7/15/2016

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UTTAR PRADESH SECONDARY EDUCATION SERVICES SELECTION BOARD

I Declare that I have Read the detailed User Manul & Notification.

Notification Details ( Examination )

Advertisement/Notification Number :

01/2016-EXAM / General

Apply For :

2016 - /

Candidate's Personal Details

Candidate Registration No. :

UP0020050611001000152
UP00210010678100

Candidate Name :

RAKESH YADAV

Father's/Husband's Name :

GURUDIN YADAV

Mother's Name :

RAM RAJA DEVI

Gender - Date of Birth :

Male

Are you Domicile of UP? / Catgory :

No / GENERAL

Are you Married?

Yes

Contact No./ Email-ID :

9012932303 / rakeshramayadav@gmail.com

Application ID :

- 31/05/1982

Bank Transaction Details

Bank Name - Payment Mode :

State Bank Of India - INB

Fees, Transaction ID - Date:

Rs. 625.00 , CP53499442 - 15/07/2016

Other Details of Candidate

Are you Dependent of UP Freedom Fighter?

No

Service Duration (Day-Month-Year) :

0
0

-0

Are you UP Ex. Army?

No

Retirement Date(Date/Month/Year) :

//

Have you complete 5 year service ?

Are you ECO/SSCO/CO of Army ?

Have your services been extended for rehabilitation and no
disciplinary action is pending against you ?

Have you ever been Debarred from any Selection

Board/Commission ? :

Completion Date of Debarment (DD/MM/YYYY) :

Are You Handicap of UP?

No

Are you Deaf or Have hearing problem? :

No

Are you Blind Or Have Vision problem? :

No

Have you any physical Problem? :

No

Are You Skilled Player Of UP? :

Level of Player :

No

N/A

High School & Inte rme diate Board,Ye ar of passing & Roll Numbe r De tails

Sr.No Examination
Passed
1.
High School
2.

Intermediate

Board Name

Year of
Passing

Roll
Number

Obtained
Marks

Total
Marks

UTTAR PRADESH BOARD OF HIGH SCHOOL AND INTERM EDIATE

EDUCATION
UTTAR PRADESH BOARD OF HIGH SCHOOL AND INTERM EDIATE
EDUCATION

1998

0391928

258

600

2000

0180552

218

500

Choice of Examination Center

District :

1 : MEERUT
3 : BAREILLY

2 : MORADABAD

Essential Qualification Details

Year
Is
Roll
Obtain Total Percentage
Passed/AppearedBoard/Inst/UnivOf
Grade
Number
Marks Marks (%)
Passing
S ystem


HNB
Yes
GARHWAL
2003 23445711No
410.00 900.00 45.56

, 1921
UNIVERSITY


JIWAJI

0 0 0 0 000 / 000
Yes
UNIVERSITY 2005 P0415
No
1401.002000.0070.05


GWALIOR
JIWAJI


Yes
UNIVERSITY 2007 513
NA


GWALIOR
Qualification

00

No

NA

NA

00 0/ 0 0

No

NA

NA

Address Details

Candidate's Permanent Address

Candidate's Correspondence/Mailing
Photo Signature Details
Address

Name (C/O) :

II 56

II 56

House no./Village :

HYDLE COLONY

HYDLE COLONY

https://pariksha.up.nic.in/Online_App/View_ExamApplicationForm1.aspx?ID=UP00210010678100

Photo&Signature

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7/15/2016

Street No./Post Office :

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KALAGARH

KALAGARH

UTTARANCHAL /

UTTARANCHAL /

GARHWAL

GARHWAL

Tahsil:

KOTDWARA

KOTDWARA

Police Station :

KALAGARH

KALAGARH

246142

246142

State / District Name :

Block :
Village :
PIN :

1. I hereby declare that I have read all the provisions in the notice/advertisement of the examination carefully and hereby undertake to abide by them
2. I further declare that I fulfill all the conditions of eligibility regarding age limits,educational qualifications etc. prescribed for admission to the examination.
3. I decalre that my claim for reservation as SC /ST/OBC candidate's are true and correct and I am in possession of my caste certificate in the prescribed format
given in the notice/advertisement of the examination .I also declare that as per Govt. order No.22/16/92/T.C.-III DATED 22-10-2008 I do not belong to the
person/sections (creamy layer) mentioned in it.
4. I (for male candidates ) also declare that I have no more than one wife living/(for female candidates) have not married a man already having a wife living.
5. I also declare that I have never been convicted by any court of law. I also declare that no criminal case is pending against me. Further declare that I have never been
dismissed or removed from Govt. Service or my service been terminated during probation.
6. 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. In the event of any
information being found false or incorrect or ineligibility being detected before or after selection the Board can take action against me as per rules in case it is
detected that I have mislead the Board on any issue then I will solely responsible for all penal consequences thereof.

I acce pt the above de claration : Ye s

Current status of application

Your application is under processing.
Application Form S ubmission Date :

15/07/2016 , Time : 5:38:57 PM

Application Form printing Date & Tim e : [ 15/07/2016 ,5:39:02 PM ]

https://pariksha.up.nic.in/Online_App/View_ExamApplicationForm1.aspx?ID=UP00210010678100

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