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Uttar Pradesh Subordinate Services Selection Commission,Lucknow उᄑर 魒㚺दे श अधीन潃涧थ से वा चयन आयोग, लखनऊ

The document is an application form submitted by Ruchi to the Uttar Pradesh Subordinate Services Selection Commission for the position of Excise Constable or Excise Commissioner. [1] It provides her personal details like name, father's name, gender, date of birth, category, contact details. [2] It also includes bank transaction details of payment, educational qualifications, address and photo signature details. [3] Ruchi declares that she has read all terms and conditions of the advertisement and the information provided is true to the best of her knowledge.

Uploaded by

Sanjay Ngar
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© © All Rights Reserved
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Download as PDF, TXT or read online on Scribd
66 views

Uttar Pradesh Subordinate Services Selection Commission,Lucknow उᄑर 魒㚺दे श अधीन潃涧थ से वा चयन आयोग, लखनऊ

The document is an application form submitted by Ruchi to the Uttar Pradesh Subordinate Services Selection Commission for the position of Excise Constable or Excise Commissioner. [1] It provides her personal details like name, father's name, gender, date of birth, category, contact details. [2] It also includes bank transaction details of payment, educational qualifications, address and photo signature details. [3] Ruchi declares that she has read all terms and conditions of the advertisement and the information provided is true to the best of her knowledge.

Uploaded by

Sanjay Ngar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 2

5/27/2016

UttarPradeshSubordinateServicesSelectionCommission,Lucknow


,
IDeclarethatihaveReadthedetailedUserManul&Notification.

NotificationDetails(DirectRecruitment)

AdvertisementNumber ExciseCommissioner,
09(2)/2016 AppliedFor: UttarPradesh,
:
Allahabad./Excise
TypeofRecruitment: General Constable,
Candidate'sPersonalDetails

ApplicationID: 200053519031103 RegistrationNo.: 51909244871


Father's/Husband's
CandidateName: RUCHI NARANDRA
Name:
DomicileofUP/
GenderDateofBirth: Female07/07/1985 Yes/OBC
Category:
7351495172
AreyouMarried? No ContactNo./EmailID:
/[email protected]
BankTransactionDetails

Rs.105.00,
BankNamePayment StateBankOfIndia Fees,TransactionID
DU47264906
Mode: OTHERBANKINB Date:
25/05/2016
OtherDetailsofCandidate

AreyouDependentofUPFreedom
No AreyouUPEx.Army? No
Fighter?
0
ServiceDuration(DayMonthYear): 0 RetirementDate(Date/Month/Year): ___
0
AreyouECO/SSCO/COofArmy? No Haveyoucomplete5yearservice? No
Haveyourservicesbeenextendedfor HaveyoueverbeenDebarredfrom
rehabilitationandnodisciplinary No U.P.SubordinateServicesSelection No
actionispendingagainstyou? Commission?:
CompletionDateofDebarment
../../.... AreYouHandicapofUP? No
(DD/MM/YYYY):
AreyouBlindOrHaveVision AreyouDeaforHavehearing
No No
problem?: problem?:

HaveyouanyphysicalProblem?: No
AreYouSkilledPlayerOfUP?: No
AreYouGovt./ExGovt.State
No
EmployeeofUttarPradesh?

HighSchool&IntermediateBoard,Yearofpassing&RollNumberDetails
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5/27/2016

Sr.No Examination BoardName Yearof Roll Obtained Total


Passed Passing Number Marks Marks
1. HighSchool UTTARPRADESHBOARDOFHIGHSCHOOL 2000 0578770 340 600
ANDINTERMEDIATEEDUCATION
2. Intermediate UTTARPRADESHBOARDOFHIGHSCHOOL 2002 0107110 289 500
ANDINTERMEDIATEEDUCATION

EssentialQualificationDetails
Is
Sr Obtain Total Percentage
Qualification Acquired Grade
No. Marks Marks (%)
System
MusthavepassedIntermediateExaminationoftheBoardofHighschooland
1 IntermediateUPoranExaminationrecognizedbytheGovernmentasequivalent Yes No 289.00 500.00 57.80
thereto.

PreferentialQualificationDetails
Sr
Qualification Acquired
No.
ACandidatewhohas(1)ServedinTerritorialArmyforaminimumperiodofTwoyearsor(2)ObtainedaBcertificate
1 No
ofNCCshallotherthingsbeingequalbegivenpreference.

Candidate'sAddress,PhotoSignatureDetails
Candidate's
Address Candidate'sPermanent
Correspondence/Mailing Photo&Signature
Details Address
Address
Address/Name
RUCHI RUCHI
:
House
I483 I483
no./Village:
GANGANAGAR GANGANAGARMAWANA
StreetNo./PO:
MAWANAROAD ROAD
CityName: MEERUT MEERUT
State/District
UttarPradesh/MEERUT UttarPradesh/MEERUT
Name:
PIN: 250001 250001
Iacceptthefollowingdeclaration: Yes
1.IherebydeclarethatIhavereadallterm&conditionaccrodingadvertisementandIacceptit.
2.Iherebydeclarethatalltheentires/statementsmadeinthisapplicationaretrue,completeandcorrecttothebestofmyknowledgeand
belief.
3.IntheeventofanyinformationbeingfoundfalseorincorrectorineligibilitybeingdetectbeforeorafterSelection,thecommission
cantakeactionagainstmeasperruleincaseitisdetectedthatIhavemisledUPSSSConanyissuethenIwillsolelyresponsibleforall
penelconsequencesthereof.
Currentstatusofapplication
Yourapplicationisunderprocessing.

ApplicationFormSubmissionDate: 27/05/2016,Time:4:50:47PM
ApplicationFormprintingDate&Time:[27/05/2016,4:58:28PM]

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