UttarPradeshPoliceRecruitmentandPromotionBoard,Lucknow

,
IDeclarethatIhaveReadthedetailedUserManul&Notification.

NotificationDetails(DirectRecruitment)

Advertisement/NotificationNumber:

PRPBONE1(KARAVE)/2016 /

Department/PostName:

UttarPradeshPrisonAdministrationandReformsDepartement/JAILWARDERMALE
Candidate'sPersonalDetails

RegistrationNo.:

200029503004346
50302261674

Candidate'sName:

SANJEEV

Father'sName:

OMPRAKASH

Mother'sName:

SUDESHARI

Citizenship:

CitizenofIndia

GenderDateofBirth:

Male30/06/1997

AreyouDomicileofUP?/Category:

Yes/OBC(NonCreamyLayer)

AreyouMarried?:

No

MobileNumber/EmailID:

9695999318 /sanjeevyadav1050@gmail.com

Aadhaar(UID)Number(Optional):

900343532411

ApplicationID:

CandidateDomicileCertificateDetails(IfyouaredomicileofUttarPradeshyouarerequiredtoproducedomicilecertificateatthetimeof
documentverificationtoclaimanyreservation/relaxationadmissible)

A(i)DomicileCertificateIssuingUPStateauthority:

TAHSILDAR

A(ii)DateofIssuingDomicileCertificate(DD/MM/YYYY):

02/01/2017

A(iii)DomicileCertificateSerialNo:

654172000006
CandidateCategory(OBC/SC/ST)CertificateDetails

B(i)CategoryCertificateIssuingUPStateauthority:

TAHSILDAR

B(ii)DateofIssuingCategoryCertificate
(DD/MM/YYYY):

03/01/2017

B(iii)CategoryCertificateSerialNo:

654173000014
BankTransactionDetails

BankNamePaymentMode:

StateBankOfIndiaINB

Fees,TransactionIDDate:

Rs.200.00,CP71202756 23/01/2017
OtherDetailsofCandidate

AreyouDependentofFreedomFighter?

No

AreyouEx.ServiceMan?

No

ServiceDurationforExserviceman(DayMonthYear): 0

RetirementDateforExserviceman(Date/Month/Year): //
AreyouaUPGovernmentEmployee

No

ServiceDurationforGovermentemployee(DayMonthYear): 0

EducationalQualificationDetails

NameofExamination

Acquired(Y/N)

NameofBoard/
Institute/University

Percentage
ofMarks/
Year
Is
Total
Roll
Maximum Equivalent
Of
Grade Marks
Number
Marks
percentage
Passing
System Obtained
valueas
perCGPA

110thstandardbyboardestablishedbylaw
inIndiaoraqualificationrecognizedbythe Yes
governmentasequivalentthereto

CENTRALBOARDOF
2012
SECONDARYEDUCATION

5256936 Yes

12thstandardbyboardestablishedbylaw
inIndiaoraqualificationrecognizedbythe Yes
governmentasequivalentthereto.

UTTARPRADESHBOARD
OFHIGHSCHOOLAND
2016
INTERMEDIATE
EDUCATION

2493299 No

PreferentialQualifications:
PreferentialQualificationDetails

83.60%

440.00

500.00

88.00%

Qualification
1ObtainedOLEVELCertificateinComputerfromDOEACCorNIELITSociety
2ServedintheTerritorialArmyforaminimumperiodoftwoyears
3ObtainedaBcertificateofNationalCadetCorps
HomeDistrict

GHAZIPUR

OrderofPostPreference

1MaleJailWarder

Acquired
No
No
No

AddressDetails

Candidate'sPermanentAddress

Candidate'sCorrespondence/Mailing
Address

Name(C/O)
Houseno./Village:

OMPRAKASH
VILLRAMNANDANKAPURA
TAJPUR
POSTTAJPURDEHMA
TAJPUR

OMPRAKASH
VILLRAMNANDANKAPURA
TAJPUR
POSTTAJPURDEHMA
TAJPUR

UTTARPRADESH/GHAZIPUR

UTTARPRADESH/GHAZIPUR

PoliceStation:

KARIMUDDINPUR

KARIMUDDINPUR

PIN:

233228

233228

StreetNo./PostOffice:
Locality/Kasba/City:
State/DistrictName:

PhotoSignatureDetails
Photo&Signature

DECLARATION:

1.IherebydeclarethatIhavereadalltheprovisionsinthenotice/advertisementoftheexaminationcarefullyandherebyundertaketoabidebythem.
2.IfurtherdeclarethatIfulfilalltheconditionsofeligibilityregardingnationality,agelimits,educationalqualifications.
3.IdeclarethatmyclaimforagerelaxationasSC/STcandidateistrueandcorrectandIaminpossessionofcastecertificateintheprescribedformat
giveninthenotice/advertisement.
OR
IdeclarethatmyclaimforagerelaxationasOBCcandidateistrueandcorrectandIaminpossessionofcastecertificateintheprescribedformatgiven
inthenotice/advertisement.IalsodeclarethatasperGovt.orderNo.13/22/16/92/TCiii2/2014dated17.12.2014,Idonotbelongtothesectionof
creamylayermentionedinit.
4.IalsodeclarethatIdonothavemorethanonewifeliving.
5.IalsodeclarethatIhaveneverbeenconvictedbyanycourtoflaw.
6.IfurtherdeclarethatIhaveneverbeendismissedorremovedfromGovt.Serviceormyservicebeenterminatedduringprobation.
7.Iherebydeclarethatalltheentries/statementsmadeinthisapplicationaretrue,completeandcorrecttothebestofmyknowledgeandbelief.Inthe
eventofanyinformationbeingfoundfalseorincorrectorineligibilitybeingdetectedbeforeorafterselectiontheBoardcantakeactionagainstmeasper
rules,incase,itisdetectedthatIhavemisledtheBoardonanyissue,thenIwillbesolelyresponsibleforallpenalconsequencesthereof.
Iaccepttheabovedeclaration: Yes
Currentstatusofapplication
Yourapplicationisunderprocessing.

ApplicationFormSubmissionDateandTime:DATE:23/01/2017,TIME:11:37:23
ApplicationFormprintingDate&Time:[23/01/2017,11:40:26AM]