117722, 1120 aM Detailed Application Form (PRES aR Pint Application Form wa) Under: PRELIMINARY BLIGIRILITY TEST PET) 53 9225 84 TypeetResitnen; Gena Regstaon Number 53909223584 Aaveismen Nes No 01-EXAM/2022 conisne Nae ABHISHEK VERMA Fates Hb Name OMPRAKASH VERMA Mots Nae MUTA DEVE oe oi ra00994 yeu aid? S sastaagnaom Mobie Nahe seveeena IY Gott-oonPmpeeotUP? Ne SavceDanteayMontex) ‘Neyo Blind Or ne Vion abla? No AreyouDaertne ening pbea? No Hovey ny py bln? so Bsmepning mane! No ave ou Maile De? we oar Name = Pacatage murmeante UTTAR PRADESH BOARD OF HIGH SCHOOL AND INTERMEDIATE won ums Se Mao eton EBUeATION 5, Jontetn 1 [eye overrceteequvaee ret. sx | uatteaion upsssc-govirvOnline_App/View_ExamApolicalionForm_PET_S.aspx7eeCIndeStUOsx83eKnKQ== Per o8.00 42117722, 1120 aM Pint Application Form 2 [2-H een obtained Nasional Cas Come cert No ame C0 OMPRAKASH VERMA OMPRAKASH VERMA, Hogs no iage VIL DAUDPUR VILL-DAUDPUR Sor era ec fl 3 frre gfe & atte A ge ah Fr ath wal wT ator ATOR | hereby declare that Ihave read the advertisment and I acept all he terms & conditions of the same. Eee rr ewe ec Fe ca hg a Fa ere HE enh ae Rat ara we, oF of wet 1 {hereby declare tha all the enriesatements made in this aplication are rue, complete and correct tothe best of my knowledge and belie. a err eee ee Fl cat ah if Heer ea wha Fry Pre are re are sea ea eT area AE ee gee er gga ag hg A arr errr wT a AY ea a ey ree ee aT PT FAT TET | Thereby declare tha fall all the educational other eligiblity riterlapresribed for the Main Examination in respect ofthe post elag applied for, as onthe last date of application, Tam aware that incase any of the information submited by me f found tobe incorrect or false then my candidature shall be Tale tobe ‘anclled bythe Commision P in with your PET registrati ‘ihe D ‘ity vith is process. “App. form submission date: DATE :17/01/2022 TIME 11:17:34 App. form printing Date Time :[17/01/2022, 11:19:45 AM } upssse-govirvOntine_App/View_ExamApplicalionForm_PET_S.aspx7e0C indeSIUOsxB3eKnKQ- 22.