Public Service Commission U.P.

, PRAYAGRAJ
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Detailed Application Form ( विस्तृत आवेदन पत्र )

Notification Details ( Examination )

Advertisement Number : A-6/E-1/2025

GOVT. INTER COLLEGE AND SPARSH INTER COLLEGE FOR VISUALLY

Department/Directorate Name :
HANDICAPPED/SAMEKIT VISHESH MADHYAMIK SCHOOLS

Applied for Post : LECTURER (MALE/FEMALE) SOCIOLOGY,

Type of Recruitment : GENERAL RECTT.

Candidate's Personal Details

OTR Number : 578388441903 Application ID : 009197744003368

Candidate's Name : PINKI KESHARI Father's/Husband's Name : RAMASHANKAR KESHARI

Mother's Name : RAJKUMARI DEVI Gender : Female
Date of Birth : 10/02/1995 Domicile of UP : Yes
Home State : UTTAR PRADESH Home District : VARANASI
Category : Economically Weaker Sections -EWS Marital Status : Single
Mobile Number : XXX-XXX-6602 Email-ID : ****[email protected]

Bank Transaction Details

Payment Gateway : State Bank Of India Payment Mode : INB
Fee Amount : Rs. 125.00 Transaction ID - Date: CPAFNIDKD8 - 19/08/2025

Candidate's Other Details :

Are you Dependent of UP
No Are You Skilled Player of UP? : No
Freedom Fighter?
Are You Extra Ordinary Player
No Level of Player : ---
of UP?
Service Duration (Day-Month-
Are you UP Ex. Army? No 0-0-0
Year) :
Retirement Are you ECO/SSCO/CO of
--- No
Date(Date/Month/Year) : Army ?
Have your services been
Have you completed 5 year extended for rehabilitation and
No No
service ? no disciplinary action is
pending against you ?
Are You State Govt. Employee
No
of Uttar Pradesh ? :
Have you ever been Debarred Completion Date of Debarment
No N/A
from UPPSC ?: (DD/MM/YYYY) :

Are You Physically A). Are you Blind or Have

No No
Handicapped (Divyangjan) ? Vision problem? :
C). Have you any Physical
B). Are you Deaf or Have
No Problem (Locomotor disability No
hearing problem? :
or Cerebral Palsy)? :
D). Have you any Neurological
E). Have you Multiple Disabilities? : No
Problem? : No
Basic Academic Qualification Details :

S No Examination Passed Board Name Year Of Passing Roll Number

UTTAR PRADESH BOARD OF HIGH SCHOOL AND
1. High School 2009 3101425
INTERMEDIATE EDUCATION

Essential Qualification Details

Sr. No. Qualification Affirmation
(GOVT. INTER COLLEGE) :-
(I)Post Graduation degree in the related subject from a University/ Deemed University/Institution established by law in India.
(II) Degree of Graduation in Education (B.Ed.) in a course recognized by NCTE.
(SPARSH INTER COLLEGE FOR VISUALLY HANDICAPPED/SAMEKIT VISHESH MADHYAMIK SCHOOLS) :-
1. (I) A Post-Graduate Degree in concerned subject from a University established by law in India. Yes
(II) Degree in B.Ed. with Special B.Ed. or M.Ed. degree in Visually Impaired/Hearing Impaired, recognised by R.C.I. from a university
established by law in India.
(III) Knowledge of reading and writing in Hindi/English in Braille/Sign Language.
(IV) Registration in Rehabilitation Council of India (R.C.I.) as a special educator for teaching Visually impaired/Hearing Impaired.

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. Yes

Candidate's Permanent & Communication Address Details :

Permanent Address Correspondence/Mailing Address
RAMASHANKAR KESHARI, RAMASHANKAR KESHARI,
Address (Line 1 2 3) : VILLAGE-MURADEV POST-TIKARI Address (Line 1 2 3) : VILLAGE-MURADEV POST-TIKARI
VARANASI , TIKARI VARANASI , TIKARI
House No. : 23 , NA House No. : 23 , NA
Street No./PO : TIKARI Street No./PO : TIKARI
City Name : VARANASI City Name : VARANASI
State : UTTAR PRADESH State : UTTAR PRADESH
District Name : VARANASI District Name : VARANASI
PIN : 221011 PIN : 221011

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 : 19/08/2025 , Time : 13:45:33 Application Form printing Date & Time : [ 19/08/2025 ,13:46:06 ]