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UNION PUBLIC SERVICE COMMISSION

DETAILED APPLICATION FORM [DAF]
INDIAN ECONOMIC SERVICE/INDIAN STATISTICAL SERVICE EXAMINATION,
2025

RID. : 12515518964
Name : THAKMILA SHIMRAY
Have you ever changed your name? : NO
Email : [email protected]
Mobile : 9362089557
Name of Service : INDIAN ECONOMIC SERVICE

1. Name | THAKMILA SHIMRAY

2. (a) Address for correspondence to which | RAYOTANG ZONE IV

Communication is to be sent |
Post Office: | UKHRUL
City: | UKHRUL
District: | UKHRUL
State : | MANIPUR
Pin Code : | 795142
(b) Telephone No. (with STD Code) | -
(c) Mobile No. | 9362089557
(c.1) Alternate Mobile No. | 8798011589
(d) Fax No. |
(e) E-mail address | [email protected]
(f) Permanent Postal Address | RAYOTANG ZONE IV
|
Post Office: | UKHRUL
City: | UKHRUL
District: | UKHRUL
State : | MANIPUR
Pin Code : | 795142

3. (a) Citizenship : | A CITIZEN OF INDIA(1)

(b) Nationality : | INDIAN

4. Gender : | FEMALE

5. (a) Date of Birth | 02-03-1997

(b) Claimed age relaxation | NO

6. (a) Community | ST (2)

Note 1: No change in the community status already indicated by candidate in his / her application form for
this examination will be allowed by the Commission except in the circumstances mentioned in the

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Rules of Indian Economic Service/Indian Statistical Examination, 2025.
Note 2: In case you are a SC or ST category candidate, upload a scanned copy of certificate in prescribed format
in support of your claim. The certificate must be issued latest by the date of closure of online application
form for Indian Economic Service/Indian Statistical Examination, 2025.i.e. 04.03.2025
Note 3: In case you are EWS Category candidate, upload a scanned copy of ‘Income and Asset Certificate’ in
prescribed format based on the income for Financial Year 2023-24 (i.e. for the period from 1st April, 2023
to 31st March, 2024) in support of your claim. Certificate based on the income of any other Financial
Year shall not be treated as valid. The Certificate must be issued on/after 01.04.2024 (after the completion
of FY 2023-24) but not later than the closing date of the application for Indian Economic Service/Indian
Statistical Examination-2025.i.e. 04.03.2025. Such candidates must meet the Income and Asset
criteria issued by the Central Government.
Note 4: In case you are an OBC Category candidate, upload a scanned copy of OBC (Non-Creamy Layer)
certificate in prescribed format based on the income for the Financial Years (FYs) 2023-24, 2022-23
and 2021-22.The Certificate must be issued on/after 01.04.2024 (after the completion of FY 2023-24) but
not later than the closing date of the application for Indian Economic Service/Indian Statistical Service
Examination-2025. i.e. 04.03.2025.

(b) Certificate No. | 13/20191003213

(c) Date of issue | 2019-10-11
(d) Designation of issuing authority | SUB-DIVISIONAL OFFICER OR THE AREA WHERE
THE CANDIDATE AND/OR HIS FAMILY
NORMALLY RESIDES
(e) Full address of issuing authority | UKHRUL

(f) Name of the Caste as mentioned in | ST (26)

the Community Certificate and | MANIPUR
Name of the issuing State.
[For SC/ST/OBC Candidates]
(g) If you belong to any of the minority
Communities notified by the Government
(Muslim/Christians/Sikhs/Buddhists/
Zoroastrians[Parsi]/Jains) | YES
(h) If yes, Name of the Minority
community | CHRISTIANS

7. Place of Birth :
If born in India: | YES
Post Office | UKHRUL
City/Town/Village | UKHRUL
District | UKHRUL
State | MANIPUR
Pincode | 795142
8. Marital Status : | UNMARRIED
(If Married, Nationality of spouse) |

9. What Languages(including Indian Languages) can you read/write or speak ? Give particulars and state the
examination(s) passed, if any, for each :-

