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 / [email protected]
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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