Public Service Commission U.P.

, PRAYAGRAJ
लोक सेवा आयोग उ0प्र0, प्रयागराज
Detailed Application Form ( विस्तृत आवेदन पत्र )

Notification Details ( Examination )

Advertisement Number : A-7/E-1/2023

SAMIKSHA ADHIKARI/ SAHAYAK SAMIKSHA ADHIKARI ETC.

Department/Directorate Name :
EXAMINATION

SAMIKSHA ADHIKARI/ SAHAYAK SAMIKSHA ADHIKARI ETC. EXAM-

Applied for Post :
2023,

Type of Recruitment : GENERAL RECTT.

Candidate's Personal Details

OTR Number : 919918355989 Application ID : 009153306011216

Candidate's Name : SAURABH KUMAR Father's/Husband's Name : NATHUNI PRASAD

Mother's Name : CHANDRAWATI DEVI Gender : Male
Date of Birth : 25/04/1991 Domicile of UP : Yes
Home State : UTTAR PRADESH Home District : KUSHINAGAR
Category : SC Marital Status Single
Mobile Number : XXX-XXX-4549 Email-ID : ****63487@gmail.com

Bank Transaction Details

Payment Gateway : State Bank Of India Payment Mode : INB
Fee Amount : Rs. 65.00 Transaction ID - Date: CPADGPSHA6 - 18/11/2023

Candidate's Other Details :

Are you Dependent of UP
No Are You Skilled Player of UP? : No
Freedom Fighter?
Are You Extra Ordinary Player
No Level of Player : ---
of UP?
Service Duration (Day-Month-
Are you UP Ex. Army? No 0-0-0
Year) :
Retirement Are you ECO/SSCO/CO of
// No
Date(Date/Month/Year) : Army ?
Have your services been
Have you completed 5 year extended for rehabilitation and
No No
service ? no disciplinary action is
pending against you ?
Are You Physically
A). Are you Blind or Have
Handicapped (Divyangjan) of No No
Vision problem? :
Uttar Pradesh?
C). Have you any Physical
B). Are you Deaf or Have
No Problem (Locomoter disability No
hearing problem? :
or Cerebral Palsy)? :
D). Have you any Neurological
E). Have you Multiple Disabilities? : No
Problem? : No
Are You State Govt. Employee Service Duration (Day-Month-
No 0-0-0
of Uttar Pradesh ? : Year) :
Have you ever been Debarred Completion Date of Debarment
No N/A
from UPPSC ?: (DD/MM/YYYY) :
Basic Academic Qualification Details :

S No Examination Passed Board Name Year Of Passing Roll Number

UTTAR PRADESH BOARD OF HIGH SCHOOL AND
1. High School 2004 0868490
INTERMEDIATE EDUCATION

Essential Qualification Details

Evalation Type
Year Of Passing
Obtained Marks
Sr. No. Qualification AffirmationUniversity/Institute Cert/Roll Number
Total Mark
Issue Date
Percentage
Bachelors degree from a
N/A
University established by law in N/A
N/A
1. India or a qualification Yes N/A N/A
N/A
recognized by the Government //N/A
N/A
as equivalent thereto
N/A
O Level certificate awarded by N/A
N/A
2. the DOEACC society or a Yes N/A N/A
N/A
qualification equivalent thereto //N/A
N/A
N/A
Must possess a minimum speed N/A
N/A
3. of twenty five words per minute Yes N/A N/A
N/A
in Hindi typewriting //N/A
N/A
N/A
Preference shall be given to a N/A
N/A
4. candidate knowing English Yes N/A N/A
N/A
typewriting also //N/A
N/A

Preferential Qualification Details

Sr. No. Qualification Acquired
1. Served in the territorial army for a minimum period of two years. No
2. Obtained a B Certificate of National Cadet Corps, No

Other Essential Qualification for Specific Post :

