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View Examination Form-I

The document is an application for the position of Social Science teacher submitted to the Uttar Pradesh Secondary Education Services Selection Board by Bhola Nath Saroj. It includes personal details, educational qualifications, and a declaration of eligibility and correctness of information. The application was submitted on June 22, 2022, and is currently under processing.

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0% found this document useful (0 votes)
12 views2 pages

View Examination Form-I

The document is an application for the position of Social Science teacher submitted to the Uttar Pradesh Secondary Education Services Selection Board by Bhola Nath Saroj. It includes personal details, educational qualifications, and a declaration of eligibility and correctness of information. The application was submitted on June 22, 2022, and is currently under processing.

Uploaded by

akashrajwal35217
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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22/06/2022, 09:03 View Application

UTTAR PRADESH SECONDARY EDUCATION SERVICES SELECTION BOARD

I declare that I have Read the detailed User Manual and Notification
Notification Details (Examination)
Advertisement/Notification Number : 01/2022/ General
Uttar Pradesh Secondary Education Service Selection Board, Prayagraj / TGT
Applied For Post :
- SOCIAL SCIENCE

Applied Under :
बालक वर्ग -कॉलेज / संस्थान (Boys Category - College /
Institute)
Candidate's Personal Details Photo and Signature
Application ID : UP0020091791005002954
Candidate Registration No. : UP00210050306610
Candidate Name : BHOLA NATH SAROJ
Father's/Husband's Name : RAM BAHOR SAROJ
Mother's Name : MURARI DEVI
Gender - Date of Birth : Male - 25/07/1982
Are you Domicile of UP? / Category : Yes / SC
Are you Married? : Yes
Contact No./ Email-ID : XXX-XXX-0822 / ****[email protected]

Bank Transaction Details


Bank Name - Payment Mode : State Bank Of India - INB
Fees, Transaction ID - Date : Rs. 450.00 , CPABTXAQT7 - 22/06/2022

High School & Intermediate Board,Year of passing & Roll Number Details
Examination Board Name Year of Roll Obtained Total
Passed Passing Number Marks Marks
High School UTTAR PRADESH BOARD OF HIGH SCHOOL AND INTERMEDIATE 1998 0994631 307 600
EDUCATION
Intermediate UTTAR PRADESH BOARD OF HIGH SCHOOL AND INTERMEDIATE 2000 0481934 256 500
EDUCATION

Essential Qualification Details


Evalation
Sr. Equivalent State Name/ Year Certificate/ Roll Type
No. Essential Qualification Qualification Affirmation Board/ Institution/ University Of Number Obtained Percentage
Passing Issuance Date Marks/
Total Mark
B.A.- (a) History (b) UTTAR PRADESH -
Political Science (c) Dr Ram Manohar Lohia Awadh MARKS
1. Geography (d) Economics Yes University, Allahabad Road, 2003 203566 937.00 52.06
with any two subjects from Faizabad-224 001, Uttar Pradesh. 14/03/2003 1800.00
a recognized university
(State University).
established by law in India
UTTAR PRADESH -
B.Ed degree from a
Dr Ram Manohar Lohia Awadh MARKS
recognized university L.T. 15042045
2.
established by law in India Degree/Diploma Yes
University, Allahabad Road, 2015 726.00 72.60
04/12/2015
or Faizabad-224 001, Uttar Pradesh. 1000.00
(State University).
Graduate and B.Ed (for 4-
year integrated degree)
from the concerned subject
mentioned in the
3. qualification given in the No - N/A 0.00
Uttar Pradesh Secondary
Education Act 1921
Chapter-2 Regulation-1
Appendix (a).
Single Subject Graduate
(Note - Enter the
information, to complete
4. the qualification of the No - 0.00
N/A
candidates who have
graduated from a single
subject.)

Preferential Qualification Details


Qualification Acquired
भारत में विधि द्वारा स्थापित किसी मान्यता प्राप्त विश्वविद्यालय से बी0एड0 उपाधि अथवा एल0टी0 उपाधि। Yes
भारत में विधि द्वारा स्थापित किसी मान्यता प्राप्त विश्वविद्यालय से एम0एड0 उपाधि । No
भारत में विधि द्वारा स्थापित किसी मान्यता प्राप्त विश्वविद्यालय से डी0फिल0 उपाधि या पी0एच0डी0 अर्हता । No

↓ Address Details ↓ Candidate's Permanent Address Candidate's Correspondence/Mailing Address


Name (C/O) : BHOLA NATH SAROJ BHOLA NATH SAROJ
House no./Village : KOTHRA KHURD KOTHRA KHURD
Street No./Post Office : KOTHRA KHURD KOTHRA KHURD
https://upsessb.pariksha.nic.in/Online_App/UP002/View_ExamApplicationForm1.aspx?nWIK6wauUQOR3M4taxaQQDwyQCec4xUf 1/2
22/06/2022, 09:03 View Application
↓ Address Details ↓ Candidate's Permanent Address Candidate's Correspondence/Mailing Address
UTTAR PRADESH UTTAR PRADESH
State / District Name :
SULTANPUR SULTANPUR
Tahsil : LAMBHUA LAMBHUA
Police Station : CHANDA CHANDA
Block : P.P.KAMAICHA P.P.KAMAICHA
Village : KOTHARAKHURD KOTHARAKHURD
PIN : 222303 222303

किस वर्ग के कॉलेज / संस्थान (बालक / बालिका ) के लिए आवेदन प्रस्तुत करना चाहते है?
(For which Category of College / Institute (Boys / Girls ), do you want to submit the Application? )
आप अपना आवेदन किस वर्ग के कॉलेज / संस्थान (बालक / बालिका ) के लिए प्रस्तुत करना
चाहते हैं? बालक वर्ग -कॉलेज / संस्थान (Boys Category - College / Institute)
For which Category of College / Institute (Boys / Girls ), do you want to submit
your Application? :

आपके द्वारा भरा गया आवेदन पत्र के वल बालक वर्ग -कॉलेज / संस्थान (Boys Category - College / Institute) के लिए ही चयन बोर्ड द्वारा
अग्रिम कार्यवाही हेतु स्वीकार्य होगा | - Yes (हाँ)

Declaration
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 accept the above declaration : Yes

↓ Current status of application ↓


Your application is under processing.
Application Form Submission Date : 22/06/2022 , Time : 9:02:55 AM
Application Form printing Date & Time : [ 22/06/2022 ,9:03:11 AM ]

https://upsessb.pariksha.nic.in/Online_App/UP002/View_ExamApplicationForm1.aspx?nWIK6wauUQOR3M4taxaQQDwyQCec4xUf 2/2

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