Public Service Commission U.P.
, PRAYAGRAJ
लोक सेवा आयोग उ0प्र0, प्रयागराज
Detailed Application Form ( विस्तृत आवेदन पत्र )
Notification Details ( Examination )
Advertisement Number : A-5/E-1/2025
GOVERNMENT COLLEGES AND DEPT. OF EMPOWERMENT OF PERSONS
Department/Directorate Name :
WITH DISABILITIES
Applied for Post : ASSISTANT TEACHER (MALE/FEMALE) SCIENCE,
Type of Recruitment : GENERAL RECTT.
Candidate's Personal Details
OTR Number : 722828717954 Application ID : 009195743004994
Candidate's Name : SURAJ CHAUHAN Father's/Husband's Name : RAMBACHAN CHAUHAN
Mother's Name : HOSILA DEVI Gender : Male
Date of Birth : 13/07/1999 Domicile of UP : Yes
Home State : UTTAR PRADESH Home District : GHAZIPUR
Category : OBC Marital Status : Single
Mobile Number : XXX-XXX-4512 Email-ID : ****jchauhan4512@[Link]
Bank Transaction Details
Payment Gateway : State Bank Of India Payment Mode : INB
Fee Amount : Rs. 125.00 Transaction ID - Date: CPAFLQLUX7 - 03/08/2025
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 Handicapped A). Are you Blind or Have
No No
(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 2015 3102217
INTERMEDIATE EDUCATION
Essential Qualification Details
Sr. No. Qualification Affirmation
GOVERNMENT COLLEGES:-
(1) Graduation degree with Physics and Chemistry as subjects from a University/Deemed University/Institution established by law in India
(2) Degree of Graduation in Education ([Link].) in a course recognized by NCTE in India
OR
DEPT OF EMPOWERMENT OF PERSONS WITH DISABILITIES - Sparsh School for Visually/ Samekit vishesh madhyamik
schools:-
(i) Bachelors Degree in concerned subject from a University established by law in India
(ii) Diploma in special education (Visually Impaired) from an Institution recognised by Rehabilitation Council of India (RCI) Government of
India or Special [Link]. degree in Visually Impaired Teaching recognised by RCI from a university established by law in India
(iii) Knowledge of reading and writing in Hindi/ English in Braille
(iv) Registration in the Rehabilitation Council of India (RCI) as a special educator for teaching Visually Impaired
OR
DEPT OF EMPOWERMENT OF PERSONS WITH DISABILITIES - SANKET SCHOOL FOR DEAF AND DUMB / SAMEKIT
1. VISHESH MADHYAMIK SCHOOLS:- Yes
(i) Bachelors Degree in concerned subject from a University established by law in India
(ii) Diploma in special education (Hearing Impaired) from an Institution recognised by the Rehabilitation Council of India (RCI) Government
of India or Special [Link]. degree in Hearing Impaired Teaching recognised by RCI from a university established by law in India
(iii) Knowledge of reading and writing in Hindi/ English in Sign Language
(iv) Registration in the Rehabilitation Council of India (RCI) as a special educator for teaching Hearing impaired
OR
DEPT OF EMPOWERMENT OF PERSONS WITH DISABILITIES - PRAYAS SCHOOL FOR PHYSICALLY HANDICAPPED/
SAMEKIT VISHESH MADHYAMIK SCHOOLS:-
(i) Bachelors Degree in concerned subject from a University established by law in India
(ii) Diploma in special education (Locomotor Disability/Cerebral Palsy) from an Institution recognised by the Rehabilitation Council of India
(RCI) Government of India or Special [Link]. degree in Locomotor Disability/Cerebral Palsy recognised by RCI from a university established by
law in India
(iii) Registration in the Rehabilitation Council of India (RCI) as a special educator in Locomotor Disability/ Cerebral Palsy
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
RAMBACHAN CHAUHAN, VILL RAMBACHAN CHAUHAN, VILL
Address (Line 1 2 3) : Address (Line 1 2 3) :
NAKHATPUR, POST NAKHATPUR NAKHATPUR, POST NAKHATPUR
House No. : NA , NAKHATPUR House No. : NA , NAKHATPUR
Street No./PO : NA Street No./PO : NA
City Name : GHAZIPUR City Name : GHAZIPUR
State : UTTAR PRADESH State : UTTAR PRADESH
District Name : GHAZIPUR District Name : GHAZIPUR
PIN : 233226 PIN : 233226
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 : 03/08/2025 , Time : [Link] Application Form printing Date & Time : [ 03/08/2025 ,[Link] ]
