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Print Application Form

(UTTAR PRADESH PUBLIC SERVICE


COMMISSION, PRAYAGRAJ)

उत्तर प्रदेश लोक सेवा आयोग, प्रयागराज

Detailed Application Form ( विस्तृत आवेदन पत्र )

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

Notification Details (
Examination
)

Advertisement Number : A-7/E-1/2021


 

Department/Directorate Name : TECHNICAL EDUCATION


DEPARTMENT U.P.

Applied for Post : LECTURER ELECTRONICS


ENGINEERING,

Type of Recruitment : GENERAL RECTT.


Candidate's Personal Details

Registration 72301298822 Application ID : 200047723005170


No. :

Candidate's MANISH CHANDRA Father's/Husband's MAHESH CHANDRA


Name : JOSHI Name : JOSHI

Gender : Male Date of Birth : 15/11/1991

Domicile of UP Yes Category : General

: Economically Weaker
Sections (EWS) :
No

Are you No
Married?

Mobile XXX-XXX-4282 Email-ID : ****ish.21@gmail.com


Number :

Bank Transaction Details

Payment State Bank Of India Payment Mode INB


Gateway : :

Fee Amount : Rs. 225.00 Transaction ID - IGAMEMFGQ5


 -
Date: 10/10/2021
Candidate's Other Details :

Are you Dependent of UP Freedom Fighter? No Are You Skilled Player No


Of UP? :

Are you UP Ex. Army? No Service Duration (Day- 0


 -  
Month-Year) : 0
 -   
0

    Retirement ___
Date(Date/Month/Year)
:

Are you ECO/SSCO/CO of Army ? No Have you complete 5 No


year service ?

Have your services been extended for rehabilitation and no disciplinary action is No
pending against you ?

Are You Handicap of UP? No a. Are you Blind Or Have Vision


problem? :
No

b. Are you Deaf or Have hearing problem? :


No c. Have you any physical
Problem? :
No

Are You State Govt. Employee of Uttar Have you ever been Debarred from UPPSC
Pradesh ? :
 
No ?:
 
No

     
 

High School & Intermediate Board,Year of passing & Roll Number Details :

Sr.No Examination Board Name Year of Passing Roll Number


Passed

1. High School UTTAR PRADESH BOARD OF HIGH 2006 1107817


SCHOOL AND INTERMEDIATE
EDUCATION

2. Intermediate UTTAR PRADESH BOARD OF HIGH 2008 0567586


SCHOOL AND INTERMEDIATE
EDUCATION
Essential Qualification Details

Sr Qualification Affirmation Is Obtain Total Percentage


No. Grade Marks Marks
System

1 (1-A) B.E./B.Tech./B.S. in Yes


No 3503.00 5000.00 70.06
relevant discipline (as
enumerated in the list of AICTE
approved Diploma Courses)
with First Class. (1-B)
Bachelors and Masters
Degrees in relevant discipline
(as enumerated in the list of
AICTE approved Diploma
Courses) with First Class in
either of the two at the time of
selection.

Candidate's Permanent Address Details :

C/O- Name : MAHESH CHANDRA House No. : 529GHA/3/167


JOSHI

Street No./PO : BAJRANG NAGAR City Name : LUCKNOW


KALYANPUR

State : UTTAR PRADESH District Name : LUCKNOW

PIN : 226022    
I accept the following declaration :
:
Yes

1. I hereby declare that I have read all terms & conditions according to the
advertisement and I accept it.

2. 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.

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 Form :

Your application is under processing.

Application Form Submission Date :


  Application Form printing Date & Time : [ 10/10/2021
10/10/2021
, Time : 08:00:25
  ,08:09:35 ]
           

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