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Enalish (Candidate Home Pages rien For Submit detailed application form & scanned photo with signautre | ands Registration No Panstime . | cites - met jolethat r= ere 067 = ee Public Service Commission,Allahabad y eRaoeSH Iuoitcaton No Iseiecton Type DirecioratetDeparment Bust Name: f- Applcart Regstation No. b Candidate Name f. FatherPusband Name [12 Transaction Date 113 Ae you Dependent of UP Freedom Fighter? 14. Ace youUP Ex Army? 1141 Serve Duration (Oay-Nort Yea) i I 1 142 Retiement DateOeNonty eo) 115, Are You Hanaicap ot UP? a 154 Ate you Bind Or Have Vision robe? 15.2002 you Det or Have heating cher? 4 171 Essenta! Quaticatons & Mans Accering wo Aaverisemere 172 Patererial Qualicatons & Marks According 0 Aderisemant SS SS SS —— oe on p egpeteen © Re Gt madre ent se feo grew Bo oro ee HA re Adaess te1House noivitage. READ 482 Street NoiPO x | a 164 Cty Name = 185 StateName = 185 DismcName ed 1e3PN ro | accept the following declaration : ==] E 2. there by declare that ll he euiresstatements made inthis aplication are tue, complete and correct tothe best of my knovfedge and belies ls : being detect before or after selection th Seneca taku aco ayaa |UPPSC om any issue thea | nil oly respoaibe for all poaelcontequences there. (re ]_eme_f_ ce en | sa =—— ‘Your Application has been submitted successfully. Pease note down your Application I for further Reference. ‘32010.2011 : UP. CHIKITSA SHIKSHA (HOMOEOPATHY) DEPTT Professor Physiology and Biochemistry Appiicantion ID = 2000270100000 {Candidate Name : Horch Aaraal

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