Personal Details

Application No

UPPCLEA22146675

Note: The details below should be entered as it appears in the Matriculate Certificate (Class 10th
Certificate) OR Equivalent certificate awarded to you. Ensure to carry the ID Proof at the
Examination center having the same as stated below. In no case variation in Spelling, First name or
Surname will be allowed to appear.

Applicant Full Name Father/ Guardian's Full name

JAYESH PANDEY BADRILAL PANDEY

Mother's Full name

TILOTTMA PANDEY
Mobile No Alternate Mobile No

9977062088 9407141397
Email ID

jayeshpandey2020@gmail.com
Advertisement/Notification Number Post Name

09/VSA/2022/EA Executive Assistant

DOB (DD/MM/YYYY) Age as on 01/01/2022

03/05/1989 32Years 7Months 29Days.

Gender Marital Status

MALE Married

Candidate Domicile and Category Details

DOMICILE STATE APPLIED CATEGORY

OTHER THAN UTTAR PRADESH Unreserved

Address for Communication

Present Address Line 1 Present Address Line 2

84/1/1 VISHNUPURA FRONT OF SATYAM APPARTMENT
Present Address Line 3 State

FREEGUNJ UJJAIN MADHYA PRADESH

District Pincode

UJJAIN 456010
Permanent Address same as Present Address
 Yes

Permanent Address

Permananent Address Line 1 Permananent Address Line 2

84/1/1 VISHNUPURA FRONT OF SATYAM APPARTMENT

Permananent Address Line 3 State
FREEGUNJ UJJAIN MADHYA PRADESH
District Pincode
UJJAIN 456010
High School / 10th Details

Qualification High School / 10th. Grades/Percentage of Marks

10th 63.4
Year Of Passing

2004

12th/Intermediate Details

Qualification Intermediate / 12th. Grades/Percentage of Marks

12TH 53.33
Year Of Passing
2007

Graduation Exam Details

Examination Date of Passing

Graduate Degree 30/06/2012

Name of Institution Grades/Percentage of Marks
M.I.T.M UJJAIN 64.19

Document Upload and Payment

Photo Signature

Exam Fee Details

Application Processing Fees Payment Status

1180 Payment Successful

Payment Transaction Number
IGAOHAQYT9
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