529722, 901 PM 7: (Ye) ‘Commission,Lucknow QE) sare sere Far ae sir, TEAS Adve Number ovexami20n2 Applied For PRELIMINARY ELIGIBILITY TEST (@ Uttar Pradesh Subordinate Services Selection Commission ®)\. Uttar Pradesh Subordinate Services Selection 30201135371 Candidate Name ARPITA CHAUDHARY Mothers Name SHEELA CHAUDHARY Domicile OFUP Yer Home District, SANT KADIR NAGAR Ena 1 + splchauahan $376; jgmailcom Fathers Husbands Name Date OFBinh HomeSite ‘ender conomicly Wesker Sesons ES) *302011353718 04-Exam/2022 RAMESH CHANDRA CH rsi0s1999 UTTAR PRADESH \UDHARY SY NSO i Ta x ply! Deis Tae Farnese tier Pao Tyee SiO ae VS te Parse Bator ac ayaa” Re ixeyonpoEopAT HAT SO a you Nags DTG ——Xe ‘ve youclimingany addtional age No ious? Examines pay seme Yearot ol r ra Pict Bhar worsens UITARTRAD 3 en ee a) inumeaate CTTARPRADESH BOARD OF HIGHSCHOOL ANDINTERMEDISTE. aig guys nay ato Eouearios umcermonay [Stor [erento &, atin xe ary [Sm sake Da Soils haa Stee gates Sinan Une gig |#28010025| tana a pies isha [2 |avoazoin | nts von nieeacaotk animoretcterae le tammantue swoon ti tasan * | government Lobia Awadh 2020 | aont0r2020 Tot Marks: 1000.00 upsssc-gow ivOntine_App/View_ExamApplicalionForm3aspx?GPBrouBRIZNTHRbOW ecw 426129722, 901 PM Uttar Pradesh Subordinate Services Selection Commission SNe [Quaitcation Acquired v Served i the Terr Ary fr all period of 02 year Ne 2 Ha bees akianed Naonal Cat Corp 8 coricte No Bank Name - Payment Mode Sate Bask OF adi -INB os, Tanto ID Date as. 185.00 ,CPABUMODYS #29/062022 Name co (10 Vishal Chaudhary, bariparbarshman (C10 Vishal Chaar. baiparbansiman House Vlg ova Gobi Sect NoPO Po- Gort Po- Gora LecaityiKasbiCity SaatabieNagae ‘Sania Nap Soe Disuit Name ‘UTTAR PRADESH / SANT KABIR NAGAR LUTTAR PRADESH /SANTKABIR NAGAR Pin ours mans 1, [hereby declare that I have read all terms & conditions according advertisement and I accept it 2. [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. 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 UPSSSC on any issue then I will solely be responsible for all penal consequences thereof. ascent the above dectaration: Yoo omen sta of apptition ‘Your applsaton ie uncer processing ‘App form submission date : DATE :29/06/2022,,TIME 20:51:30 App. form printing Date & Time : {29/06/2022 9:01:02 PM} upsssc-govivOntine_App/View_ExamApplicalionForm’.aspx?GPBrou8RIZNTHRbe! 22