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Uttar Pradesh Subordinate Services Selection Commission, Lucknow

This document is an application form for the Preliminary Eligibility Test (PET) 2021 administered by the Uttar Pradesh Subordinate Services Selection Commission. It contains the applicant's personal details like name, father's name, date of birth, category, qualifications, and address. It also includes a declaration accepting the terms and conditions of the advertisement. The current status of the application is shown as under processing.

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Baby Stark
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© © All Rights Reserved
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Download as PDF, TXT or read online on Scribd
53 views

Uttar Pradesh Subordinate Services Selection Commission, Lucknow

This document is an application form for the Preliminary Eligibility Test (PET) 2021 administered by the Uttar Pradesh Subordinate Services Selection Commission. It contains the applicant's personal details like name, father's name, date of birth, category, qualifications, and address. It also includes a declaration accepting the terms and conditions of the advertisement. The current status of the application is shown as under processing.

Uploaded by

Baby Stark
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Firefox http://upsssc.gov.in/Online_App/View_ExamApplicationForm3.aspx?V...

Uttar Pradesh Subordinate Services


Selection Commission,Lucknow
उ�तर �दे श अधीन�थ सेवा चयन आयोग, लखनऊ

Notification Details :

Advt Number : 01-Exam/2021


Applied For : PRELIMINARY ELIGIBILITY TEST (PET) - 2021,

Candidate's Personnel Details

Registration Number. Advertisement / Notification No


30125088239 01-Exam/2021
Candidate Name NEHA YADAV Father's / Husband's Name RAKESH KUMAR YADAV
Mother's Name USHA YADAV Date Of Birth 28/02/1999
Domicile Of UP Yes Home State UTTAR PRADESH
Home District LUCKNOW Gender Female
Category OBC Are you Married ? Yes
Mobile Number 74* * * *4150 Email ID * * *[email protected]

Candidate's Other Details


Are You Dependent of UP Freedom Fighter? No Are You UP Ex. Army? 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

Academic Qualification

Examination Roll Is Grade Obtained Total


Board Name Year of Passing Percentage
Passed Number System Marks Marks

High School CENTRAL BOARD OF SECONDARY EDUCATION 2014 5535370 Yes N/A N/A 57.00

Intermediate CENTRAL BOARD OF SECONDARY EDUCATION 2016 5667225 No 297 500 59.40

Additional Qualification

Certificate/Roll
Sr Name of Board/ Year Of
Qualification Acquired Number Marks Detail
No. Institute/University Passing
Issue Date
Bachelors degree from a University established by Yes Is Grade: No
law in India or a qualification recognized by the 170150030080 Obt Marks: 1098.00
1 LUCKNOW 2019
Government as equivalent thereto. 31/05/2019 Tot Marks: 2000.00
UNIVERSITY
Per: 54.90

Certificates/Documents Details

S.No. Document Name Issuing Authority Issuing Date Certificate No


1 Age Proof (Certificate of Matriculation) CBSE BOARD 20/05/2014 R114/54100/0099

Bank Transaction Details

Bank Name - Payment Mode : State Bank Of India - INB Fees, Transaction ID - Date:
-
Rs. 185.00 , CPAAWKYJD3 21/06/2021

↓ Address Details ↓ Permanent Address Correspondence/Mailing Address

Name , C/O: VIPIN KUMAR VIPIN KUMAR

House no./Village : JUGGAUR JUGGAUR

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Firefox http://upsssc.gov.in/Online_App/View_ExamApplicationForm3.aspx?V...

Street No./PO : JUGGAUR JUGGAUR


Locality/Kasba/City : LUCKNOW LUCKNOW
State / District Name : UTTAR PRADESH / LUCKNOW UTTAR PRADESH / LUCKNOW
Pin : 226028 226028
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 :20/06/2021 ,TIME :23:48:05 App. form printing Date & Time : [ 21/06/2021 ,12:36:27 AM ]

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