Read Only Speak Only Read & Speak Read, Write & Examination(s)
Speak passed
OTHERS OTHERS OTHERS OTHERS TANGKHUL

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10.1.(a) Whether you are a PwBD/PwD | NO

candidate
(b)(1) Category |

(b).2 Indicate Form Type of the Certificate |

of Disability
(c) Percentage of disability as indicated in |
the Certificate of Disability
(d) Certificate No. |
(e) Date of Issue |
(f) Designation of issuing authority |
(g) Full address of issuing authority |

(h) Are you a PwBD/PwD candidate [as |

per column 9.1.(a)] having physical
limitation to write?(If Yes, upload
scanned copy of the requisite certificate
as per Appendix-V (for PwBD) /
Appendix-VII (for PwD)of the Notice
of IES/ISS Exam, 2025 dated 12th
February, 2025)
(j)(i) If yes, "Commission's Scribe" or "Own |
Scribe"
(k) Would you require any assistive |
device(s)
(l) Would you require question paper in | NOT APPLICABLE
larger font size?

Note: Larger font is only for PwBD Candidates suffering from Blindness/ Low Vision.
10. 2. Have you ever been recommended as a | NO
(a) PwBD candidate in the examinations
conducted by the UPSC in the past?

(b). If yes, mention name and year of the examination(s) with Roll No.
Name of the Examination Year of the Roll No.
Examination

(c) Whether such recommendation was on | NO

the basis of the Certificate of Disability
NOW UPLOADED by you for the
IES/ISS Exam, 2025?
(d) After any such recommendation by the | NO
UPSC were you ever found UNFIT/
NOT RECOMMENDED by the Central
Standing Medical Board or any other
Medical Board constituted by the
Government with regard to your
physical disability?
(e) If yes, provide details thereof |

11. (a) Do you possess the prescribed Educational

Qualification (Vide rule-7 of the rules of the Examination)?

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Please upload a scanned copy of the Certificate
if the answer is "YES" | YES
(b) Certificate No./Enrolment No./Roll No. | 1823028
(c) Date of issue | 14012021
(d) Designation of issuing authority | CONTROLLER OF EXAMINATIONS
(e) Full address of issuing authority | IMPHAL

(f)(i) Do you have any basic Educational

Qualification or higher qualification
obtained from a foreign institution? | NO

12. Educational Qualifications : Commencing with Matriculation or equivalent examination till Graduation:-
(Please upload scanned copy of all Certificates/Degree)
Examination Class/ Percentage CGPA Year of Subject(s) Name of Name of
Passed Division of Score Out of School/College Board/University
/Grade Marks(%) Passing /Institution
10th or Equivalent 1ST 65 2013 TANGKHUL SAVIO HIGH BOSEM
ENGLISH MATHS SCHOOL
SCIENCE SOCIAL
SCIENCE
12th or Equivalent 1ST 69 2015 ECONOMICS SANKARDEV MBOSE
ENGLISH COLLEGE
POLITICAL
SCIENCE HISTORY
ALTERNATIVE
ENGLISH
EDUCATION
Stream at Graduation Level :-- HUMANITY
B.A.[HONS] IIND 52 2018 ECONOMICS ST ANTHONY NORTH EASTERN
HISTORY COLLEGE HILL
POLITICAL SHILLONG UNIVERSITY,
SCIENCE ENGLISH SHILLONG,
ALTERNATIVE MEGHALAYA
ENGLISH
ENVIRONMENTAL
STUDIES

12.1 Higher Educational Qualifications : Commencing with Post Graduation or equivalent examination :-
Examination Class/ Year of Date of Likely date CGPA Percentag Subject(s) College/Institution Board/
Passed/ Division Passing Joining of Score Out of e University
Appeared/ /Grade Completion of
Appearing Marks(%)

13.(i) Have you ever been employed? : | NO

13.(ii) Have you been self-employed?: | YES

If yes, please give details.

