Public Service Commission U.P.

, PRAYAGRAJ
लोक सेवा आयोग उ0प्र0, प्रयागराज
Detailed Application Form ( विस्तृत आवेदन पत्र )

Notification Details ( Examination )

Advertisement Number : A-7/E-1/2023

Department/Directorate Name : SAMIKSHA ADHIKARI/ SAHAYAK SAMIKSHA ADHIKARI ETC. EXAMINATION

Applied for Post : SAMIKSHA ADHIKARI/ SAHAYAK SAMIKSHA ADHIKARI ETC. EXAM-2023,

Type of Recruitment : GENERAL RECTT.

Candidate's Personal Details

OTR Number : 508694900792 Application ID : 009191306038891

Candidate's Name : SURYANSHU SRIVASTAV Father's/Husband's Name : NIRAJ KUMAR SRIVASTAV

Mother's Name : JULIE SRIVASTAV Gender : Male
Date of Birth : 01/03/2000 Domicile of UP : Yes
Home State : UTTAR PRADESH Home District : AZAMGARH
Category : Economically Weaker Sections -EWS Marital Status Single
Mobile Number : XXX-XXX-5696 Email-ID : ****[email protected]

Bank Transaction Details

Payment Gateway : State Bank Of India Payment Mode : INB
Fee Amount : Rs. 125.00 Transaction ID - Date: CPADGEAPD3 - 11/11/2023

Candidate's Other Details :

Are you Dependent of UP Freedom
No Are You Skilled Player of UP? : No
Fighter?
Are You Extra Ordinary Player of UP? No Level of Player : ---
Are you UP Ex. Army? No Service Duration (Day-Month-Year) : 0-0-0
Retirement Date(Date/Month/Year) : // Are you ECO/SSCO/CO of Army ? No
Have your services been extended for
Have you completed 5 year service ? No rehabilitation and no disciplinary action is No
pending against you ?
Are You Physically Handicapped A). Are you Blind or Have Vision
No No
(Divyangjan) of Uttar Pradesh? problem? :
B). Are you Deaf or Have hearing C). Have you any Physical Problem
No No
problem? : (Locomoter disability or Cerebral Palsy)? :
D). Have you any Neurological Problem? :
E). Have you Multiple Disabilities? : No
No
Are You State Govt. Employee of Uttar
No
Pradesh ? :
Have you ever been Debarred from Completion Date of Debarment
No N/A
UPPSC ?: (DD/MM/YYYY) :

Basic Academic Qualification Details :

S No Examination Passed Board Name Year Of Passing Roll Number

1. High School UTTAR PRADESH BOARD OF HIGH SCHOOL AND INTERMEDIATE EDUCATION 2016 2973646

Essential Qualification Details

Evalation Type
Year Of Passing
Obtained Marks
Sr. No. Qualification Affirmation University/Institute Cert/Roll Number
Total Mark
Issue Date
Percentage
Bachelors degree from a University N/A
established by law in India or a qualification N/A
1. Yes N/A
recognized by the Government as N/A
N/A
equivalent thereto N/A
N/A
O Level certificate awarded by the
N/A
2. DOEACC society or a qualification No N/A
N/A
equivalent thereto N/A
N/A
N/A
Must possess a minimum speed of twenty N/A
3. No N/A
five words per minute in Hindi typewriting N/A
N/A
N/A
N/A
Preference shall be given to a candidate N/A
4. Yes N/A
knowing English typewriting also N/A
N/A
N/A

Preferential Qualification Details

Sr. No. Qualification Acquired
1. Served in the territorial army for a minimum period of two years. No
2. Obtained a B Certificate of National Cadet Corps, No

Other Essential Qualification for Specific Post :

Note:- “In case of special educational Qualification posts, the candidates must mention their options clearly, ‘yes’, in that conditions only they shall be considered for the posts bearing special
education qualification.”
( नोटः - ‘‘अभ्यर्थियों द्वारा विशिष्ट अर्हता वाले पदों हेतु स्पष्ट रूप से विकल्प ‘‘हॉं’’ दिये जाने की स्थिति में ही उन्हें विशिष्ट अर्हता वाले पदों हेतु विचार किया जायेगा।’’)
Department Name Post Name Essential Qualification
Sr No. English English English Acquired (Yes/No)
Hindi Hindi Hindi
1. U.P. Public Service Commission Sahayak Samiksha Adhikari (Account) U.P. Public Service Commission :- A candidate for direct recruitment to the service Yes
उ0प्र0 लोक सेवा आयोग सहायक समीक्षा अधिकारी (लेखा) must possess a Bachelor's degree in Commerce from a University established by Law in
India with Accountancy.

