Uttar Pradesh Subordinate Services Selection Commission

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 2015 5381300 No 304 500 60.80
OF SECONDARY
EDUCATION

Intermediate CENTRAL BOARD 2017 5877034 No 296 500 59.2


OF SECONDARY
EDUCATION

Additional Qualification

Sr Qualification Acquired Name of Board/ Year Of Certificate/Roll Mark


No. Institute/University Passing Number Deta
Issue Date

1 Bachelors Yes 2020 1709521816 Is


degree from a CHAUDHARY Grade
University CHARAN SINGH 25/11/2020 No
established by UNIVERSITY,MEERUT Obt
law in India or Marks
a qualification 2426.0
recognized by Tot
the Marks
Government 3600.0
as equivalent Per:
thereto. 67.39
2 Postgraduate Yes 2022 2002200140035 Is
degree from a APJ ABDUL KALAM Grade
university TECHNICAL 26/11/2022 No
established by UNIVERSITY, Obt
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8/2/23, 12:47 AM Uttar Pradesh Subordinate Services Selection Commission
law in India or LUCKNOW Marks
a qualification 3270.0
recognized by Tot
the Marks
Government 4450.0
as equivalent Per:
thereto. 73.48

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

Certificates/Documents Details

S.No. Document Name Issuing Issuing Certificate


Authority Date No

1 Age Proof (Certificate of CBSE BOARD 28/05/2015 1158879


Matriculation)

2 Residence Proof (Domicile UP GOVERNMENT 27/06/2017 101172007864


Certificate)

Bank Transaction Details

Bank Name - Payment Mode :

State Bank Of India - INB

Fees, Transaction ID - Date:

Rs. 185.00 , CPACYPKBT7 -02/08/2023

↓ Address Details ↓

Name , C/O:

House no./Village :

Street No./PO :

Locality/Kasba/City :

State / District Name :

Pin :

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Permanent Address

PRASHANT CHATURVEDI, C/O VINOD CHATURVEDI

A-85 PANCHSHEEL COLONY

LAL KUAN

CHIPIYANA BUZURUG

UTTAR PRADESH / GAUTAM BUDDHA NAGAR

201009

Correspondence/Mailing Address

PRASHANT CHATURVEDI, C/O VINOD CHATURVEDI

A-85 PANCHSHEEL COLONY

LAL KUAN

CHIPIYANA BUZURUG

UTTAR PRADESH / GAUTAM BUDDHA NAGAR

201009

Declaration

1. I hereby declare that I have read all terms & conditions according advertisement and I
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 :02/08/2023 ,TIME :00:37:42
App. form printing Date & Time : [ 02/08/2023 ,12:44:36 AM ]

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