Ankur Verma Pet 2022

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7/17/22, 11:25 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 : 04-Exam/2022


Applied For : PRELIMINARY ELIGIBILITY TEST (PET) 2022,

Personal Details

Registration Number.
30218544975 Advertisement / Notification No
04-Exam/2022
Candidate Name ANKUR VERMA Father's / Husband's Name RAM KUMAR VERMA
Mother's Name RAM JATI VERMA Date Of Birth 10/05/1996
Domicile Of UP Yes Home State UTTAR PRADESH
Home District LAKHIMPUR KHIRI Gender Male
Category OBC Economically Weaker Sections(EWS) No
Are you Married ? No Mobile Number 90* * * *6367
Email ID * * *URV220@GMAIL.COM

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
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? :
Additional age relaxation other than above reasons(Caste category,Sub category,Service duration etc.)

Are you claiming any additional age No


relaxation ?
Academic Qualification

Examination Year of Roll Is Obtained Total


Board Name
Passed Passing Number Grade Marks Marks Percentage
System

UTTAR PRADESH BOARD OF HIGH SCHOOL AND INTERMEDIATE


High School 2010 1053388 No 339 600 56.50
EDUCATION

Intermediate UTTAR PRADESH BOARD OF HIGH SCHOOL AND INTERMEDIATE 2012 0779688 No 351 500 70.2
EDUCATION

Additional Qualification

Year Certificate/Roll
Sr Name of Board/
No. Qualification Acquired Institute/University Of Number Marks Detail
Passing Issue Date
Bachelors degree from a University established by law in Yes Is Grade: No
India or a qualification recognized by the Government as 444248 Obt Marks: 792.00
1 UNIVERSITY OF 2015
equivalent thereto. 28/06/2015 Tot Marks: 1350.00
ALLAHABAD
Per: 58.67

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

upsssc.gov.in/Online_App/View_ExamApplicationForm3.aspx?ht0EHQUETZbs/FCvgrQbcQ== 1/2
7/17/22, 11:25 AM Uttar Pradesh Subordinate Services Selection Commission
S.No. Document Name Issuing Authority Issuing Certificate
Date No

1 Age Proof (Certificate of UTTAR PRADESH BOARD OF HIGH SCHOOL AND INTERMEDIATE 01/06/2010 31007687
Matriculation) EDUCATION
2 Caste Certificate of SC/ST/OBC ISSUED BY TAHSILDAR,GOLA GOKARANNATH KHERI UTTAR PRADESH 26/01/2022 232223000432

Bank Transaction Details

Bank Name - Payment Mode : State Bank Of India - INB Fees, Transaction ID - Date:
-
Rs. 185.00 , CPABWFGRJ6 17/07/2022

↓ Address Details ↓ Permanent Address Correspondence/Mailing Address

Name , C/O: RAM KUMAR VERMA RAM KUMAR VERMA

House no./Village : BELWA BELWA


Street No./PO : HAIDERABAD HAIDERABAD
Locality/Kasba/City : GOLA GOKARANNATH GOLA GOKARANNATH
State / District Name : UTTAR PRADESH / LAKHIMPUR KHIRI UTTAR PRADESH / LAKHIMPUR KHIRI
Pin : 262802 262802

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 :17/07/2022 ,TIME :06:29:00 App. form printing Date & Time : [ 17/07/2022 ,11:24:21 AM ]
App. Modification Date & Time : 17/07/2022 11:24:14

upsssc.gov.in/Online_App/View_ExamApplicationForm3.aspx?ht0EHQUETZbs/FCvgrQbcQ== 2/2

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