Note:- “In case of special educational Qualification posts, the candidates must mention their options clearly, ‘yes’, in that conditions only they shall
be considered for the posts bearing special education qualification.”
( नोटः - ‘‘अभ्यर्थियों द्वारा विशिष्ट अर्हता वाले पदों हेतु स्पष्ट रूप से विकल्प ‘‘हॉं ’’ दिये जाने की स्थिति में ही उन्हें विशिष्ट अर्हता वाले पदों हेतु विचार किया
जायेगा।’’)
Department Name Post Name Essential Qualification
Sr No. English English English Acquired (Yes/No)
Hindi Hindi Hindi
U.P. Public Service Commission :- A candidate for direct
recruitment to the service must possess a Bachelor's degree in
Sahayak Samiksha Adhikari
Commerce from a University established by Law in India with
U.P. Public Service Commission (Account) Accountancy.
1. सहायक समीक्षा अधिकारी Yes
उ0प्र0 लोक सेवा आयोग
(लेखा) उ0प्र0 लोक सेवा आयोग :- भारत में विधि द्वारा स्थापित किसी
विश्वविद्यालय से लेखाकर्म सहित वाणिज्य में स्नातक उपाधि।
2. U.P. Secretariat/ Board of Sahayak Samiksha Adhikari U.P. Secretariat/ Board of Revenue, U.P.:- (1) A Bachelor's Yes
Revenue, U.P./U.P. Public सहायक समीक्षा अधिकारी degree from a University established by the law in India or a
Service Commission qualification recognized by the Government as equivalent thereto.
उ0प्र0 सचिवालय/ राजस्व परिषद, (2) “O" Level certificate awarded by the DOEACC Society or a
उ0प्र0/ उ0प्र0 लोक सेवा आयोग qualification equivalent thereto. (3) Must possess a minimum
speed of twenty five words per minute in Hindi typewriting. Note:
Preference shall be given to a candidate knowing English
Typewriting also.

U.P. Public Service Commission :- (1) Bachelor's degree from a

University established by Law in India or a qualification
recognized by the Government as equivalent thereto. (2) Diploma
in Computer Science from any recognized Institute/ University or
"O" Level certificate awarded by the DOEACC Society. (3) Must
possess a minimum speed of twenty five words per minute in
Hindi typewriting. Note: Preference shall be given to a candidate
knowing English Typewriting also.

उ0प्र0 सचिवालय/राजस्व परिषद, उ0प्र0 :- (1) भारत में विधि द्वारा

स्थापित किसी विश्वविद्यालय से स्नातक उपाधि या सरकार द्वारा मान्यता
प्राप्त उसके समकक्ष कोई अर्हता, (2) डी0ओ0ई0ए0सी0सी0 सोसाइटी
द्वारा प्रदत्त ‘‘ओ’’ लेवल प्रमाण-पत्र अथवा इसके समकक्ष अर्हता, (3)
हिन्दी टंकण में न्यूनतम पच्चीस शब्द प्रति मिनट की गति होनी आवश्यक
है। टिप्पणी:- अंग्रेजी टंकण का भी ज्ञान रखने वाले अभ्यर्थी को अधिमान
 दिया जायेगा।

उ0प्र0 लोक सेवा आयोग :- (क) भारत में विधि द्वारा स्थापित किसी
विश्वविद्यालय से स्नातक उपाधि या सरकार द्वारा मान्यता प्राप्त उसके
समकक्ष कोई अर्हता। (ख) किसी मान्यता प्राप्त संस्था/विश्वविद्यालय से
कम्प्यूटर विज्ञान में डिप्लोमा या डोयक (DOEACC) सोसाइटी द्वारा
प्रदत्त ‘‘ओ’’ स्तर का प्रमाण-पत्र। (ग) हिन्दी टंकण में न्यूनतम 25 शब्द
प्रति मिनट की गति होना आवश्यक है। नोट:- अंग्रेजी टंकण का भी ज्ञान
रखने वाले अभ्यर्थी को अधिमान दिया जायेगा।

Candidate's Permanent & Communication Address Details :

Permanent Address Correspondence/Mailing Address
NATHUNI PRASADWARD N0- 20 NATHUNI PRASADWARD N0- 20
Address (Line 1 2 3) : SHAHID BHAGAT SINGH NAGAR Address (Line 1 2 3) : SHAHID BHAGAT SINGH NAGAR
ANIRUDHWAPOST- KUSHINAGAR ANIRUDHWAPOST- KUSHINAGAR
House No. : NA House No. : NA
Street No./PO : NA Street No./PO : NA
City Name : KUSHINAGAR City Name : KUSHINAGAR
State : UTTAR PRADESH State : UTTAR PRADESH
District Name : KUSHINAGAR District Name : KUSHINAGAR
PIN : 274403 PIN : 274403

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.
Accepted : Application form has been Provisionally accepted.
Application Form Submission Date : 18/11/2023 , Time : 20:47:44
Application Form printing Date & Time : [ 19/11/2023 ,19:53:58 ]
Application Modification Date & Time : 19/11/2023 19:53:25