Personal Information

Exam Name Lab Assistant, Higher Education (Group C) Exam-2023

1. Lab Assistant (Physics) (प्रयोगशाला सहायक (भौतिक
Applied Post Name
विज्ञान))
Have you applied against advertisement number:
34/UKSSSC/2021 Dated 30-06-2021 (Higher Education) No
published by UKSSSC
Application Number LHE316761
Application Status Completed
Candidate's Name VANDANA
Father's Name/Husband's Name MOHAN SINGH
Mother's Name VISHESWARI DEVI
Date of Birth 15/06/2001
Age (As on 01 Jul, 2023) 22 years 0 months 16 days
Gender Female
Marital Status Unmarried
Email Id [email protected]
Mobile No. 81XXXXX733
Place of filling form Dehradun
Domicile of Uttarakhand? Yes
Nationality Indian

Required Eligibility
1.Is your name registered in any District Employment Office located in Uttarakhand State? Yes

1(i).Employee Registration Number UA031202222260

1(ii).Employment Office District Employment Office,Chamoli

1(iii).Date of Registration 28/09/2022

1(iv).Registration Date Valid Upto 30/11/2025

2.Are You Employed? No

Have you passed your High School and Intermediate or any other equivalent exam from any recognized institution situated
3. Yes
in the State of Uttarakhand
Are you or your spouse or your parents regular employees of the Armed Forces/Paramilitary Forces serving in the state
4(i). No
of Uttarakhand and whose services cannot be transferred outside the state of Uttarakhand?
Are you or your spouse or your parents regular employees of the State Government/Semi Government organisation
4(ii).serving on a regular basis in the state of Uttarakhand and whose services cannot be transferred outside the state of No
Uttarakhand?
Are you or your spouse or your parents regular employees of Central Government organisation/ Central Government
4(iii).Public Service Undertaking and are working regularly in the State of Uttarakhand and whose services cannot be No
transferred outside the State of Uttarakhand?
5(i).Are you permanent resident of Uttarakhand but residing outside Uttarakhand for livelihood/education purposes? No

Is your spouse or your parents permanent residents of Uttarakhand but are residing outside Uttarakhand for
5(ii). No
livelihood/education purposes?

Category / Sub Category Reservation Details

Category Unreserved/General
Sub Category Details

Differently abled(PH) No

Ex-Servicemen No

Dependent of Freedom Fighter (DFF) No

Are you a permanent resident of the State of Uttarakhand covered by

Government Order No. 179/XXX(2)/2021-30(2)/2019, dated 31st August 2021,
for such affected children (whose biological/adoptive parents both died after
the birth of the child)? within a period of up to 21 years) OR Orphan Child No
residing in government/voluntary homes functional and registered under the
Department of Women Empowerment and Child Development in the state of
Uttarakhand

Uttarakhand Female Yes

Claimed Category/Sub Category Unreserved/General/Uttarakhand Female

Address Details

Present Address
Line1 C/O Vishweswari Devi, Lane number 1, Sai lok colony
Line2 Karbari grant, Shimla by pass road, dehradun
City / Town / Village Dehradun
District Dehradun
State Uttarakhand
Pincode 248007

Permanent Address
Line1 Village- Toli, Post- Kwinthi
Line2 Gauchar, Chamoli
City / Town / Village Gauchar
District Chamoli
State Uttarakhand
Pincode 246429

Educational Qualifications Details

Date of Issuing Percentage of
Name of University / University / Subject / Marks Obtained Maximum Marks Grade
Qualification Type Final Year Marks Type Marks Obtained
Degree Board State Board Stream / CGPA / CPI / CGPA / CPI Obtained
Marksheet / Equivalent
Uttrakhand
High Board of High School
High School(10th) Uttarakhand 2016 MARKS 332.00 500.00 - 66.40
School(10th) School Subjects
Education
Uttrakhand Physics,
Board of Chemistry,
Intermediate(12th) Intermediate Uttarakhand 2018 MARKS 366.00 500.00 - 73.20
School Mathematics,
Education English, Hindi
Hemwati
Nandan Physics,
Bachelor of
Graduation Uttarakhand Bahuguna 02/08/2021 Chemistry, CGPA/CPI 6.00 10.00 - 60.00
Science(B.Sc.)
Garhwal Mathematics
University

Preferential Qualification
Have you Served in the Territorial army for a minimum period of two years? No

Do You Possesses "B" Certificate of National Cadet Corps? No

Do you possesses a Graduate Degree/Post Graduate Degree with a lab subject as one of the subjects? No
 Do you possesses six months certificate in Computer Operation from a reputed institution? No

Other Details
Exam Centre Preference 1 Dehradun

Exam Centre Preference 2 Haridwar

Is there any criminal case pending against you? No

Whether debarred or Black Listed for Examination/ Selection held by UKPSC / UPSC / Other State Public
No
Service Commission?
Candidate ID Proof Aadhaar Card

ID Proof Number 52XXXXXXXX40

Fee Details
Application Fee Fee Exempted

Declaration
1. I VANDANA hereby declare that I have carefully read all the eligibility conditions mentioned in the advertisement and the above mentioned information in
this application form. I accept and complete those requirements.
एतद्द्वारा घोषणा करता हूं कि मैंने विज्ञापन में उल्लिखित पात्रता की सभी शर्तों और इस आवेदन पत्र में दी गई उपरोक्त जानकारी को सावधानीपूर्वक पढ़ लिया है। मैं उन
आवश्यकताओं को स्वीकार करता हूं और उन्हें पूरा करता हूं।
2. I also declare that all the details / information given in this application form is true and correct and I have not hidden any facts in these particulars /
information. If any details / information is found to be false or incorrect or if any facts are hidden by me, then my candidature should be cancelled. If such
situation comes to light after the appointment, then my services should be terminated.
यह भी घोषणा करता हूं कि इस आवेदन पत्र में दिए गए सभी विवरण/सूचनाएं सत्य और सही हैं और मैंने इन विवरणों/जानकारी में कोई तथ्य नहीं छिपाया है। यदि मेरे द्वारा
कोई विवरण/सूचना असत्य या असत्य पायी जाती है या कोई तथ्य छु पाया जाता है तो मेरी उम्मीदवारी रद्द कर दी जाये। अगर नियुक्ति के बाद ऐसी स्थिति सामने आती है तो
मेरी सेवाएं समाप्त कर दी जानी चाहिए।

Place of filling form: Dehradun

Submitted Date & Time : 11/08/2023 07:13:16
Print Date : 11/08/2023

Signature of Candidate