‘uaieg, 921 eM LUPSC - Candidate's Apaication Delalls (Registration ID: 12404552656) & ae de aa ort UDuON PUBLIC SERVICE ComMTSSION Appli ation Status htips:tupscon Application details of Registration ID : 12404552656 for National Defence Academy & Naval ‘Academy Examination (I) - 2024 oi BT 12404552656 TB vem arrTeaH Ue Aaa orereaht wean (1)-2024 & fre onde PART =1/ MIT-1 (OTR (One Time Registration) Details / alan (a egw er Name (3 = Have you ever changed name Gender / fr Date of Birth / a fa Father's Name / Ret =H Mother's Name / HT 21 771 Do you belong to Minority / war ore arenas & Mobile No, share # = e-mail / E36: Alternative e-mail / Settee Fe Aernative Mobile No. / Refer sharga Examination Application Details (Other than OTR Profile) Nationality / mera Marital status / Seta Fea Community / 7304 Bo you belong to Creamy Layer / ar om a Ba au Community Certineate Number / SIR are sr ze) ear ‘SUMIT YADAV Note 1: Name as recorded in the Matriculation/Secondary Examination Certificate, Mermrerter Galan aT 3 oF aa aga Note 2: Please do not use any prefix such as Mr oF Ms, etc unless Tt consists of only 3 letters as 4 letters are mandatory for NAME field. / MTA & OTH A (Me) Arg (Ms) on ee ae Re ge eae 3 aie eh wh a TT ee wy 4 ee Pra BI No Male 24-05-2006 Note :Date of Birth as recorded in the Matriculation/Secondary Examination Certificate, / Mee sreattes Wen warts 3 ach rae far ogee RAM SAGAR YADAY Note 1'Please do not use any prefix such as Shri or Dr ete. / POCA & amt star ST. Ae ame Note 2:Father name as recorded in the Matriculation/Secondary Examination Certificate GAYATRI DEVE Note 1:Please do not use any prefix such as Shri or Dr. te. / UT TH Ot a Ur ST. oie 3 Note 2:Mother name as recorded in the Matriculation/Secondary Examination Certificate. No 9315268187 sumitsagar2405@gmail.com ankitfariva98@qmail.com 7510068187 Indian Unmarrieg osc Note :[O8C (Non-Creamy Layer) certificate based on the Income for the Financial Year (FY) 2022-2023, 2021-2022 and 2020-2021 and Issued on/after 01.04.2023 (after the completion of FY 2022-23) but not later than the closing date of the application for National Defence Academy & Naval Academy Examination (1)-2024.] No 494203013897 "i inlupsclOTRPcandidate/viewapplication php7reg_id=RWRzcGdhNHZTZUNneUxaeUSRN3A3QTOS 18‘uaieg, 921 eM htips:tupscon LUPSC - Candidate's Application Details (Registration ID: 12404552656) Community Certificate Issuing Authority Designation fA a TE a TS HL Ue Community certificate date / wears WHT wa a ate Fee Remission Claimed / 455 7% Address / Wat Phone No. / 83 ats & eri wa Educational Qualification / es ae = Photo Identty Card / BA sera Wa :3 Given consent of Aadhaar Number / SUR Hat 2 er ST: Photo identity card document = Preferences of NDA & NA Examination / aera TE he wa a Did you ever fal in CPSS(Computerised Plot Selection System) / PABT (Plot Aptitude Battery Test) Examination of Ar Force / ae sme ash ay Bt ‘Bahan A te ge CwmetipA TUTE wes eT) / AA (Were WEIS Hell Be) A oer vB Would you Ike to be considered for Air Force GOO (Ground Duty Officer) / a aa ay Bat Bot Shot (rsh ofnet & fee Rae Petr see BEA, Whether Student of Sainik/Military School / aa 3 She / Mites apa team es Whether Wards of JCO/NCO/Other Rank officers and stuying in Sainik Miltary School en amy oho qrehal/sed Yo & oft ar B she Se REA pe eS JITENDRA GAUTAM, 28-10-2020 No PURE PITAMBAR VAISYA RAWANIYA PASCHIM ALIGAN) BAJAR Distrie/Ciy : Sultanpur ‘State/UT : Uttar Pradesh Pincode : 227805 91 9215268387 Appeared/Appearing at 12th class of 10 plus 2 pattern of school education or an equiv. exam, with Physics, Chemistry and Maths among the subjact. ‘adhaar Card / VID of Aadhaar Card. ~ 300000003152 Note: Please provide the Photo Identity card number in Online Application Form and remember to carry the same at the time of Personality Test/Examination Yes Document Uploaded { ww document | ‘Army: 1 | Navy: 3 | Air Force: 2 | Naval Academy: 4 Yes No No nic.nlupsclOTRPcandidateiviewapplication php?reg_ld=RWRzcGdhNHZTZUNeUxaeUSRNS43QTOS 28‘uaieg, 921 eM LUPSC - Candidate's Application Details (Registration ID: 12404552656) PART =I / 4-30 [Fee Payment Details, Photograph and Signature & Examination Centre of Registration-Id: 12404552656] (eefhore tam 12404552656 a7 eer Yrara Reaemy, wichaT, wea oh wea [Transaction Acknowledgement / tea wadt Registration-Id / Wtereat wan : 12404552656 Transaction-Id / @7-04 eT: CPADKIVMPO. Transaction Date / aida #1 fare: [04-01-2024 [Fee Paid (in Rs) / 3eTaret frat war are (@ H) : 1100 Agency Name / Uateft @1 ATH : \State Bank of India ‘Mode of Payment / {aT #1 HUH : [Debit Card Photograph / WAM | co ture / wea Examination Centre / wrt Lucknow Declarat 4. thereby declare that all statements made in this application are true, complete and correct to the best ef my knowledge and belie In the event of any information being found false or Incorrect, or helgbty being detected etore or after the exemnination, action cen be taken quatre ee by the Comtsion as ger te provision sven n tr petieston, Bren es aver oe Pee oneen BAT rer Rae eh re ae he Rr org eA ANE Geert ar Ie Ee 9 te Alan 8 wes eT eR ae TUN HY we SP ER org fg 1g OaU & oferta FR fates antag at on wat 81 2. Lhave read the provisions in the rules and the notice of the Commission carefully anc hereby Undertake to abide by them. I further declare that I fulfl all the conditions of eligibility regarding agg lms, educational uaifcatons ec, prescribed or amisign tothe examination, ‘rae ate ym wraer 3 eg fe & ate Gag Ge eg rT Ba ach ea ates area Fe, a er bi Pes oy, Mr rea at & ea sar aah at a ETT 3. Ihave informed my Head of Office/Department In writing that I am applying for this, examination © Applicable for those who are already in government service/simllar organizations or government wed industrial undertakings whether In ermanentor temporary capacty or as work charged employees other than casual or daly rated employees or those serving under publleenterpises- 35 ah eer Ru ores eta ee he en @ Po A ge len eae tel] eg = = ga gate a A a, wee 8G eH Bae Go eat wee a aa heh soar a ert sera rer Su S sree orate sear the veo ores oeanteat a Soh a ee or safe 18 we erkze aafard % aver erdette dal & sent # arched aif 8 & htips:fupsconine.nic inupsc/OTRP/candidatelviewapplicaton php?reg_id-RWRzcGdhNHZTZUNRcUxaeUSRN3dSQTOS