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Public Service Commission U.P., Allahabad

0 0,
I Declare that i have Read the detaile d Use r Manul & Notification.

Notification Details ( Examination )

1. Advertisement Number :
2. Applied For :
3. Type of Recruitment :

A-3/E-1/2014
RAJASVA VIBHAG U.P. - RAJASVA NIRIKSHAK EXAMINATION -2014,
GENERAL RECTT.
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 :

200047707040570
70751518563
MUSHEEM AHMAD
MUSAFIR ALI
Male - 31/05/1992
Yes / OBC
No
9125092546 / musheem.ahmad@gmail.com
Bank Transaction Details

12. Bank Name - Payment Mode :

13. Fees, Transaction ID - Date:

Punjab National Bank - EC

Rs. 115.00 , M643843 - 10/11/2014
Other Details of Candidate

14. Are you Dependent of UP Freedom Fighter?

15.a. Are you UP Ex. Army?

No
No

15.a.1 Service Duration (Day-Month-Year) : 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

17.1. Are You Govt./Ex-Govt. State Employee of Uttar Pradesh ?

No

18. High School & Intermediate Board,Year of passing & Roll Number Details
Sr.No Examination Passed Board Name
1.
High School
UTTAR PRADESH
2.

Intermediate

Year of Passing

BOARD OF HIGH SCHOOL 2007

AND INTERMEDIATE EDUCATION
UTTAR PRADESH BOARD OF HIGH SCHOOL 2009
AND INTERMEDIATE EDUCATION

Roll Number

1039531
0661307

19.1 Essential Qualification Details

Sr
No.
1

Qualification

Acquired
Yes

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19.2 Preferential Qualification Details

Sr No.
1
2

Qualification

Acquired

No

No

Candidate's Address, Photo Signature Details

20. Address :

A-65 police radio colony mahanagar

20.1 House no./Village :

A-65

20.2 Street No./PO :

mahanagar

20.3 City Name :

lucknow

20.4 State / District Name :

Uttar Pradesh / LUCKNOW

20.5 PIN :

226006

21.Photo&Signature

I accept the following declaration : Yes

1. I here by declare that I have read all term & condition accroding advertisement and I accept it.
2. I here by declare that all the entires/statements made in this application are true, complete and correct to the best of my knowledge and belief.
3. In the event of any information being found false or incorrect or ineligibility being detect before or after Selection, the commission can take action
against me as per rule incase it is detected that I have misled UPPSC on any issue then I will solely responsible for all penel consequences thereof.

Current status of application

Your application is under processing.
Application Form Submission Date :

15/11/2014 , Time : 15:28:08

Application Form printing Date & Time : [ 15/11/2014 ,15:29:59 ]

15-11-2014 15:30