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26/09/2015

PublicServiceCommissionU.P.,Allahabad

00,
IDeclarethatIhaveReadthedetailedUserManul&Notification.

NotificationDetails(Examination)

1.AdvertisementNumber:
2.AppliedFor:
3.TypeofRecruitment:

A4/E1/2015

4.ApplicationID:
5.CandidateRegistrationNo.:
6.CandidateName:
7.Father's/Husband'sName:
8.GenderDateofBirth:
9.DomicileofUP/Category:

200031202011028

10.AreyouMarried?
11.ContactNo./EmailID:

Yes

12.BankNamePaymentMode:
13.Fees,TransactionIDDate:

StateBankOfIndia

CombinedLowerSubordinateServicesPrelim.Examination2015,
GENERALRECTT.
Candidate'sPersonalDetails
20220573919
JAYPRAKASHMISHRA
JANARDANMISHRA
Male01/01/1978
Yes/General
8115993554/
BankTransactionDetails
Rs.125.00,3168360120/09/2015
OtherDetailsofCandidate

14.AreyouDependentofUPFreedomFighter?

No

15.a.AreyouUPEx.Army?

No
15.a.1ServiceDuration(DayMonthYear): 0

15.a.2RetirementDate(Date/Month/Year): ___

15.b.AreyouECO/SSCO/COofArmy?

No
15.b.1Haveyoucomplete5yearservice? No

15.b.2Haveyourservicesbeenextendedfor
rehabilitationandnodisciplinaryactionispending No
againstyou?

15.c.HaveyoueverbeenDebarredfromU.P.PublicServiceCommission?:

No

15.c.1CompletionDateofDebarment(DD/MM/YYYY)
../../....
:

16.AreYouHandicapofUP?

No
16.1AreyouBlindOrHaveVisionproblem?: No
16.2AreyouDeaforHavehearingproblem?: No
16.3HaveyouanyphysicalProblem?: No

17.AreYouSkilledPlayerOfUP?:

No

18.AreYouGovt./ExGovt.StateEmployeeofUttarPradesh?:

No

HighSchool&IntermediateBoard,Yearofpassing&RollNumberDetails
Sr.No Examination
Passed
1.
HighSchool
2.

Intermediate

BoardName

YearofPassing

CENTRALBOARDOFSECONDARY
1991
EDUCATION
UTTARPRADESHBOARDOFHIGH
1993
SCHOOLANDINTERMEDIATEEDUCATION

RollNumber

1130635
0559439

EssentialQualificationDetails
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26/09/2015

19.1.CandidateEssentialQualification
Details:
SrNo. Qualification

Acquired

Yes

BachelorsdegreefromanyrecognizedUniversityorequivalentqualificationuptothelastdateforreceiptofApplication.

OtherEssentialQualificationDetails

19.2.CandidateOtherEssentialQualificationDetailsforSpecificPost:
Sr
PostName
No.
1

Acquired
(Yes/No)

RequiredEssentialQualification

Jr.ResearchAssistantGrII/Hort.Inspector B.Sc.(Agri.)orB.Sc.(Biology)GrouppreferentialM.Sc.(Ag.)orM.Sc.(Botany)or
gr.II/Hort.Inspector
M.Sc(Ag.)withEntomologyVikritivigyan.

Yes

Candidate'sAddress,PhotoSignatureDetails

20.Address:

houseno.EWS188mohallasuryaviharcolony

20.1.Houseno./Village:

EWS188suryaviharcolony

20.2.StreetNo./PO:

gorakhnath

20.3.CityName:

gorakhpur

20.4.State/DistrictName:

UttarPradesh/GORAKHPUR

20.5.PIN:

273015

21.Photo&Signature

Iacceptthefollowingdeclaration: Yes
1.IherebydeclarethatIhavereadallterms&conditionsaccrodingtotheadvertisementandIacceptit.
2.Iherebydeclarethatalltheentires/statementsmadeinthisapplicationaretrue,completeandcorrecttothebestofmyknowledgeandbelief.
3.Intheeventofanyinformationbeingfoundfalseorincorrectbeingmyselfineligibleornotbeingsubstantiatedbytheoriginaldocumentsbeforeor
aftertheselection,thecommissioncantakeactionagainstmeasperruleincaseitisdetectedthatIhavemisleadUPPSConanyissuethenIwillsolely
responsibleforallpenalconsequencesthereof.

Currentstatusofapplication
Yourapplicationisunderprocessing.
ApplicationFormSubmissionDate:26/09/2015,Time:19:22:36
ApplicationFormprintingDate&Time:[26/09/2015,19:32:16]

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