उत्तर प्रदेश सरकार GOVERNMENT OF UTTAR PRADESH

उत्तर प्रदेश अधीनस्थ सेवा चयन आयोग

Uttar Pradesh
Subordinate Services Selection Commission

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 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.
30300586715 Advertisement / Notification No 07-Exam/20

Candidate Name SHIV NARAYAN Father's / Husband's Name BARSATI LAL

Mother's Name TULSA DEVI Date Of Birth 21/12/1987

Domicile Of UP Yes Home State UTTAR PRADES

Home District LUCKNOW Gender Male

Category SC Economically Weaker Sections(EWS) No

Are you Married ? Yes Mobile Number 97* * * *5725

Email ID * * *vnarayan232@gmail.com

Candidate's Other Details

Are You Dependent of UP Freedom Fighter? No Are You UP Ex. Army?

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 Passing Roll Is Grade Obtai

Passed Number System Mark

High School UTTAR PRADESH BOARD OF HIGH SCHOOL AND INTERMEDIATE EDUCATION 2004 0851547 No 278

Intermediate UTTARAKHAND BOARD OF SCHOOL EDUCATION 2006 0668205 No 261

Additional Qualification

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

No. Institute/University Passing Number
Issue Date

1 Bachelors degree from a University established by law in India or a qualification Yes 2009 7013494 Is Grade: No
recognized by the Government as equivalent thereto. Lucknow university Obt Marks: 341.00
03/05/2009 Tot Marks: 900.00
Per: 37.89

Preferential Qualification Details

S No. Qualification

1 Served in the Territorial Army for a minimum period of 02 years.

2 Has been obtained National Cadet Corps B certificate.

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Bank Transaction Details

Bank Name - Payment Mode : State Bank Of India - INB Fees, Transaction ID - Date: Rs. 95.00 , CPA

↓ Address Details ↓ Permanent Address Correspondence/Mailing Address

Name , C/O: Shiv Narayan Shiv Narayan

House no./Village : 39 39

Street No./PO : Post-sathwara Post-sathwara

Locality/Kasba/City : Gosain ganj Gosain ganj

State / District Name : UTTAR PRADESH / LUCKNOW UTTAR PRADESH / LUCKNOW

Pin : 226501 226501

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
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 :17:57:40    App. form printin

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