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UTTAR PRADESH SECONDARY EDUCATION SERVICES SELECTION BOARD

I declare that I have Read the detailed User Manual and Notification
Notification Details (Examination)
Advertisement/Notification Number : 02/2021/ General
Uttar Pradesh Secondary Education Service Selection
Applied For Post :
Board / PGT - HISTORY

Applied Under : बालक वग -कॉलेज / सं थान (Boys Category - College

/ Institute)

Candidate's Personal Details Photo and Signature

Application ID : UP0020091643002004167
Candidate Registration No. : UP00230020216016
Candidate Name : HARSHIT SINGH
Father's/Husband's Name : RAJESH PRATAP SINGH
Mother's Name : REENA SINGH
Gender - Date of Birth : Male - 08/06/1997
Are you Domicile of UP? /
Yes / GENERAL
Category :
Are you Married? : No
Contact No./ Email-ID : XXX-XXX-4372 / ****6920@gmail.com

Economically Weaker Sections(EWS) Details

Are you Economically Weaker Are you possessing the EWS
No NA
Sections(EWS)?: Certificate? :

Bank Transaction Details

Bank Name - Payment Mode : State Bank Of India - INB
Fees, Transaction ID - Date : Rs. 750.00 , CPAAKAHII9 - 05/11/2020

High School & Intermediate Board,Year of passing & Roll Number Details
Examination Year of Roll Obtained Total
Board Name
Passed Passing Number Marks Marks
CENTRAL BOARD OF SECONDARY
High School 2012 5193642 8.2 10
EDUCATION
CENTRAL BOARD OF SECONDARY
Intermediate 2014 5698217 318 500
EDUCATION

Essential Qualification Details

Evalation
Certificate/ Type
State Name/ Year
Sr. Essential Equivalent Roll Number Obtained
Affirmation Board/ Institution/ Of Percentage
No. Qualification Qualification Issuance Marks/
University Passing
Date Total
Mark
1. Graduation Yes UTTAR 2017 0903759 MARKS 49.00
from a PRADESH - 07/06/2017 441.00
recognized Chatrapati 900.00
university Shahuji Maharaj
established by Kanpur
law in India. University,

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Kalynpur,
Kanpur-208 024,
Uttar Pradesh.
(State University).
UTTAR
M.A. in
PRADESH -
Ancient
M.A. in History Chatrapati
Indian
from a Shahuji Maharaj
History from MARKS
recognized Kanpur 0336431
2. a recognized Yes 2019 488.00 61.00
University University, 26/08/2019
university 800.00
established by Kalynpur,
established
law in India or Kanpur-208 024,
by law in
Uttar Pradesh.
India or
(State University).

Preferential Qualification Details

Qualification Acquired

भारत म िविध ारा थािपत िकसी मा ता ा िव िव ालय से बी0एड0 उपािध अथवा एल0टी0 उपािध। No

भारत म िविध ारा थािपत िकसी मा ता ा िव िव ालय से एम0एड0 उपािध । No

भारत म िविध ारा थािपत िकसी मा ता ा िव िव ालय से डी0िफल0 उपािध या पी0एच0डी0 अहता । No

Candidate's Correspondence/Mailing
↓ Address Details ↓ Candidate's Permanent Address
Address
Name (C/O) : HATSHIT SINGH HATSHIT SINGH
House no./Village : 44 GANGA NAGAR 44 GANGA NAGAR
37 BN NEW PAC LINE SHYAM 37 BN NEW PAC LINE SHYAM
Street No./Post Office :
NAGAR NAGAR
UTTAR PRADESH UTTAR PRADESH
State / District Name :
KANPUR NAGAR KANPUR NAGAR
Tahsil : KANPUR SADAR KANPUR SADAR
Police Station : CHAKERI POLICE STATION CHAKERI POLICE STATION
Block : NA NA
Village : NA NA
PIN : 208015 208015

िकस वग के कॉलेज / सं थान (बालक / बािलका ) के िलए आवेदन ुत करना चाहते है ?

(For which Category of College / Institute (Boys / Girls ), do you want to submit the Application? )
आप अपना आवेदन िकस वग के कॉलेज / सं थान (बालक / बािलका
) के िलए ुत करना चाहते ह? बालक वग -कॉलेज / सं थान (Boys Category - College /
For which Category of College / Institute (Boys / Girls ), do Institute)
you want to submit your Application? :

आपके ारा भरा गया आवेदन प केवल बालक वग -कॉलेज / सं थान (Boys Category - College / Institute) के िलए ही
चयन बोड ारा अि म कायवाही हे तु ीकाय होगा | - Yes (हाँ)

Ad-hoc Teacher Details (तदथ िश क िववरण) :

Are you currently an ad-hoc teacher in aided nongovernment secondary school of Uttar Pradesh?
No
( ा आप वतमान म उ र दे श के सहायता ा अशासकीय मा िमक िव ालय म तदथ िश क ह ?) :

Declaration
1. I hereby declare that I have read all the provisions in the notice/advertisement of the examination carefully and hereby
undertake to abide by them.

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Declaration
2. I further declare that I fulfill all the conditions of eligibility regarding age limits,educational qualifications etc. prescribed for
admission to the examination.
3. I decalre that my claim for reservation as SC /ST/OBC candidate's are true and correct and I am in possession of my caste
certificate in the prescribed format given in the notice/advertisement of the examination .I also declare that as per Govt. order
No.22/16/92/T.C.-III DATED 22-10-2008 I do not belong to the person/sections (creamy layer) mentioned in it.
4. I (for male candidates ) also declare that I have no more than one wife living/(for female candidates) have not married a man
already having a wife living.
5. I also declare that I have never been convicted by any court of law. I also declare that no criminal case is pending against me.
Further declare that I have never been dismissed or removed from Govt. Service or my service been terminated during
probation.
6. 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. In the event of any information being found false or incorrect or ineligibility being detected before or
after selection the Board can take action against me as per rules in case it is detected that I have mislead the Board on any issue
then I will solely responsible for all penal consequences thereof.
I accept the above declaration : Yes

↓ Current status of application ↓

Your application is under processing.
Application Form Submission Date : 05/04/2021 , Time : :32:50 AM
Application Form printing Date & Time : [ 05/04/2021 ,5:39:51 AM ]

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