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Print Application Form

The document is a printed application form for the Uttar Pradesh Public Service Commission examination. It contains details about the candidate including their personal information, educational qualifications, and transaction details for the application fee payment. The form requests information on subjects studied, high school and intermediate board details, and whether the candidate meets other essential qualifications for specific posts being applied for.
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0% found this document useful (0 votes)
145 views4 pages

Print Application Form

The document is a printed application form for the Uttar Pradesh Public Service Commission examination. It contains details about the candidate including their personal information, educational qualifications, and transaction details for the application fee payment. The form requests information on subjects studied, high school and intermediate board details, and whether the candidate meets other essential qualifications for specific posts being applied for.
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

2/6/2021 Print Application Form

Print Application Form

(UTTAR PRADESH PUBLIC SERVICE COMMISSION, PRAYAGRAJ)


उ र दे श लोक सेवा आयोग, यागराज
Detailed Application Form ( िव ृत आवेदन प )

✔ I declare that I have Read the detailed User Manual and Notification.

Notification Details ( Examination )

Advertisement Number : A-1/E-1/2021

Examination Name : PCS/ACF-RFO Examination-2021,

Apply for Examination : PCS Examination-2021

Type of Recruitment : GENERAL RECTT.

Candidate's Personal Details

Registration No. : 10900455316 Application ID : 200061109000249

Candidate's Name : KM VANSHIKA SINGH Father's/Husband's MR SANJAY SINGH


Name :

Gender : Female Date of Birth : 12/01/2000

Domicile of UP : Yes Category : OBC

Are you Married? No

Mobile Number : XXX-XXX-1878 Email-ID : ****[email protected]

Bank Transaction Details

Payment Gateway : State Bank Of India Payment Mode : INB

Fee Amount : Rs. 125.00 Transaction ID - Date: CPAAPRPZC0 - 06/02/2021

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2/6/2021 Print Application Form

Candidate's Other Details :

Are you Dependent of UP Freedom Fighter? No Are You Skilled Player Of UP? : No

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 you complete 5 year service ? No

Have your services been extended for rehabilitation and no disciplinary action is pending against you ? No

Are You Handicap of UP? No a. Are you Blind Or Have Vision problem? : No

b. Are you Deaf or Have hearing problem? : No c. Have you any physical Problem? : No

Are You State Govt. Employee of Uttar Pradesh ? : No Have you ever been Debarred from UPPSC ?: No

For the posts of Finance and Accounts officer, Assistant Director No


(Horticulture), Manager Administration/General) and Assistant Service Duration (Year-Month-Day) : 0 - 0 - 0
Store Purchase Officer of Industrial Development Department :- "In
the case of a person who has already rendered one year's service
or more in any of the service in the authority, the maximum age-
limit shall be greater to the extent he has rendered continuous
service or for a period of seven years whichever is less.

High School & Intermediate Board,Year of passing & Roll Number Details :

Sr.No Examination Board Name Year of Passing Roll Number


Passed

1. High School CENTRAL BOARD OF SECONDARY EDUCATION 2016 5318694

2. Intermediate CENTRAL BOARD OF SECONDARY EDUCATION 2018 5915133

Essential Qualification Details

Sr No. Qualification Affirmation

1 Bachelors degree from any recognized University or equivalent qualification up to the last date for receipt of Application. Yes

A. Are You Graduate? : Yes B. Are You Post Graduate? : No

You have opted these Subjects in Graduation

Sr.No. Graduation Subject Name Acquired

1. Mathematics Yes

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- ‘‘अ िथयों ारा िविश अहता वाले पदों हे तु प से िवक ‘‘हॉं’’ िदये जाने की थित म ही उ िविश अहता वाले पदों हे तु िवचार िकया जायेगा।’’)

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Specific Post Details With Other Essential Qualification : Yes

