21/11/2017

Public Service Commission U.P., Allahabad

लोक सेवा आयोग उ0 0, इलाहाबाद

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

NOTIFICATION DETAILS ( DIRECT RECRUITMENT )

Advertisement Number : 01/2017-2018

Department/Directorate Name : DIRECTORATE OF ENVIRONMENT U.P.

Assistant Director (Civil Engineering), S-

Applied For Post : 03/02

Type of Recruitment : GENERAL RECTT.

CANDIDATE'S PERSONAL DETAILS

Registration No. : 52820190771 Application ID : 200047528002591
KUMAR MADHURESH
Candidate Name : VANSHAJ
Father's/Husband's Name : CHANDRA SAXENA
Gender : Male Date of Birth : 01/02/1991
Domicile of UP : Yes Category : General
Are you Married? No

BANK TRANSACTION DETAILS

Bank Name - Payment Mode : State Bank Of India - INB
Fees, Transaction ID - Date: Rs. 105.00 , CPB5710440 - 21/11/2017

CANDIDATE'S OTHER DETAILS

Are you Dependent of UP Freedom No
Fighter?
Service Duration (Day-Month-Year)
Are you UP Ex. Army? No
:
0 - 0 - 0
Retirement Date(Date/Month/Year)
___
:
Have you complete 5 year service
Are you ECO/SSCO/CO of Army ? No
?
No
Have your services been extended for rehabilitation and no disciplinary action is pending against you ? No
Have you ever been Debarred from No
Completion Date of Debarment
../../....
U.P.P.S.C. ? : (DD/MM/YYYY) :
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 Skilled Player Of UP? : 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 COUNCIL FOR THE INDIAN SCHOOL 2006 T/6952/020
CERTIFICATE EXAMINATION
2. Intermediate CENTRAL BOARD OF SECONDARY 2008 5710957
EDUCATION

ESSENTIAL QUALIFICATION DETAILS

Sr Is Grade Obtain Total Percentage
Qualification Affirmation
No. System Marks Marks (%)
भारत म िविध ारा थािपत िकसी िव िव ालय से िसिवल इं जीिनय रं ग म थम ेणी म ातक उपािध या
1 Yes No 3788.00 5000.00 75.76
सरकार ारा उसके समक घोिषत कोई अहता।

PREFERENTIAL QUALIFICATION DETAILS

Sr No. Qualification Acquired
1 अिभयं ण या ौ ोिगकी म ातको र उपािध या सरकार ारा उसके समक घोिषत अहता या अिभयं ण या ौ ोिगकी म डा रे ट उपािध। Yes
2 ादे िशक सेना म दो वष की ूनतम अविध तक सेवा की हो, या रा ीय कैडे ट कोर का ‘‘बी’’ माण-प ा िकया हो। No

I accept the following declaration : Yes Photo&Signature↓

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21/11/2017
1. I here by declare that I have read all term & condition accroding advertisement and I accept it.
2. I here by declare that all the entires/statements made in this application are true, complete and correct to the
best of my knowledge and belief.
3. In the event of any information being found false or incorrect or ineligibility being detect before or after
Selection, the commission can take action against me as per rule incase it is detected that I have misled UPPSC
on any issue then I will solely responsible for all penel consequences thereof.

CURRENT STATUS OF APPLICATION FORM

Your application is under processing.
Application Form Submission Date : 21/11/2017 , Time : 21:47:18
Application Form printing Date & Time : [ 21/11/2017 ,21:47:25 ]

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