Public Service Commission U.P.
, PRAYAGRAJ
लोक सेवा आयोग उ0प्र0, प्रयागराज
Detailed Application Form ( विस्तृत आवेदन पत्र )
Notification Details ( Examination )
Advertisement Number : A-6/E-1/2025
GOVT. INTER COLLEGE AND SPARSH INTER COLLEGE
Department/Directorate Name : FOR VISUALLY HANDICAPPED/SAMEKIT VISHESH
MADHYAMIK SCHOOLS
Applied for Post : LECTURER (MALE/FEMALE) CHEMISTRY,
Type of Recruitment : GENERAL RECTT.
Candidate's Personal Details
OTR Number : 891559356548 Application ID : 009146744000652
Father's/Husband's Name
Candidate's Name : SACHIN SINGH BHAGIRATH
:
Mother's Name : URMILA DEVI Gender : Male
Date of Birth : 13/12/1999 Domicile of UP : Yes
Home State : UTTAR PRADESH Home District : AGRA
Category : Economically Weaker Sections -EWS Marital Status : Married
Mobile Number : XXX-XXX-2174 Email-ID : ****inparmar9258772487@[Link]
Bank Transaction Details
Payment Gateway : State Bank Of India Payment Mode : INB
Fee Amount : Rs. 125.00 Transaction ID - Date: CPAFMWZPO0 - 14/08/2025
Candidate's Other Details :
Are you Dependent of Are You Skilled Player of
No No
UP Freedom Fighter? UP? :
Are You Extra Ordinary
No Level of Player : ---
Player of UP?
Service Duration (Day-
Are you UP Ex. Army? No 0-0-0
Month-Year) :
Retirement Are you ECO/SSCO/CO
--- No
Date(Date/Month/Year) : of Army ?
Have your services been
extended for
Have you completed 5
No rehabilitation and no No
year service ?
disciplinary action is
pending against you ?
Are You State Govt.
Employee of Uttar No
Pradesh ? :
Completion Date of
Have you ever been
No Debarment N/A
Debarred from UPPSC ?:
(DD/MM/YYYY) :
Are You Physically
A). Are you Blind or
Handicapped No No
Have Vision problem? :
(Divyangjan) ?
C). Have you any
B). Are you Deaf or Have Physical Problem
No No
hearing problem? : (Locomotor disability or
Cerebral Palsy)? :
D). Have you any
Neurological Problem? : E). Have you Multiple Disabilities? : No
No
Basic Academic Qualification Details :
S No Examination Passed Board Name Year of Passing Roll Number
UTTAR PRADESH BOARD OF HIGH SCHOOL
1. High School 2014 0042012
AND INTERMEDIATE EDUCATION
Essential Qualification Details
Sr. No. Qualification Affirmation
(GOVT. INTER COLLEGE) :-
1. (I) Post Graduation degree in the related subject from a University/ Deemed University/Institution established by law in India. Yes
(II) Degree of Graduation in Education ([Link].) in a course recognized by NCTE.
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
Candidate's Permanent & Communication Address Details :
Permanent Address Correspondence/Mailing Address
BHAGIRATH, VILL- BHAGIRATH, VILL-
Address (Line 1 2 3) : Address (Line 1 2 3) :
NIMENA, NA NIMENA, NA
House No. : 14 , NA House No. : 14 , NA
Street No./PO : POST-SARENDHI Street No./PO : POST-SARENDHI
City Name : AGRA City Name : AGRA
State : UTTAR PRADESH State : UTTAR PRADESH
District Name : AGRA District Name : AGRA
PIN : 283119 PIN : 283119
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 : 14/08/2025 , Time : Application Form printing Date & Time : [ 14/08/2025 ,[Link]
[Link] ]
