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UTTAR PRADESH SECONDARY EDUCATION SERVICES SELECTION BOARD

I declare that I have Read the detailed User Manual and Notification

Notification Details (Examination)

Advertisement/Notification Number : 02/2021/ General

Applied For Post : Uttar Pradesh Secondary Education Service Selection Board / PGT - ECONOMICS

Applied Under : बालक वग -कॉलेज / सं थान (Boys Category - College / Institute)

Candidate's Personal Details Photo and Signature

Application ID : UP0020091833002004017
Candidate Registration No. : UP00230020599677
Candidate Name : MOHIT PRADHAN

Father's/Husband's Name : PRAKASH CHANDRA SAXENA

Mother's Name : NALINI SAXENA

Gender - Date of Birth : Male - 11/06/1982

Are you Domicile of UP? / Category : Yes / GENERAL

Are you Married? : Yes

Contact No./ Email-ID : XXX-XXX-0417    /  ****tpradhan11@gmail.com

Economically Weaker Sections(EWS) Details

Are you Economically Weaker Sections(EWS)?: Yes Are you possessing the EWS Certificate? : Yes

EWS Certificate Number : 245 EWS Certificate Issue Date : 12/04/2021

EWS Issuing Authority Name, Details : NA

Bank Transaction Details

Bank Name - Payment Mode : State Bank Of India - INB

Fees, Transaction ID - Date : Rs. 650.00 , CPAAURPGJ9 - 01/05/2021

High School & Intermediate Board,Year of passing & Roll Number Details
Examination Passed Board Name Year of Passing Roll Number Obtained Marks Total M

High School CENTRAL BOARD OF SECONDARY EDUCATION 1997 5146689 221 500

Intermediate UTTAR PRADESH BOARD OF HIGH SCHOOL AND INTERMEDIATE EDUCATION 2001 1094994 267 500

Essential Qualification Details

Sr. No. Essential Qualification Equivalent Affirmation State Name/ Year Of Certificate/ Roll Number Evalation Type Perc
Qualification Board/ Institution/ University Passing Issuance Date Obtained Marks/
Total Mark

1. Graduation from a recognized Yes UTTAR PRADESH - 2004 330381 MARKS 46.5
university established by law in Chatrapati Shahuji Maharaj Kanpur 20/01/2005 419.00
India. University, Kalynpur, Kanpur-208 024, Uttar 900.00
Pradesh. (State University).

2. M.A. (Economics) from a Yes UTTAR PRADESH - 2007 626825 MARKS 49.7
recognized university established Dr Ram Manohar Lohia Awadh University, 21/01/2008 547.00
by law in India or Allahabad Road, Faizabad-224 001, Uttar 1100.00
Pradesh. (State University).

Preferential Qualification Details

Qualification Acquired

भारत म व ध ारा था पत कसी मा यता ा त व व ालय से बी0एड0 उपा ध अथवा एल0ट 0 उपा ध। No

भारत म व ध ारा था पत कसी मा यता ा त व व ालय से एम0एड0 उपा ध । No

भारत म व ध ारा था पत कसी मा यता ा त व व ालय से डी0 फल0 उपा ध या पी0एच0डी0 अहता । No

↓ Address Details ↓ Candidate's Permanent Address Candidate's Correspondence/Mailing Address

Name (C/O) : SH. PRAKASH CHANDRA SAXENA SH. PRAKASH CHANDRA SAXENA

House no./Village : 124 RADHA KUND 124 RADHA KUND

Street No./Post Office : HEAD POST OFFICE HEAD POST OFFICE

State / District Name : UTTAR PRADESH UTTAR PRADESH

GONDA GONDA
↓ Address Details ↓ Candidate's Permanent Address Candidate's Correspondence/Mailing Address

Tahsil : GONDA GONDA

Police Station : KOTWALI NAGAR KOTWALI NAGAR

Block : NA NA

Village : NA NA

PIN : 271001 271001

कस वग के कॉलेज / सं थान (बालक / बा लका ) के लए आवेदन तुत करना चाहते है?

(For which Category of College / Institute (Boys / Girls ), do you want to submit the Application? )
आप अपना आवेदन कस वग के कॉलेज / सं थान (बालक / बा लका ) के लए तुत करना चाहते ह? बालक वग -कॉलेज / सं थान (Boys Category - College / Institute)
For which Category of College / Institute (Boys / Girls ), do you want to submit your Application? :

आपके ारा भरा गया आवेदन प केवल बालक वग -कॉलेज / सं थान (Boys Category - College / Institute) के लए ही चयन बोड ारा अ म कायवाही हेतु वीकाय होगा | - Yes (हाँ)

Ad-hoc Teacher Details (तदथ श क ववरण) :

Are you currently an ad-hoc teacher in aided nongovernment secondary school of Uttar Pradesh?
( या आप वतमान म उ र दे श के सहायता ा त अशासक य मा य मक व ालय म तदथ श क ह ?) :

Declaration
1. I hereby declare that I have read all the provisions in the notice/advertisement of the examination carefully and hereby undertake to abide by them.

2. I further declare that I fulfill all the conditions of eligibility regarding age limits,educational qualifications etc. prescribed for admission to the examination.

3. I decalre that my claim for reservation as SC /ST/OBC candidate's are true and correct and I am in possession of my caste certificate in the prescribed format given in the notice/advertisem
the examination .I also declare that as per Govt. order No.22/16/92/T.C.-III DATED 22-10-2008 I do not belong to the person/sections (creamy layer) mentioned in it.

4. I (for male candidates ) also declare that I have no more than one wife living/(for female candidates) have not married a man already having a wife living.

5. I also declare that I have never been convicted by any court of law. I also declare that no criminal case is pending against me. Further declare that I have never been dismissed or removed fr
Govt. Service or my service been terminated during probation.

6. 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. In the event of any information being found fa
incorrect or ineligibility being detected before or after selection the Board can take action against me as per rules in case it is detected that I have mislead the Board on any issue then I will sol
responsible for all penal consequences thereof.

I accept the above declaration :   Yes

↓ Current status of application ↓

Your application is under processing.

Application Form Submission Date :   01/05/2021 , Time : :18:55 AM

Application Form printing Date & Time : [ 01/05/2021 ,9:25