Public Service Commission U.P.

, PRAYAGRAJ
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Detailed Application Form ( िव�तृत आवेदन प� )

Notification Details ( Examination )

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

Department/Directorate Name : SAMIKSHA ADHIKARI/ SAHAYAK SAMIKSHA ADHIKARI ETC. EXAMINATION

Applied for Post : SAMIKSHA ADHIKARI/ SAHAYAK SAMIKSHA ADHIKARI ETC. EXAM-2023,

Type of Recruitment : GENERAL RECTT.

Candidate's Personal Details

OTR Number : 789094397206 Application ID : 009136306001422

Candidate's Name : SUNEEL KUMAR Father's/Husband's Name : LAL SINGH

Mother's Name : SANTOSH DEVI Gender : Male
Date of Birth : 20/08/1991 Domicile of UP : Yes
Home State : UTTAR PRADESH Home District : RAMPUR
Category : SC Marital Status Single
Mobile Number : XXX-XXX-9588 Email-ID : ****el20891@gmail.com

Bank Transaction Details

Payment Gateway : State Bank Of India Payment Mode : INB
Fee Amount : Rs. 65.00 Transaction ID - Date: CPADFCVRE1 - 29/10/2023

Candidate's Other Details :

Are you Dependent of UP Freedom
No Are You Skilled Player of UP? : No
Fighter?
Are You Extra Ordinary Player of
No Level of Player : ---
UP?
Service Duration (Day-Month-Year)
Are you UP Ex. Army? No 0-0-0
:
Retirement Date(Date/Month/Year)
// Are you ECO/SSCO/CO of Army ? No
:
Have your services been extended
Have you completed 5 year service
No for rehabilitation and no disciplinary No
?
action is pending against you ?
Are You Physically Handicapped A). Are you Blind or Have Vision
No No
(Divyangjan) of Uttar Pradesh? problem? :
C). Have you any Physical Problem
B). Are you Deaf or Have hearing
No (Locomoter disability or Cerebral No
problem? :
Palsy)? :

D). Have you any Neurological

E). Have you Multiple Disabilities? : No
Problem? : No
Are You State Govt. Employee of Service Duration (Day-Month-Year)
No 0-0-0
Uttar Pradesh ? : :
Have you ever been Debarred from Completion Date of Debarment
No N/A
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 INTERMEDIATE
1. High School 2006 3116106
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 University N/A
N/A
established by law in India or a N/A
1. Yes N/A N/A
qualification recognized by the N/A
//N/A
Government as equivalent thereto N/A
N/A
Must possess a minimum speed of N/A
N/A
2. twenty five words per minute in Yes N/A N/A
N/A
Hindi typewriting //N/A
N/A
N/A
Preference shall be given to a N/A
N/A
3. 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- ‘‘अ�यिथ�य� �ारा िविश� अह�ता वाले पद� हेतु �प� �प से िवक�प ‘‘हॉ ं’’ िदये जाने क� ि�थित म� ही उ�ह� िविश� अह�ता वाले पद� हेतु िवचार िकया 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 Commerce from a
Sahayak Samiksha Adhikari
U.P. Public Service Commission University established by Law in India with Accountancy.
1. (Account) No
उ0�0 लोक सेवा आयोग
सहायक समी�ा अिधकारी (लेखा)
उ0�0 लोक सेवा आयोग :- भारत म� िविध �ारा �थािपत िकसी िव�िव�ालय से लेखाकम� सिहत वािण�य म�
�नातक उपािध।
U.P. Secretariat/ Board of Revenue, U.P.:- (1) A Bachelor's degree from
a University established by the law in India or a qualification recognized
by the Government as equivalent thereto. (2) “O" Level certificate
awarded by the DOEACC Society or a 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
U.P. Secretariat/ Board of Revenue,
the DOEACC Society. (3) Must possess a minimum speed of twenty five
U.P./U.P. Public Service
Sahayak Samiksha Adhikari words per minute in Hindi typewriting. Note: Preference shall be given to
2. Commission Yes
सहायक समी�ा अिधकारी a candidate knowing English Typewriting also.
उ0�0 सिचवालय/ राज�व प�रषद, उ0�0/ उ0�0
लोक सेवा आयोग उ0�0 सिचवालय/राज�व प�रषद, उ0�0 :- (1) भारत म� िविध �ारा �थािपत िकसी िव�िव�ालय से �नातक
उपािध या सरकार �ारा मा�यता �ा� उसके समक� कोई अह�ता, (2) डी0ओ0ई0ए0सी0सी0 सोसाइटी �ारा
�द� ‘‘ओ’’ लेवल �माण-प� अथवा इसके समक� अह�ता, (3) िह�दी टंकण म� �यूनतम प�चीस श�द �ित
िमनट क� गित होनी आव�यक है। िट�पणी:- अ�ं ेजी टंकण का भी �ान रखने वाले अ�यथ� को अिधमान िदया
जायेगा।

उ0�0 लोक सेवा आयोग :- (क) भारत म� िविध �ारा �थािपत िकसी िव�िव�ालय से �नातक उपािध या
सरकार �ारा मा�यता �ा� उसके समक� कोई अह�ता। (ख) िकसी मा�यता �ा� सं�था/िव�िव�ालय से क��यूटर
िव�ान म� िड�लोमा या डोयक (DOEACC) सोसाइटी �ारा �द� ‘‘ओ’’ �तर का �माण-प�। (ग) िह�दी
टंकण म� �यूनतम 25 श�द �ित िमनट क� गित होना आव�यक है। नोट:- अ�ं ेजी टंकण का भी �ान रखने वाले
अ�यथ� को अिधमान िदया जायेगा।

Candidate's Permanent & Communication Address Details :

Permanent Address Correspondence/Mailing Address

LAL SINGHVILL ISHWARPURPOST LAL SINGHINDERLOK HYDRIL
Address (Line 1 2 3) : Address (Line 1 2 3) :
LALPUR KALAN TEH TANDA COLONYKRISHNA NAGAR
House No. : NA House No. : 3/34
Street No./PO : NA Street No./PO : NA
City Name : RAMPUR City Name : LUCKNOW
State : UTTAR PRADESH State : UTTAR PRADESH
District Name : RAMPUR District Name : LUCKNOW
PIN : 244927 PIN : 226023

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 : 29/10/2023 , Time : 10:02:09
Application Form printing Date & Time : [ 15/01/2024 ,11:14:35 ]
Application Modification Date & Time : 29/10/2023 12:38:42