10/15/2019 Detail Application Form

(UTTAR PRADESH PUBLIC SERVICE COMMISSION,

PRAYAGRAJ)
उ र दे श लोक सेवा आयोग, यागराज
Detailed Application Form ( िव ृत आवेदन प )

I declare that I have Read the detailed User Manual and Notification.

Notification Details ( Direct Recruitment )

Advertisement Number : 2/2019-2020

Department/Directorate Name : U.P. PALIKA (CENTRALIZED) ENGINEERING SERVICE

Applied for Post : ASSISTANT ENGINEER (CIVIL), S-10/01

Type of Recruitment : GENERAL RECTT.

Candidate's Personal Details

Registration No. : 53300057409 Application ID : 200027533000027
Candidate's Name : APRAJEETA SINGH Father's/Husband's Name : VIRENDRA SINGH
Gender : Female Date of Birth : 26/10/1993
Domicile of UP : Yes Category : General
Are you Married? Yes

Bank Transaction Details

Payment Gateway : State Bank Of India Payment Mode : INB
Fee Amount : Rs. 105.00 Transaction ID - Date: CPV5191371 - 15/10/2019

Candidate's Other Details :

Are you Dependent of UP Freedom Fighter? No Are You Skilled Player Of UP? : No
Are you UP Ex. Army? No Service Duration (Day-Month-Year) : 0 - 0 - 0
Retirement Date(Date/Month/Year) : _ _ _
Are you ECO/SSCO/CO of Army ? No Have you complete 5 year service ? No
Have your services been extended for rehabilitation and no disciplinary action is pending against you ? No
Are You Handicap of UP? No a. Are you Blind Or Have Vision problem? : No
b. Are you Deaf or Have hearing problem? : No c. Have you any physical Problem? : No

Are You State Govt. Employee of Uttar Pradesh ? : No Have you ever been Debarred from UPPSC ?: No

High School & Intermediate Board,Year of passing & Roll Number Details :
Sr.No Examination Passed Board Name Year of Passing Roll Number
1. High School CENTRAL BOARD OF SECONDARY EDUCATION 2009 5117791
2. Intermediate CENTRAL BOARD OF SECONDARY EDUCATION 2011 7605054

Essential Qualification Details

Is Grade Obtain Total
Sr No. Qualification Affirmation Percentage
System Marks Marks
Degree in Civil Engineering from any recognized Institution or an equivalent
1 Yes No 3706.00 5000.00 74.12
qualification or A.M.I.E. (India) (Section A and B passed)

Preferential Qualification Details

Sr.No. Qualification Acquired
1 Served in the Territorial Army for a minimum period of two years. Or Obtained a B certificate of National Cadet corps. No

I accept the following declaration : : Yes

1. I hereby declare that I have read all terms & conditions according to the advertisement and I accept it.
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10/15/2019 Detail Application Form

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. I under take that if any information furnished or documents submitted by me are found to be false or have been concealed, then my
application/candidature is liable to be rejected/cancelled by UPPSC.
Current status of Application Form :
Your application is under processing.
Application Form Submission Date : 15/10/2019 , Time : 22:36:57 Application Form printing Date & Time : [ 15/10/2019 ,22:38:02 ]

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