4/10/2015

PublicServiceCommissionU.P.,Allahabad

00,
IDeclarethatihaveReadthedetailedUserManul&Notification.

NotificationDetails(DirectRecruitment)

1.NotificationNumber:

04/20142015

2.Department/PostName:
3.ApplicationFormSubmittedfor:

UTTARPRADESHSTATEPLANNINGCOMMISSION(PLANNINGDEPARTMENT),YOJNABHAWAN,LUCKNOW /
ResearchOfficer,S02/05
GENERALRECTT.
CandidatePersonnelDetails

4.ApplicationID:
5.CandidateRegistrationNo.:
6.CandidateName:
7.Father/HusbandName:
8.GenderDateofBirth:
9.DomicileofUP?:
10.Category:
11.AreyouMarried?

205999520000978
52010079659
LALITVIJAY
KRISHNANANDANPRASAD
Male31/12/1989
No
General
No
BankTransactionDetails

12.BankNamePaymentMode:
13.Fees,TransactionIDDate:

StateBankOfIndiaIC
Rs.95.00,1469412909/04/2015
OtherDetailsofCandidate

14.AreyouDependentofUPFreedomFighter?
15.a.AreyouUPEx.Army?

15.bAreyouECO/SSCO/COofArmy?

No
No

15.a.1ServiceDuration(DayMonthYear) 0
0
15.a.2RetirementDate(Date/Month/Year) ___
No

15.b.1Haveyoucomplete5yearservice? No
15.b.2Haveyourservicesbeenextendedfor
rehabilitationandnodisciplinaryactionispending No
againstyou?
No
15.c.HaveyoueverbeenDebarredfromU.P.PublicServiceCommission?:
15.c.1CompletionDateofDebarment(DD/MM/YYYY)
../../....
:
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4/10/2015

16.AreYouHandicapofUP?

No
16.1AreyouBlindOrHaveVisionproblem?: No
16.2AreyouDeaforHavehearingproblem?: No
16.3HaveyouanyphysicalProblem?: No

17.AreYouSkilledPlayerOfUP?

No

HighSchool&IntermediateBoard,Yearofpassing&RollNumberDetails
Sr.No
1.

ExaminationPassed
HighSchool

BoardName

YearofPassing

RollNumber

BIHARSCHOOLEXAMINATIONBOARD

2004

0415

2.

Intermediate

UTTARPRADESHBOARDOFHIGHSCHOOLAND
INTERMEDIATEEDUCATION

2008

1411412

EssentialQualificationDetails
Is
Obtain Total Percentage
Acquired Grade
Marks Marks (%)
System

Sr
Qualification
No.
1

/
/
/

/
//
/(

)/
,

48

/ /

Yes

No

1572.002140.0073.46

PreferentialQualificationDetails
Sr
Qualification
No.

Acquired

,
,
,
,,

5000
,

No

No

No

(
)

Candidate'sPhotoSignatureDetails

Iacceptthefollowingdeclaration: Yes

Photo&Signature

1.IherebydeclarethatIhavereadallterm&conditionaccrodingadvertisementandIacceptit.
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4/10/2015

2.Iherebydeclarethatalltheentires/statementsmadeinthisapplicationaretrue,completeandcorrecttothebestofmy
knowledgeandbelief.
3.IntheeventofanyinformationbeingfoundfalseorincorrectorineligibilitybeingdetectbeforeorafterSelection,the
commissioncantakeactionagainstmeasperruleincaseitisdetectedthatIhavemisledUPPSConanyissuethenIwillsolely
responsibleforallpenelconsequencesthereof.

Currentstatusofapplication
Yourapplicationisunderprocessing.
ApplicationFormSubmissionDate:10/04/2015,Time:15:33:49
ApplicationFormprintingDate&Time:[10/04/2015,15:39:05]

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