Public Service Commission U.P.
, PRAYAGRAJ
लोक सेवा आयोग उ0प्र0, प्रयागराज
Detailed Application Form ( विस्तृत आवेदन पत्र )
Notification Details ( Examination )
Advertisement Number : A-6/E-1/2025
GOVT. INTER COLLEGE AND SPARSH INTER COLLEGE FOR
Department/Directorate Name : VISUALLY HANDICAPPED/SAMEKIT VISHESH MADHYAMIK
SCHOOLS
Applied for Post : LECTURER (MALE/FEMALE) SOCIOLOGY,
Type of Recruitment : GENERAL RECTT.
Candidate's Personal Details
OTR Number : 567257243784 Application ID : 009175744012639
Candidate's Name : KM ARTI Father's/Husband's Name : KAMLESH KUMAR TIWARI
Mother's Name : SADHANA TIWARI Gender : Female
Date of Birth : 06/07/1995 Domicile of UP : Yes
Home State : UTTAR PRADESH Home District : PRAYAGRAJ
Category : Economically Weaker Sections -EWS Marital Status : Married
Mobile Number : XXX-XXX-4245 Email-ID : ****
[email protected]Bank Transaction Details
Payment Gateway : State Bank Of India Payment Mode : INB
Fee Amount : Rs. 125.00 Transaction ID - Date: CPAFOESYM1 - 27/08/2025
Candidate's Other Details :
Are you Dependent of UP Are You Skilled Player of UP?
No 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
No N/A
from UPPSC ?: Debarment (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
UTTAR PRADESH BOARD OF HIGH SCHOOL AND
1. High School 2010 1850088
INTERMEDIATE EDUCATION
Essential Qualification Details
Sr. No. Qualification Affirmation
(GOVT. INTER COLLEGE) :-
(I)Post Graduation degree in the related subject from a University/ Deemed University/Institution established by law in India.
(II) Degree of Graduation in Education (B.Ed.) in a course recognized by NCTE.
(SPARSH INTER COLLEGE FOR VISUALLY HANDICAPPED/SAMEKIT VISHESH MADHYAMIK SCHOOLS) :-
1. (I) A Post-Graduate Degree in concerned subject from a University established by law in India. Yes
(II) Degree in B.Ed. with Special B.Ed. or M.Ed. degree in Visually Impaired/Hearing Impaired, recognised by R.C.I. from a university
established by law in India.
(III) Knowledge of reading and writing in Hindi/English in Braille/Sign Language.
(IV) Registration in Rehabilitation Council of India (R.C.I.) as a special educator for teaching Visually impaired/Hearing Impaired.
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
VIKASH MISHRA, CHAKSAHBAN, VIKASH MISHRA, CHAKSAHBAN,
Address (Line 1 2 3) : Address (Line 1 2 3) :
KUMBHAUNA KUMBHAUNA
House No. : NA , CHAKSAHBAN House No. : NA , CHAKSAHBAN
Street No./PO : NA Street No./PO : NA
City Name : PRAYAGRAJ City Name : PRAYAGRAJ
State : UTTAR PRADESH State : UTTAR PRADESH
District Name : PRAYAGRAJ District Name : PRAYAGRAJ
PIN : 212109 PIN : 212109
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 : 27/08/2025 , Time : 12:36:00 Application Form printing Date & Time : [ 27/08/2025 ,12:36:02 ]