You have selected these Specific Post with Other Essential Qualifications

Sr No. Specific Post Name Other Essential Qualification Name Acquired


Sub Registrar, Assistant Prosecuting Officer
1. Law Graduate No
(Transport)
District Basik Shiksha Adhikari / Associate
2. DIOS and Other equivalent administrative Post Graduate Degree No
posts, District Administrative Officer
3. District Audit Officer (Revenue Audit) Commerce Graduate No
Assistant Controller Legal Measurement
Degree in Science with Physics or Mechanical
4. (Grade-I) / Assistant Controller Legal No
Engg. As one subject.
Measurement (Grade-II)
Degree in Arts with Sociology or Economics as a
5. Assistant Labour Commissioner No
subject or Commerce/Law.
Degree in Sociology or Social Science or Home
6. District Programme Officer No
Science or Social Work.
7. Senior Lecturer, DIET Post Graduate Degree with B.Ed. No
Post Graduate Degree in Psychology or Sociology
or Social Work or any qualification equivalent
8. District Probation Officer thereto or Post Graduate diploma in any branch of No
Social Work from any recognized Institute of Social
Work.
Graduate Degree in Sociology or Social Work or
9. Child Development Project Officer Home Science or any qualification equivalent No
thereto recognised by the Government.
(1) Post Graduate Degree in Chemistry as one of
the subjects from a University established by law in
India or a qualification recognized by the
Government as equivalent thereto, or (2) Atleast
one of qualification prescribed for Direct
Recruitment to the post of Food Safety Officer given
as below A Bachelors Degree in Food Technology
or Dairy Technology or Biotechnology or Oil
10. Designated Officer / Food Safety Officer Technology or Agricultural Science or Veterinary No
Sciences or Bio-Chemistry or Microbiology or Post
Graduate Degree in Chemistry or Degree in
Medicine from a recognized University, or any other
equivalent/recognized qualification notified by the
Central Government, Provided that no person who
has any financial Interest in the manufacture, import
or sale of any article of food shall be appointed to be
a Food Safety Officer.
Post Graduate degree in mathematics or
Mathematical Statistics or Statistics or Agricultural
11. Statistical Officer Statistics from an university recognized by Law in No
India or equivalent qualification recognized by the
Government.
District Cane Officer/U.P. Agriculture Service
12. Agriculture Graduate No
Group "B" (Development Branch)
Bachelor’s degree with Economics or Sociology or
commerce and Post Graduate Diploma or Post
graduate Degree in Law / Labour relation / Labour
13. Labour Enforcement Officer No
welfare / Labour Law / Commerce / Sociology /
Social work / Social welfare / Trade Management /
Personnel Management.
(i) A Post-graduate degree from a University
established by law in India or a degree recognised
by the Government as equivalent thereto. (ii) L.T.
Diploma of the Department of Education, Uttar
Principals, Government Intermediate Pradesh, or B.T. or B.Ed. or an equivalent Degree of
14. No
Colleges (For Boys or Girls) a University. (iii) At least three years teaching
experience in High School or Intermediate Classes
or Classes higher than above from a College or
University established by law in India or any such
Institution recognised by the Government.
A Post-Graduate Degree in Chemistry from a
University established by law in India or a degree
15. Assistant Research Officer No
recognised by the Government as equivalent
thereto.
16. Assistant Director (Horticulture) Agriculture Graduate No
17. Manager (Administration / General) M.B.A. or Equivalent Degree No

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18. Assistant Store Purchase Officer M.B.A. No
A Post-Graduate Degree in Chemistry with minimum
19. Technical Assistant (Chemistry) 50 percent marks from a University established by No
law in India.

Do You Know Hindi in Devnagari Lipi? : Yes

Candidate's Address Details :

C/O- Name : SANJAY SINGH House No. : 183

Street No./PO : DIVAL HERI City Name : DEOBAND

State : UTTAR PRADESH District Name : SAHARANPUR

PIN : 247554

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.

Current status of Application Form :

Your application is under processing.

Application Form Submission Date : 06/02/2021 , Time : 16:52:45 Application Form printing Date & Time : [ 06/02/2021 ,16:57:47 ]

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