उ0प्र0 लोक सेवा आयोग :- भारत में विधि द्वारा स्थापित किसी विश्वविद्यालय से लेखाकर्म सहित
वाणिज्य में स्नातक उपाधि।
U.P. Secretariat/ Board of Revenue, U.P.:- (1) A Bachelor's degree from a University
established by the law in India or a qualification recognized by the Government as
equivalent thereto. (2) “O" Level certificate awarded by the DOEACC Society or a
qualification equivalent thereto. (3) Must possess a minimum speed of twenty five
words per minute in Hindi typewriting. Note: Preference shall be given to a candidate
knowing English Typewriting also.

U.P. Public Service Commission :- (1) Bachelor's degree from a University established
by Law in India or a qualification recognized by the Government as equivalent thereto.
(2) Diploma in Computer Science from any recognized Institute/ University or "O"
Level certificate awarded by the DOEACC Society. (3) Must possess a minimum speed
of twenty five words per minute in Hindi typewriting. Note: Preference shall be given to
U.P. Secretariat/ Board of Revenue,
a candidate knowing English Typewriting also.
U.P./U.P. Public Service Commission Sahayak Samiksha Adhikari
2. उ0प्र0 सचिवालय/ राजस्व परिषद, उ0प्र0/ Yes
सहायक समीक्षा अधिकारी उ0प्र0 सचिवालय/राजस्व परिषद, उ0प्र0 :- (1) भारत में विधि द्वारा स्थापित किसी
उ0प्र0 लोक सेवा आयोग
विश्वविद्यालय से स्नातक उपाधि या सरकार द्वारा मान्यता प्राप्त उसके समकक्ष कोई अर्हता, (2)
डी0ओ0ई0ए0सी0सी0 सोसाइटी द्वारा प्रदत्त ‘‘ओ’’ लेवल प्रमाण-पत्र अथवा इसके समकक्ष
अर्हता, (3) हिन्दी टंकण में न्यूनतम पच्चीस शब्द प्रति मिनट की गति होनी आवश्यक है।
टिप्पणी:- अंग्रेजी टंकण का भी ज्ञान रखने वाले अभ्यर्थी को अधिमान दिया जायेगा।

उ0प्र0 लोक सेवा आयोग :- (क) भारत में विधि द्वारा स्थापित किसी विश्वविद्यालय से स्नातक
उपाधि या सरकार द्वारा मान्यता प्राप्त उसके समकक्ष कोई अर्हता। (ख) किसी मान्यता प्राप्त
संस्था/विश्वविद्यालय से कम्प्यूटर विज्ञान में डिप्लोमा या डोयक (DOEACC) सोसाइटी द्वारा प्रदत्त
‘‘ओ’’ स्तर का प्रमाण-पत्र। (ग) हिन्दी टंकण में न्यूनतम 25 शब्द प्रति मिनट की गति होना
आवश्यक है। नोट:- अंग्रेजी टंकण का भी ज्ञान रखने वाले अभ्यर्थी को अधिमान दिया जायेगा।

Candidate's Permanent & Communication Address Details :

Permanent Address Correspondence/Mailing Address
NIRAJ KUMAR SRIVASTAVH NO 121 NIRAJ KUMAR SRIVASTAVH NO 121
Address (Line 1 2 3) : Address (Line 1 2 3) :
ANANTPURA KATRA ANANTPURA KATRA
House No. : NA House No. : NA
Street No./PO : NA Street No./PO : NA
City Name : AZAMGARH City Name : AZAMGARH
State : UTTAR PRADESH State : UTTAR PRADESH
District Name : AZAMGARH District Name : AZAMGARH
PIN : 276001 PIN : 276001

I accept the following declaration : :Yes

1. I hereby declare that I have read all terms & conditions according to the 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. I under take that if any information furnished or documents submitted by me are found to be false or have been concealed, then my application/candidature is liable to be rejected/cancelled by UPPSC.
Accepted : Application form has been Provisionally accepted.
Application Form Submission Date : 11/11/2023 , Time : 09:47:26 Application Form printing Date & Time : [ 14/01/2024 ,00:04:31 ]