Public Service Commission U.P.

, PRAYAGRAJ
लोक सेवा आयोग उ0प्र0, प्रयागराज
Detailed Application Form ( विस्तृत आवेदन पत्र )

Notification Details ( Examination )

Advertisement Number : A-5/E-1/2025

GOVERNMENT COLLEGES AND DEPT. OF EMPOWERMENT OF

Department/Directorate Name :
PERSONS WITH DISABILITIES

Applied for Post : ASSISTANT TEACHER (MALE/FEMALE) HINDI,

Type of Recruitment : GENERAL RECTT.

Candidate's Personal Details

OTR Number : 869439397552 Application ID : 009174743003744

Candidate's Name : REENA RAY Father's/Husband's Name : SHIV PRASAD

Mother's Name : SHANTI DEVI Gender : Female
Date of Birth : 15/08/1981 Domicile of UP : Yes
Home State : UTTAR PRADESH Home District : KAUSHAMBI
Category : SC Marital Status : Married
Mobile Number : XXX-XXX-4614 Email-ID : ****[email protected]

Bank Transaction Details

Payment Gateway : State Bank Of India Payment Mode : INB
Fee Amount : Rs. 65.00 Transaction ID - Date: CPAFMYBOI4 - 15/08/2025

Candidate's Other Details :

Are you Dependent of UP
No Are You Skilled Player of UP? : No
Freedom Fighter?
Are You Extra Ordinary Player
No Level of Player : ---
of UP?
Service Duration (Day-Month-
Are you UP Ex. Army? No 0-0-0
Year) :
Retirement Are you ECO/SSCO/CO of
--- No
Date(Date/Month/Year) : Army ?
Have your services been
Have you completed 5 year extended for rehabilitation and
No No
service ? no disciplinary action is
pending against you ?
Are You State Govt. Employee
No
of Uttar Pradesh ? :
Have you ever been Debarred Completion Date of Debarment
No N/A
from UPPSC ?: (DD/MM/YYYY) :

Are You Physically A). Are you Blind or Have

No No
Handicapped (Divyangjan) ? Vision problem? :
C). Have you any Physical
B). Are you Deaf or Have
No Problem (Locomotor disability No
hearing problem? :
or Cerebral Palsy)? :
D). Have you any Neurological
E). Have you Multiple Disabilities? : No
Problem? : No
Basic Academic Qualification Details :

S No Examination Passed Board Name Year Of Passing Roll Number

1. High School UTTAR PRADESH COUNCIL OF SECONDARY EDUCATION 1997 0898427

Essential Qualification Details

Sr. No. Qualification Affirmation
GOVERNMENT COLLEGES:-
(1) Graduation degree with Hindi as a subject from a University/Deemed University/Institution established by law in India and Intermediate
with Sanskrit as a subject Or Pass in Uttar Madhyama Pariksha from UP Sanskrit Shiksha Parishad
(2) Degree of Graduation in Education (B.Ed.) in a course recognized by NCTE in India
OR
DEPT OF EMPOWERMENT OF PERSONS WITH DISABILITIES - SANKET SCHOOL FOR DEAF AND DUMB / SAMEKIT
VISHESH MADHYAMIK SCHOOLS:-
(i) Bachelors Degree in concerned subject from a University established by law in India
(ii) Diploma in special education (Hearing Impaired) from an Institution recognised by the Rehabilitation Council of India (RCI)
Government of India or Special B.Ed. degree in Hearing Impaired Teaching recognised by RCI from a university established by law in
1. India Yes
(iii) Knowledge of reading and writing in Hindi/ English in Sign Language
(iv) Registration in the Rehabilitation Council of India (RCI) as a special educator for teaching Hearing impaired
OR
DEPT OF EMPOWERMENT OF PERSONS WITH DISABILITIES - PRAYAS SCHOOL FOR PHYSICALLY HANDICAPPED/
SAMEKIT VISHESH MADHYAMIK SCHOOLS:-
(i) Bachelors Degree in concerned subject from a University established by law in India
(ii) Diploma in special education (Locomotor Disability/Cerebral Palsy) from an Institution recognised by the Rehabilitation Council of
India (RCI) Government of India or Special B.Ed. degree in Locomotor Disability/Cerebral Palsy recognised by RCI from a university
established by law in India
(iii) Registration in the Rehabilitation Council of India (RCI) as a special educator in Locomotor Disability/ Cerebral Palsy

Preferential Qualification Details

Sr. No. Qualification Acquired
1. Served in the territorial army for a minimum period of two years No
2. Obtained a B certificate of National Cadet Corps No

Candidate's Permanent & Communication Address Details :

Permanent Address Correspondence/Mailing Address
Address (Line 1 2 3) : NA, BAJAHA, PURKHAS Address (Line 1 2 3) : NA, BAJAHA, PURKHAS
House No. : NA , NA House No. : NA , NA
Street No./PO : NA Street No./PO : NA
City Name : KAUSHAMBI City Name : KAUSHAMBI
State : UTTAR PRADESH State : UTTAR PRADESH
District Name : KAUSHAMBI District Name : KAUSHAMBI
PIN : 212218 PIN : 212218

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.
Accepted : Application form has been Provisionally accepted.
Application Form Submission Date : 15/08/2025 , Time : 14:18:53 Application Form printing Date & Time : [ 15/08/2025 ,14:21:54 ]