Nature of employment Monthly Income Period Place of employment Remarks
From To (Address)

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14. (a) Name of Father | SHANGAM SHIMRAY
(a.1) Status | DECEASED
(b) Name of Mother | GRACE SHIMRAY
(b.1) Status | ALIVE
(c) Nationality of Father | INDIAN
(d) Nationality of Mother | INDIAN
(e) Father's Profession: | DECEASED
(f) Mother's Profession: | AGRICULTURE
(g) If Father is in service, post held by him | NOT APPLICABLE
(g)(i) if retired indicate the post held
by him at the time of his retirement,
otherwise fill 'NOT APPLICABLE' | NOT APPLICABLE
(h) If Mother is in service, post held by her | NOT APPLICABLE
(h)(i) if retired indicate the post held
by her at the time of her retirement,
otherwise fill 'NOT APPLICABLE' | NOT APPLICABLE
(i) Annual income of your Father for | Rs.0
financial year 2023-2024
(j) Annual income of your Mother for | Rs.80000
financial year 2023-2024
(k) State to which your Father originally | MANIPUR
belongs
(l) District to which your Father originally | UKHRUL
belongs
(m) State to which your Mother originally | MANIPUR
belongs
(n) District to which your Mother originally| UKHRUL
belongs
(o) Father's present postal Address | RAYOTANG ZONE IV
(If deceased give last address) |
Post Office: | UKHRUL
City: | UKHRUL
District: | UKHRUL
State : | MANIPUR
Pin Code : | 795142
(p) Mother's present postal Address | RAYOTANG ZONE IV
(If deceased give last address) |
Post Office: | UKHRUL
City: | UKHRUL
District: | UKHRUL
State : | MANIPUR
Pin Code : | 795142

15.Mother tongue : | OTHERS

16. Whether you have ever applied for

U.P.S.C. Examination /Recruitment
(Excluding Current Examination): - | NO

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17. Have you ever been debarred by
the UPSC from any of its
Examinations/Selections? | NO

18. Please give Particulars at the University/State/National Level in respect of:-

(a)Prizes, Medals, Scholarships etc. |

(b) Sports/N.C.C. etc. |
(c) Position(s) of distinction Leadership held in |
School/College
(d) Other extracurricular activities and interests (Such |
as hobbies etc.)

19(a). How many times have you appeared

at the IES/ISS Examination held :-
by the UPSC. | 0

19 (b). Details of IES/ISS Examination in which you have appeared

Year Roll No.

20. Photo-ID Proof | AADHAR CARD (XXXXXXXX4975)

21. List of Scanned documents uploaded by the candidate:-

--> Matriculation Certification / School Leaving Certificate as proof of date of birth or any other
certificate/document as prescribed in the rules for the exam.
--> Certificate in support of claim to belong to SC / ST / OBC (Non Creamy Layer)/ EWS .
--> The certificate of graduation or equivalent educational qualifications (including a copy of recognition
letter / equivalence certificate from AIU/UGC, if applicable)
--> Hailing Certificate to show that the candidate hails from Arunachal Pradesh/ Manipur/ Meghalaya/
Mizoram/ Nagaland or Sikkim (Where applicable).
--> The selected Photo ID Proof (viz. Aadhaar Card, Voter Card, PAN Card, Passport, Driving Licence or
any other Photo ID Proof issued by the Central/State Government.)

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DECLARATION BY THE CANDIDATE

I, hereby declare that all statements and entries made in all the columns of this application are true,
complete and correct to the best of my knowledge and belief.

2. That I have read rules of the Examination published in Part I –

Section 1 of the Gazette of India Extraordinary dated 12th February, 2025 and understand that in the
event of any information being found false or incorrect or ineligibility being detected before or
after the examination action can be taken against me by the Commission.

3. That I further declare that I fulfil all the eligibility conditions regarding age limits, educational
qualifications etc. prescribed for admission to the Examination.

4. That I have not withheld any information required as per this Detailed Application Form.

5. I have thoroughly scrutinised the list of scanned documents as enumerated

and uploaded scanned copies of all the documents relevant for me.

6. That I have read the Rules of Examination and the instructions carefully and I hereby undertake to abide
by them.

7. That I have informed my Head of the Office/Department in writing that I have applied for this
examination.

Signature of the Candidate

[Note: Online submission of the DAF by the candidate within prescribed time period is
construed as his/her signed application]

RID :- 12515518964 |

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