8/15/25, 1:44 AM Application Form Submitted Successfully Confirmation
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
Department/Directorate
EMPOWERMENT OF PERSONS WITH
Name :
DISABILITIES
ASSISTANT TEACHER (MALE/FEMALE)
Applied for Post :
MATHS,
Type of Recruitment : GENERAL RECTT.
Candidate's Personal Details
OTR Number : 545937342455 Application ID : 009155743007054
Father's/Husband's RAMESH KUMAR
Candidate's Name : SAKSHI GAUTAM
Name : GAUTAM
Mother's Name : NIRMALA DEVI Gender : Female
Date of Birth : 01/10/1998 Domicile of UP : Yes
Home State : UTTAR PRADESH Home District : HARDOI
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8/15/25, 1:44 AM Application Form Submitted Successfully Confirmation
Category : SC Marital Status : Single
Mobile Number : XXX-XXX-3665 Email-ID : ****
[email protected] Bank Transaction Details
Payment Gateway : State Bank Of India Payment Mode : INB
Transaction ID - CPAFMXQXM3 -
Fee Amount : Rs. 65.00
Date: 15/08/2025
Candidate's Other Details :
Are you Dependent of Are You Skilled
No No
UP Freedom Fighter? Player of UP? :
Are You Extra
No Level of Player : ---
Ordinary Player of UP?
Service Duration
Are you UP Ex. Army? No 0-0-0
(Day-Month-Year) :
Retirement Are you
Date(Date/Month/Year) - - - ECO/SSCO/CO of No
: Army ?
Have your services
been extended for
Have you completed 5 rehabilitation and
No No
year service ? no disciplinary
action is pending
against you ?
Are You State Govt.
Employee of Uttar No
Pradesh ? :
Have you ever been Completion Date of
Debarred from UPPSC No Debarment N/A
?: (DD/MM/YYYY) :
Are You Physically A). Are you Blind
Handicapped No or Have Vision No
(Divyangjan) ? problem? :
C). Have you any
B). Are you Deaf or Physical Problem
Have hearing No (Locomotor No
problem? : disability or
Cerebral Palsy)? :
D). Have you any
Neurological E). Have you Multiple Disabilities? : No
Problem? : No
Basic Academic Qualification Details :
Examination Year of
S No Board Name Roll Number
Passed Passing
CENTRAL BOARD OF SECONDARY
1. High School 2013 5200388
EDUCATION
Essential Qualification Details
Sr. No. Qualification Affirmation
1. GOVERNMENT COLLEGES:- Yes
(1) Graduation degree with Maths as one subject from a University/Deemed University/Institution established by
law in India
(2) Degree of Graduation in Education (B.Ed.) in a course recognized by NCTE in India
OR
DEPT OF EMPOWERMENT OF PERSONS WITH DISABILITIES - Sparsh School for Visually/ Samekit
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8/15/25, 1:44 AM Application Form Submitted Successfully Confirmation
vishesh madhyamik schools:-
(i) Bachelors Degree in concerned subject from a University established by law in India
(ii) Diploma in special education (Visually Impaired) from an Institution recognised by Rehabilitation Council of
India (RCI) Government of India or Special B.Ed. degree in Visually Impaired Teaching recognised by RCI from
a university established by law in India
(iii) Knowledge of reading and writing in Hindi/ English in Braille
(iv) Registration in the Rehabilitation Council of India (RCI) as a special educator for teaching Visually Impaired
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 India
(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
RAMESH KUMAR, RAMESH KUMAR,
85/2 ALOO THOK 85/2 ALOO THOK
Address (Line 1 2 3) : UTTARI BHAG-1, Address (Line 1 2 3) : UTTARI BHAG-1,
BHATTA PURWA BHATTA PURWA
HARDOI HARDOI
House No. : 85/2 , NA House No. : 85/2 , NA
Street No./PO : NA Street No./PO : NA
City Name : HARDOI City Name : HARDOI
State : UTTAR PRADESH State : UTTAR PRADESH
District Name : HARDOI District Name : HARDOI
PIN : 241001 PIN : 241001
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 , Application Form printing Date & Time : [
Time : 11:14:50 15/08/2025 ,11:15:01 ]
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