8/19/2021 Detail Application Form

(UTTAR PRADESH PUBLIC SERVICE COMMISSION, PRAYAGRAJ)

उत्तर प्रदेश लोक सेवा आयोग, प्रयागराज
Detailed Application Form ( विस्तृत आवेदन पत्र )

I declare that I have Read the detailed User Manual and Notification.

Notification Details (
Examination
)
Advertisement Number : A-5/E-1/2021
 

Combined State Engineering Services (General/Special Recruitment)

Examination Name :
Examination- 2021,

Combined State Engineering Services (General/Special

Apply for Examination :
Recruitment) Examination- 2021,

Type of Recruitment : GENERAL RECTT.

Candidate's Personal Details

Registration No. : 90400231364 Application ID : 200061904000149
Candidate's Name : SIDDHANT CHOUDHARY Father's/Husband's Name : SANJAY SINGH
Gender : Male Date of Birth : 20/08/1994
Domicile of UP : Yes Category : OBC

Are you Married? Yes

Mobile Number : XXX-XXX-4873 Email-ID : ****iddhant@gmail.com

Bank Transaction Details

Payment Gateway : State Bank Of India Payment Mode : INB
Fee Amount : Rs. 225.00 Transaction ID - Date: CPAAZXDWF3
 -
19/08/2021

Candidate's Other Details :

Are you Dependent of UP Freedom Fighter? No Are You Skilled Player Of UP? : No
Are you UP Ex. Army? No Service Duration (Day-Month-Year) : 0
 -  
0
 -   
0
    Retirement Date(Date/Month/Year) : _ _ _
Are you ECO/SSCO/CO of Army ? No Have you complete 5 year service ? No
Have your services been extended for rehabilitation and no disciplinary action is pending against you ? No
Are You Handicap of UP? No a. Are you Blind Or Have Vision problem? :
No
b. Are you Deaf or Have hearing problem? :
No c. Have you any physical Problem? :
No

Are You State Govt. Employee of Uttar Pradesh ? :

 
No
Have you ever been Debarred from UPPSC ?:
 
No
     
 
Have you already rendered one year's service or more in any of the Centralised Services or in the
Assistant Engineer (Civil) of Housing and Urban Planning Department / Assistant Engineer No

(Water)/'B' Category- Jalkal Engineer/ Assistant Engineer (Traffic)/ Manager (Civil) and Manager Service Duration (Year-Month-Day) :
0
 - 0
 - 
0
(Electrical/ Mechanical) of Industrial Development Department ?
Have you already rendered one year's service in the उ0प्र0 आवास एवं विकास परिषद में सहायक
No
अभियन्ता (सिविल/विद्युत) ?;
Do you want one year age relaxation in upper age for the post Assistant Engineer (Civil) of P.W.D.
No
the upper age limit in the case of a candidate, who is trainee, shall be greater by one year ?

High School & Intermediate Board,Year of passing & Roll Number Details :
Sr.No Examination Passed Board Name Year of Passing Roll Number
1. High School CENTRAL BOARD OF SECONDARY EDUCATION 2010 5316700
2. Intermediate CENTRAL BOARD OF SECONDARY EDUCATION 2012 5711768

Essential Qualification Details

Sr No. Qualification Affirmation
Till last date for submitting the applications, the candidates must possess Degree in any one of the following Branch awarded by an Institution or University established by
1 law in India.- (1) Civil Engineering. OR (2) Mechanical Engineering. OR (3) Agriculture Engineering OR (4) Electrical Engineering OR (5) Chemical Engineering OR (6) Yes
Industrial Engineering OR (7)Fire Engineering OR (8) Hydraulic Engineering OR (9) Electronics Engineering.

Have you a Diploma/Degree in Engineering : Yes

Your Opted Engineering Branch Name :
08 - Fire Engineering ( फायर अभियन्त्रण )
Preferential Qualification Details
Sr.No. Qualification Acquired
A candidate who has (1) served in the Territorial Army for a minimum period of two years, or (2) obtained a "B" certificate of N.C.C. shall other things being equal, be given
1 No
preference in the matter of direct recruitment.

Candidate's Address Details :

C/O- Name : SANJAY SINGH House No. : 183, DIWALHERY
Street No./PO : DIWALHERY City Name : SAHARANPUR
State : UTTAR PRADESH District Name : SAHARANPUR
PIN : 247554    

I accept the following declaration :

:
Yes

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8/19/2021 Detail Application Form
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.
Current status of Application Form :
Your application is under processing.
Application Form Submission Date :
 
19/08/2021
, Time : 10:44:59
  Application Form printing Date & Time : [ 19/08/2021 ,10:53:39 ]
           

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