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11/15/2018 Uttar Pradesh Subordinate Services Selection Commission


उ र दे श अधीन थ सेवा चयन आयोग
Uttar Pradesh
Subordinate Services Selection
Commission
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Uttar Pradesh Subordinate Services Selection Commission,Lucknow


उ र दे श अधीन थ सेवा चयन आयोग, लखनऊ
✔ I Declare that i have Read the detailed User Manual & Notification.

Notification Details :

Advt Number :
04-Exam / 2018

Combined Junior EngineerComputer and Foreman General Recruitment Competitive Examination


2018,

Type of Recruitment :
General

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11/15/2018 Uttar Pradesh Subordinate Services Selection Commission

Candidate's Personnel Details

Registration Number.

71800238917
Advertisement / Notification No

04-Exam / 2018
Candidate Name

BHAVNA DUBEY

Father's / Husband's Name

MUKESH DUBEY

Mother's Name

NILESH DUBEY

Date Of Birth

15/06/1999

Domicile Of UP

Yes

Home State

UTTAR PRADESH

Home District

HATHRAS

Gender

Female

Category

General

Are you Married ?

No

Mobile Number

81* * * *8946

Email ID

* * *vnadubey99@gmail.com

Candidate's Other Details

Are You Dependent of UP Freedom Fighter?

No

Are You UP Ex. Army?

No
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11/15/2018 Uttar Pradesh Subordinate Services Selection Commission
No

Are You ECO/SSCO/CO Of Army

No

Are You Skilled Player Of UP?

No

Level of Player

N/A

Are You Govt/Ex-Govt Employee of Uttar Pradesh?

No

Service Duration(Day-Month-Year)

0-0-0

Are You Handicap of UP?

No

Are you Blind Or Have Vision problem?


No
Are you Deaf or Have hearing problem?

No

Have you any physical Problem?

No

High School & Intermediate Details

S.No. Examination Board Name Year of Roll Is Obtained Total


Passed Passing Number Grade Marks Marks
System

1. High School UTTAR 2013 0402003 No 487 600


PRADESH
BOARD OF
HIGH SCHOOL
AND
INTERMEDIATE
EDUCATION

2. Intermediate UTTAR 2015 0297295 No 450 500


PRADESH
BOARD OF
HIGH SCHOOL
AND
INTERMEDIATE
EDUCATION

Certificates/Documents Details

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11/15/2018 Uttar Pradesh Subordinate Services Selection Commission

S.No. Document Name Issuing Authority Issuing Certificate


Date No

1 Age Proof (Certificate UP BOARD 26/06/2013 H07001332


of Matriculation)

2 Residence Proof DISTRICT GOVERNMENT 28/06/2013 133132007213


(Domicile Certificate) OFFICE HATHRAS

Bank Transaction Details

Bank Name - Payment Mode :

State Bank Of India - INB

Rs. 225.00 , CPK9183359 -16/11/2018

Applied Post and Department Preference Choice

S. Department Post Name Affirmation Required Essential Qualification


No. Name

1. Director and Computer Yes


Chief Sr. Essential
Acquired
Engineer Qualification
(Y/N)
Department No. Name
of Rural
Engineering
1. Diploma in Yes
Uttar
Civil
Pradesh
Engineering
Lucknow
from any
institution
recognised
by Board of
Technical
Education
of Uttar
pradesh

2. Director and Junior Engineer Civil Yes


Chief Sr. Essential
Acquired
Engineer Qualification
(Y/N)
Department No. Name
of Rural
Engineering
1. Diploma in Yes
Uttar
Civil
Pradesh
Engineering
Lucknow
from any
institution
i d
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11/15/2018 Uttar Pradesh Subordinate Services Selection Commission
recognised
by the
Board of
Technical
Education
of Uttar
Pradesh

3. Uttar Junior Engineer Yes


Pradesh Electrical/Mechanical Sr. Essential
Acquired
Avas evam Qualification
(Y/N)
Vikas No. Name
Parishad
Lucknow
1. No person Yes
shall be
requited to
the service
unless he
has-
Diploma in
Civil
Engineering
or Electrical
Engineering
or
Mechanical
Engineering
recognized
by the
Board or
any other
Qualification
recognized
as
equivalent
thereto by
the Board.

2. Has working Yes


knowledge
of Hindi

4. Uttar Junior Engineer Civil Yes


Pradesh Sr. Essential
Acquired
Avas evam Qualification
(Y/N)
Vikas No. Name
Parishad
Lucknow
1 N Y
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11/15/2018 Uttar Pradesh Subordinate Services Selection Commission
1. No person Yes
shall be
requited to
the service
unless he
has -
Diploma in
Civil
Engineering
or Electrical
Engineering
or
Mechanical
Engineering
recognized
by the
Board or
any other
Qualification
recognized
as
equivalent
thereto by
the Board

2. Has working Yes


knowledge
of Hindi

5. Uttar junior engineer Yes


Pradesh Sr. Essential
Acquired
Pollution Qualification
(Y/N)
Control No. Name
Board

1. Three years Yes


Diploma in
Public
Health or
Civil or
Chemical or
Environment
Engineering.

6. Chief Junior Engineer Civil Yes


Engineer Sr. Essential
Acquired
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11/15/2018 Uttar Pradesh Subordinate Services Selection Commission
Acquired
Public Qualification
(Y/N)
Works No. Name
Department
Lucknow
1. Must have Yes
passed the
High School
Examination
of the Board
of High
School and
Intermediate
Education,
Uttar
Pradesh or
an
Examination
recognised
by the
Government
as
equivalent
thereto.

2. Must Yes
possess
three years
Diploma in
Civil
Engineering
from the
Board of
Technical
Education,
Uttar
Pradesh or
any
qualification
recognised
by the
Government
as
equivalent
thereto.

Preferential Qualification Details

S No. Qualification Acquired

1 Served in the Territorial Army for a minimum period of 02 years. No

2 Has been obtained National Cadet Corps B certificate. No

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11/15/2018 Uttar Pradesh Subordinate Services Selection Commission

↓ Address Details ↓

Name , C/O:

House no./Village :

Street No./PO :

Locality/Kasba/City :

State / District Name :

Pin :

Permanent Address

BHAVNA DUBEY

TEHRA

TEHRA

HATHRAS

UTTAR PRADESH / HATHRAS

204101

Correspondence/Mailing Address

BHAVNA DUBEY

TEHRA

TEHRA

HATHRAS

UTTAR PRADESH / HATHRAS

204101

Declaration

I accept the following declaration : Yes


1. I hereby declare that I have read all term & condition according 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. In the event of any information being found false or incorrect or ineligibility being detect before or after
Selection, the commission can take action against me as per rule incase it is detected that I have misled UPSSSC on
any issue then I will solely responsible for all penal consequences thereof.
Current status of application
Your application is under processing.
App. form submission date : DATE :16/11/2018 ,TIME :07:15:20
App. form printing Date & Time : [ 16/11/2018 ,7:21:47 AM ]

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11/15/2018 Uttar Pradesh Subordinate Services Selection Commission

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