उत्तर प्रदेश सरकार GOVERNMENT OF UTTAR PRADESH
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Subordinate Services Selection Commission
Home / Application Form
Application Form
Candidate's Application Form
Candidate's Personal Details
Registration No.
30420341621
Advertisement / Notification No.
01-Exam/2025
Candidate's Name
RAHUL SHARMA
Father's / Husband's Name
RAKESH KUMAR SHARMA
Mother's Name
ANITA SHARMA
Date Of Birth
03/05/1998
Are you a domicile of Uttar Pradesh?
Yes
Home State
UTTAR PRADESH
Home District
BUDAUN
Gender
Male
Category
General
Economically Weaker Sections (EWS)
No
Are you Married ?
No
Mobile Number
73* * * *1553
Email ID
* * *[email protected]
Other Details
Are you a Dependent of Freedom Fighter from Uttar Pradesh?
No
Ex. Servicemen Personnel Status
No
Ex. ECO/SSCO/CO Of Servicemen Personnel Status ?
No
Are you a person with disability of Uttar Pradesh?
Yes
Do you have vision related disability?
No
Do you have hearing related disability?
No
Do you have locomotor disability?
Yes
Sr. No. Disability/Divyang Category (PH) [ LOCOMOTOR DISABILITY ] Selected Disability/Divyang
1 एक हाँथ प्रभावित ( दायाँ या बायाँ ) [ ओ . ए. ] (One Arm affected ( right OA - Yes
or left ) [ OA ])
2 एक पैर प्रभावित ( दायाँ या बायाँ ) [ ओ . एल. ] (One Leg affected ( right OL
or left ) [ OL ])
3 दोनों हाथ प्रभावित [ बी. ए . ] (Both Arms affected [ BA ]) BA
4 दोनों पैर प्रभावित [ बी. एल. ] (Both Legs Affected [ BL ] ) BL
5 एक पैर तथा एक हाथ प्रभावित (One Leg and One Arm Affected) OAL
6 प्रमस्तिष्क पक्षाघात (Cerebral Palsy) CP
7 रोगमुक्त कु ष्ठ (Leprosy Cured) LC
8 बौनापन (Dwarfism) Dw
9 एसिड आक्रमण पीड़ित (Acid Attack Victims) AAV
10 पेशीय दुष्पोषण (Muscular Dystrophy) MDy
Do you have psychological/ neurological disability? :
No
Do you have multiple disabilities? :
No
Are you a Skilled Player from Uttar Pradesh?
No
Category of Player
N/A
Employment Details
Not An Employee of Uttar Pradesh Government
Claiming age relaxation other than above grounds (Caste category,Sub category,Uttar Pradesh
Government Service duration etc.)
Are you claiming any additional age relaxation ?
No
Basic Academic Details
Examination Board Name Year of Passing Roll Is Grade Obtained Total Percentage
Passed Number System Marks Marks
High School UTTAR PRADESH 2014 1037628 No 412 600 68.67
BOARD OF HIGH
SCHOOL AND
INTERMEDIATE
EDUCATION
Intermediate UTTAR PRADESH 2016 0820632 No 249 500 49.8
BOARD OF HIGH
SCHOOL AND
INTERMEDIATE
EDUCATION
Important Note :-
1. Please note down your registration number 30420341621 for future communication.
2. Your application will be incompelete if the required fee is not paid.
3. Fee can be paid through payment gateway or through E-challan at any S.B.I. branch during
banking hours .
4. Final application can be submitted latest by 23:59 hrs on/before 17/06/2025.
5. *Please try to submit well before the last date to avoid unnecessary network traffic congestion.
[ Date : 12/06/2025 ,Time : 8:57:38 PM ]
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