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(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-4/E-1/2022

Department/Directorate Name : DIRECTORATE OF GEOLOGY


AND MINING, U.P.

Applied for Post : MINES INSPECTOR


EXAMINATION-2022,

Type of Recruitment : GENERAL RECTT.


Candidate's Personal Details

Registration 72500019319 Application ID : 216999725000189


No. :

Candidate's VIVEK KUMAR Father's/Husband's GOVERDHAN SAW


Name : Name :

Gender : Male Date of Birth : 18/07/1993

Domicile of UP No Category : General


:

Are you No
Married?

Mobile XXX-XXX-9379 Email-ID : ****3994@gmail.com


Number :

Bank Transaction Details

Payment State Bank Of India Payment Mode INB


Gateway : :

Fee Amount : Rs. 125.00 Transaction ID - CPABSTJXS8  -


Date: 08/06/2022

Candidate's Other Details :

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 JHARKHAND ACADEMIC COUNCIL 2009 0259

2. Intermediate JHARKHAND ACADEMIC COUNCIL 2013 10241


Essential Qualification Details

Sr Qualification Affirmation Is Obtain Total Percentage


No. Grade Marks Marks
System

1 Three years Diploma in Mining Yes N/A N/A N/A N/A


Engineering from an Institution
recognized by All India Council for
Technical Education (AICTE).

Preferential Qualification Details

Sr.No. Qualification Acquired

1 have served for a minimum period of two years in Territorial Army or have No
obtained "B" certificate of N.C.C.

Candidate's Permanent Address Details :

C/O- Name : GOVERDHAN SAW House No. : BARAI

Street No./PO : PALAMU City Name : BOKARO

State : JHARKHAND District Name : BOKARO

PIN : 825102
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 : [ 08/06/2022

08/06/2022 , Time : 20:52:27 ,21:04:48 ]

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