5/19/2014
Public Service Commission U.P., Allahabad
0 0,
I Declare that I have Read the detailed User Manul & Notification.
Notification Details ( Examination )
1. Advertisement Number :
2. Applied For :
A-1/E-1/2014
3. Examination Name :
COMBINED STATE/UPPER SUBORDINATE SERVICES PRELIM.
EXAMINATION-2014
P.C.S. - PRELIM. EXAMINATION - 2014,
Candidate Personnel Details
4. Application ID :
5. Candidate Registration No. :
6. Candidate Name :
7. Father's/Husband's Name :
8. Gender - Date of Birth :
9. Domicile of UP / Category :
10. Are you Married?
11. Contact No./ Email-ID :
200071102008444
10222200879
AZAT SHATRU
B K SINGH
Male - 05/09/1990
Yes / General
No
9910643182 / azat.3277@gmail.com
Bank Transaction Details
12. Bank Name - Payment Mode :
13. Fees, Transaction ID - Date:
State Bank Of India - EC
Rs. 115.00 , 11886860 - 16/05/2014
Other Details of Candidate
14. Are you Dependent of UP Freedom Fighter?
No
15.a. Are you UP Ex. Army?
No
15.a.1 Service Duration (Day-Month-Year) : 0
- 0
- 0
15.a.2 Retirement Date(Date/Month/Year) : _ _ _
15.b. Are you ECO/SSCO/CO of Army ?
No
15.b.1 Have you complete 5 year service ? No
15.b.2 Have your services been extended for
rehabilitation and no disciplinary action is pending No
against you ?
15.c. Have you ever been Debarred from U.P. Public Service Commission? :
No
15.c.1 Completion Date of Debarment (DD/MM/YYYY) : ../../....
16. Are You Handicap of UP?
No
16.1 Are you Blind Or Have Vision problem? : No
16.2 Are you Deaf or Have hearing problem? : No
16.3 Have you any physical Problem? : No
17. Are You Skilled Player Of UP? :
No
18. Are You Govt./Ex-Govt. State Employee of Uttar Pradesh ? :
No
High School & Intermediate Board,Year of passing & Roll Number Details
Sr.No Exam ination
Passed
1.
High School
2.
Interm ediate
Board Nam e
Year of Passing
Roll Num ber
CENTRAL BOARD OF SECONDARY
EDUCATION
ANDHRA PRADESH BOARD OF
INTERMEDIATE EDUCATION
2006
4151594
2008
0827222505
Essential Qualification Details
Sr No. Qualification
Acquired
Yes
Bachelors degree from any recognized University or equivalent qualification up to the last date for receipt of Application.
19.1. Are You Graduate? :
Yes
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5/19/2014
19.1. Are You Graduate? :
You have selected these Subjects in Under Graduation
Sr No.
Under Graduation Subject Name
Acquired
1.
Electrical Engineering
Yes
19.2. Are You Post Graduate? :
No
20. Specific Post Details With Other Essential Qualification :
No
21. Do You Know Hindi in Devnagari Lipi? :
Yes
Candidate's Address, Photo Signature Details
22. Address :
s k singh
23.1. House no./Village :
sh-5/60-5k
23.2. Street No./PO :
laxmanpur p o shivpur
23.3. City Name :
varanasi
23.4. State / District Name :
Uttar Pradesh / VARANASI
23.5. PIN :
221003
24. Photo&Signature
I accept the following declaration : Yes
1. I hereby declare that I have read all terms & conditions accroding to the advertisement and I accept it.
2. I hereby declare that all the entires/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.
Current status of application
Your application is under processing.
Application Form Submission Date :
19/05/2014 , Time : 9:18:14 PM
Application Form printing Date & Time : [ 19/05/2014 ,9:27:22 PM ]
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