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    (Uttar Pradesh Public Service Commission, Prayagraj) : Print Application Form

    Uploaded by

    manish
    The document is a print application form for the Uttar Pradesh Public Service Commission (UPPSC) recruitment examination. It contains details about the candidate such as personal information, educational qualifications, contact details, and declaration. The candidate is applying for the post of Lecturer in Electronics Engineering under the Technical Education Department of Uttar Pradesh.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    (Uttar Pradesh Public Service Commission, Prayagraj) : Print Application Form

    Uploaded by

    manish
    63 views5 pages
    The document is a print application form for the Uttar Pradesh Public Service Commission (UPPSC) recruitment examination. It contains details about the candidate such as personal information, educational qualifications, contact details, and declaration. The candidate is applying for the post of Lecturer in Electronics Engineering under the Technical Education Department of Uttar Pradesh.

    Original Title

    uppsc lecturer

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    The document is a print application form for the Uttar Pradesh Public Service Commission (UPPSC) recruitment examination. It contains details about the candidate such as personal information, educational qualifications, contact details, and declaration. The candidate is applying for the post of Lecturer in Electronics Engineering under the Technical Education Department of Uttar Pradesh.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    63 views5 pages

    (Uttar Pradesh Public Service Commission, Prayagraj) : Print Application Form

    Uploaded by

    manish
    The document is a print application form for the Uttar Pradesh Public Service Commission (UPPSC) recruitment examination. It contains details about the candidate such as personal information, educational qualifications, contact details, and declaration. The candidate is applying for the post of Lecturer in Electronics Engineering under the Technical Education Department of Uttar Pradesh.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 5

    Print Application Form

    (UTTAR PRADESH PUBLIC SERVICE


    COMMISSION, PRAYAGRAJ)

    उत्तर प्रदेश लोक सेवा आयोग, प्रयागराज

    Detailed Application Form ( विस्तृत आवेदन पत्र )

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

    Notification Details (
    Examination
    )

    Advertisement Number : A-7/E-1/2021


     

    Department/Directorate Name : TECHNICAL EDUCATION


    DEPARTMENT U.P.

    Applied for Post : LECTURER ELECTRONICS


    ENGINEERING,

    Type of Recruitment : GENERAL RECTT.


    Candidate's Personal Details

    Registration 72301298822 Application ID : 200047723005170


    No. :

    Candidate's MANISH CHANDRA Father's/Husband's MAHESH CHANDRA


    Name : JOSHI Name : JOSHI

    Gender : Male Date of Birth : 15/11/1991

    Domicile of UP Yes Category : General

    : Economically Weaker
    Sections (EWS) :
    No

    Are you No
    Married?

    Mobile XXX-XXX-4282 Email-ID : ****ish.21@gmail.com


    Number :

    Bank Transaction Details

    Payment State Bank Of India Payment Mode INB


    Gateway : :

    Fee Amount : Rs. 225.00 Transaction ID - IGAMEMFGQ5


     -
    Date: 10/10/2021
    Candidate's Other Details :

    Are you Dependent of UP Freedom Fighter? No Are You Skilled Player No


    Of UP? :

    Are you UP Ex. Army? No Service Duration (Day- 0


     -  
    Month-Year) : 0
     -   
    0

        Retirement ___
    Date(Date/Month/Year)
    :

    Are you ECO/SSCO/CO of Army ? No Have you complete 5 No


    year service ?

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

    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 Have you ever been Debarred from UPPSC
    Pradesh ? :
     
    No ?:
     
    No

         
     

    High School & Intermediate Board,Year of passing & Roll Number Details :

    Sr.No Examination Board Name Year of Passing Roll Number


    Passed

    1. High School UTTAR PRADESH BOARD OF HIGH 2006 1107817


    SCHOOL AND INTERMEDIATE
    EDUCATION

    2. Intermediate UTTAR PRADESH BOARD OF HIGH 2008 0567586


    SCHOOL AND INTERMEDIATE
    EDUCATION
    Essential Qualification Details

    Sr Qualification Affirmation Is Obtain Total Percentage


    No. Grade Marks Marks
    System

    1 (1-A) B.E./B.Tech./B.S. in Yes


    No 3503.00 5000.00 70.06
    relevant discipline (as
    enumerated in the list of AICTE
    approved Diploma Courses)
    with First Class. (1-B)
    Bachelors and Masters
    Degrees in relevant discipline
    (as enumerated in the list of
    AICTE approved Diploma
    Courses) with First Class in
    either of the two at the time of
    selection.

    Candidate's Permanent Address Details :

    C/O- Name : MAHESH CHANDRA House No. : 529GHA/3/167


    JOSHI

    Street No./PO : BAJRANG NAGAR City Name : LUCKNOW


    KALYANPUR

    State : UTTAR PRADESH District Name : LUCKNOW

    PIN : 226022    
    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.

    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 :


      Application Form printing Date & Time : [ 10/10/2021
    10/10/2021
    , Time : 08:00:25
      ,08:09:35 ]
               

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