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 : 01/2022/
General

Applied For Post : Uttar Pradesh Secondary Education Service Selection Board, Prayagraj
/
TGT - BIOLOGY

Applied Under : बालक वर्ग -कॉलेज / संस्थान (Boys Category - College / Institute)

Candidate's Personal Details Photo and Signature

Application ID : UP0020091751005046977
Candidate Registration No. : UP00210050957679
Candidate Name : SNEHA TRIPATHI

Father's/Husband's Name : ANJANI KUMAR TRIPATHI

Mother's Name : SHAKUNTALA TRIPATHI

Gender - Date of Birth : Female

-
29/04/1999

Are you Domicile of UP? / Category : Yes

/
GENERAL

Are you Married? : No

Contact No./ Email-ID : XXX-XXX-6185

   / 
****atripathinishi@gmaip.com

Economically Weaker Sections(EWS) Details

Are you Economically Weaker Sections(EWS)?: Yes Are you possessing the EWS Certificate? : Yes

EWS Certificate Number : 3380 EWS Certificate Issue Date : 28/06/2022

EWS Issuing Authority Name, Details : DIStrict magistrate

Bank Transaction Details

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

Fees, Transaction ID - Date : Rs. 450.00 , CPABVUHMI0

-
12/07/2022

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

High School UTTAR PRADESH BOARD OF HIGH SCHOOL AND INTERMEDIATE EDUCATION 2015 1806083 501 600

Intermediate UTTAR PRADESH BOARD OF HIGH SCHOOL AND INTERMEDIATE EDUCATION 2017 1301254 381 500

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. B.Sc. with Biology (Zoology and Yes

UTTAR PRADESH
-
2020 707154
MARKS
72.8
Botany) from a recognized University of Allahabad, Allahabad-211 002, 27/11/2020 984.00

University established by law in Uttar Pradesh. (Central University). 1350.00

India.

2. B.Ed degree from a recognized Yes

UTTAR PRADESH
-
2022 22483268
CGPA
88.8
university established by law in University of Allahabad, Allahabad-211 002, 22/06/2022 9.35

India or Uttar Pradesh. (Central University). 10.00

3. Graduate and B.Ed (for 4-year No

-
0.00
integrated degree) from the N/A
concerned subject mentioned in the
qualification given in the Uttar
Pradesh Secondary Education Act
1921 Chapter-2 Regulation-1
Appendix (a).

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) : ANJANI KUMAR TRIPATHI ANJANI KUMAR TRIPATHI

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

House no./Village : 66521A RAJROOPPUR PRAYAGRAJ 66521A RAJROOPPUR PRAYAGRAJ

Street No./Post Office : RAJROOPPUR RAJROOPPUR

State / District Name : UTTAR PRADESH

UTTAR PRADESH

PRAYAGRAJ
PRAYAGRAJ

Tahsil : SADAR
SADAR

Police Station : GHUMANGANJ

GHUMANGANJ

Block : NA
NA

Village : NA
NA

PIN : 211011 211011

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? बालक वर्ग -कॉलेज / संस्थान (Boys 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 बालक वर्ग -कॉलेज / संस्थान (Boys 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 :

 
15/07/2022
, Time : 1:09:01 PM

Application Form printing Date & Time : [ 15/07/2022 ,1:09