8/15/25, 1:44 AM Application Form Submitted Successfully Confirmation
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
Department/Directorate
EMPOWERMENT OF PERSONS WITH
Name :
DISABILITIES
ASSISTANT TEACHER (MALE/FEMALE)
Applied for Post :
MATHS,
Type of Recruitment : GENERAL RECTT.
Candidate's Personal Details
OTR Number : 545937342455 Application ID : 009155743007054
Father's/Husband's RAMESH KUMAR
Candidate's Name : SAKSHI GAUTAM
Name : GAUTAM
Mother's Name : NIRMALA DEVI Gender : Female
Date of Birth : 01/10/1998 Domicile of UP : Yes
Home State : UTTAR PRADESH Home District : HARDOI
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8/15/25, 1:44 AM Application Form Submitted Successfully Confirmation
Category : SC Marital Status : Single
Mobile Number : XXX-XXX-3665 Email-ID : ****higautam360@[Link]
Bank Transaction Details
Payment Gateway : State Bank Of India Payment Mode : INB
Transaction ID - CPAFMXQXM3 -
Fee Amount : Rs. 65.00
Date: 15/08/2025
Candidate's Other Details :
Are you Dependent of Are You Skilled
No No
UP Freedom Fighter? Player of UP? :
Are You Extra
No Level of Player : ---
Ordinary Player of UP?
Service Duration
Are you UP Ex. Army? No 0-0-0
(Day-Month-Year) :
Retirement Are you
Date(Date/Month/Year) - - - ECO/SSCO/CO of No
: Army ?
Have your services
been extended for
Have you completed 5 rehabilitation and
No No
year service ? no disciplinary
action is pending
against you ?
Are You State Govt.
Employee of Uttar No
Pradesh ? :
Have you ever been Completion Date of
Debarred from UPPSC No Debarment N/A
?: (DD/MM/YYYY) :
Are You Physically A). Are you Blind
Handicapped No or Have Vision No
(Divyangjan) ? problem? :
C). Have you any
B). Are you Deaf or Physical Problem
Have hearing No (Locomotor No
problem? : disability or
Cerebral Palsy)? :
D). Have you any
Neurological E). Have you Multiple Disabilities? : No
Problem? : No
Basic Academic Qualification Details :
Examination Year of
S No Board Name Roll Number
Passed Passing
CENTRAL BOARD OF SECONDARY
1. High School 2013 5200388
EDUCATION
Essential Qualification Details
Sr. No. Qualification Affirmation
1. GOVERNMENT COLLEGES:- Yes
(1) Graduation degree with Maths as one subject 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
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8/15/25, 1:44 AM Application Form Submitted Successfully Confirmation
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 VISHESH MADHYAMIK SCHOOLS:-
(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
RAMESH KUMAR, RAMESH KUMAR,
85/2 ALOO THOK 85/2 ALOO THOK
Address (Line 1 2 3) : UTTARI BHAG-1, Address (Line 1 2 3) : UTTARI BHAG-1,
BHATTA PURWA BHATTA PURWA
HARDOI HARDOI
House No. : 85/2 , NA House No. : 85/2 , NA
Street No./PO : NA Street No./PO : NA
City Name : HARDOI City Name : HARDOI
State : UTTAR PRADESH State : UTTAR PRADESH
District Name : HARDOI District Name : HARDOI
PIN : 241001 PIN : 241001
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 : 15/08/2025 , Application Form printing Date & Time : [
Time : [Link] 15/08/2025 ,[Link] ]
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