Print Application Form

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 : 02/2022/
General

Applied For Post : Uttar Pradesh Secondary Education Service Selection Board, Prayagraj
/
PGT - PHYSICS

Applied Under : बालिका वर्ग -कॉलेज / संस्थान (Girls Category - College / Institute)

Candidate's Personal Details Photo and Signature

Application ID : UP0020050663003000011
Candidate Registration No. : UP00230030013693
Candidate Name : SHALINI UPADHYAY

Father's/Husband's Name : HARISH CHANDRA PANDEY

Mother's Name : GEETA UPADHYAY

Gender - Date of Birth : Female

-
10/06/1990

Are you Domicile of UP? / Category : No

/
GENERAL

Are you Married? : Yes

Contact No./ Email-ID : XXX-XXX-7561

   / 
****ni.upa@gmail.com

Bank Transaction Details

Bank Name - Payment Mode : State Bank Of India - INB

Fees, Transaction ID - Date : Rs. 750.00 , CPABSYIQI5

-
11/06/2022

High School & Intermediate Board,Year of passing & Roll Number Details
Examination Passed Board Name Year of Passing Roll Number Obtained Marks Total Mark

High School UTTARAKHAND BOARD OF SCHOOL EDUCATION 2005 0123114 417 600

Intermediate UTTARAKHAND BOARD OF SCHOOL EDUCATION 2007 0064912 339 500

Essential Qualification Details

Sr. No. Essential Qualification Equivalent Affirmation State Name/
Year Of Certificate/ Roll Number
Evalation Type
Perc
Qualification Board/ Institution/ University Passing Issuance Date Obtained Marks/

Total Mark

1. Graduation from a recognized Yes

UTTARANCHAL
-
2012 13167046
MARKS
49.1
university established by law in Kumaun University, Mallital, Nainital-263 14/10/2020 664.00

India. 001, Uttarakhand. (State University). 1350.00

2. M.Sc. (Physics) from a recognized Yes

UTTARANCHAL
-
2015 1380710018
MARKS
55.2
university established by law in Kumaun University, Mallital, Nainital-263 14/10/2020 1104.00

India or 001, Uttarakhand. (State University). 2000.00

Preferential Qualification Details

Qualification Acquired

भारत में विधि द्वारा स्थापित किसी मान्यता प्राप्त विश्वविद्यालय से बी0एड0 उपाधि अथवा एल0टी0 उपाधि। Yes

भारत में विधि द्वारा स्थापित किसी मान्यता प्राप्त विश्वविद्यालय से एम0एड0 उपाधि । No

भारत में विधि द्वारा स्थापित किसी मान्यता प्राप्त विश्वविद्यालय से डी0फिल0 उपाधि या पी0एच0डी0 अर्हता । No

↓ Address Details ↓ Candidate's Permanent Address Candidate's Correspondence/Mailing Address

Name (C/O) : KEVLANAND UPADHYAY KEVLANAND UPADHYAY

House no./Village : TEENPANI, ASHOKA VIHAR,HOUSE NO-42 TEENPANI, ASHOKA VIHAR,HOUSE NO-42

Street No./Post Office : PHASE-2, PO- ARJUNPUR PHASE-2, PO- ARJUNPUR

State / District Name : UTTARANCHAL

UTTARANCHAL

NAINITAL
NAINITAL

Tahsil : HALDWANI
HALDWANI

Police Station : NAVEEN MANDI HALDWANI

NAVEEN MANDI HALDWANI

Block : NA
NA

Village : TEENPANI
TEENPANI

PIN : 263139 263139

 किस वर्ग के कॉलेज / संस्थान (बालक / बालिका ) के लिए आवेदन प्रस्तुत करना चाहते है?

(For which Category of College / Institute (Boys / Girls ), do you want to submit the Application? )
आप अपना आवेदन किस वर्ग के कॉलेज / संस्थान (बालक / बालिका ) के लिए प्रस्तुत करना चाहते हैं? बालिका वर्ग -कॉलेज / संस्थान (Girls Category - College / Institute)
For which Category of College / Institute (Boys / Girls ), do you want to submit your Application? :

आपके द्वारा भरा गया आवेदन पत्र के वल बालिका वर्ग -कॉलेज / संस्थान (Girls Category - College / Institute) के लिए ही चयन बोर्ड द्वारा अग्रिम कार्यवाही हेतु स्वीकार्य होगा | - Yes (हाँ)

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.

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/advertisem
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 fr
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 fa
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 sol
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 :

 
11/06/2022
, Time : 3:46:37 PM

Application Form printing Date & Time : [ 11/06/2022 ,3:47