8/6/22, 5:50 PM Print Receipt

U.P. HIGHER EDUCATION SERVICES COMMISSION

ASSISTANT PROFESSOR RECRUITMENT
Applied For Post: ASSISTANT PROFESSOR (Advertisement no. 51/2022)

APPLICATION FORM
Application No : 2200117755 Subject:71 - Botany
Name : Rishabh Kumar Jain
Father's Name: Bimal Kumar Jain
Husband's Name:
Mother's name : Priti Bala Jain
Gender : Male
Marital Status : Unmarried
Date Of Birth(DD/MM/YYYY) : 29/10/1988
Category : UR
Physically Handicapped : No
DFF : No
Is U.P Resident : Yes
Are you a Ph.D degree holder and
have passed Post Graduation
No
examination with 50% marks before
19th September 1991?
Employment Status : Employed
Personal Details
Mobile Number : 8999739585 Email ID : ifasrishabh@gmail.com PAN Card : AJWPJ5852A
Address Details Correspondence/Mailing Address Permanent Address
F 2/3, Grasim Industries Colony, F 2/3, Grasim Industries Colony,
Address Line 1:
Renukoot-231217 Renukoot-231217
Address Line 2:
State Name : Uttar Pradesh Uttar Pradesh
District Name : Sonbhadra Sonbhadra
Nearest Post Office : Renukoot Renukoot
PIN : 231217 231217
Candidate's Educational Information
Evaluation Obtain Total Marks
Qualification Year Board/University Subject Roll No
Type Marks Marks Percentage
Math, G.Sc.,
10th or
2004 CBSE S.Sc., English, 5221507 Marks 391 500 78.20
Equivalent
Hindi
Physics,
Chemistry,
Intermediate
2006 CBSE Biology, 5701850 Marks 329 500 65.80
or Equivalent
Maths,
English
Graduation 2010 Uttar Pradesh Biotechnology 0606454036 Marks 3420 5000 68.40
Technical

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University
Defence Institute
Post Bio-
2016 of Advanced 14-13-02 Marks 1473.5 2000 73.67
Graduation Technology
Technology
Details of additional qualifications for the post (ASSISTANT PROFESSOR 2022):
Qualification Is Passed Passing Date Roll No Subject
NET Yes 17/03/2022 MR22002871 Life Sciences
J.R.F Yes 01/07/2017 357611 Life Sciences
Is your Ph.D. degree has been obtained from a foregin university/institution with a ranking among
top 500 in the world Univirsity Ranking (at any Time) by one of the following:
Quacquarelli Symonds(QS)
No
the Times Higher Eduction(THE)
the Academic Ranking of Word Universities(ARWU) of the Shanghai Jiao Tong University
(Shanhgai)?

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Declaration
Is any FIR filed in any police station against you or any case is pending in any court of law against
No
you?
Have you been debarred/disqualified by any Public Service Commission? No
During your employment (if any) whether any punishment/penalty was awarded to you or any
No
vigilance case pending as on cut off date or on the date of application?
I hereby certify that I have carefully read the advertisement No 51 that is published by UPHESC. I also
certify that the information furnished above is correct in best of my knowledge. I have not given any false
information. No Further information relevant to my candidate has been falsely declared. I am meeting all the
advertised specifications for the post applied for. I Understand that if the information furnished by me is found
to be incorrect/false or not supported by documentation proof or not meeting the eligibility criteria mentioned
in the advertisement, my candidature is liable to be rejected even after merit list.
Fee Payment Details
Application No Transaction Date/Time Amount Transaction ID Payment Mode
2200117755 2022-08-06T17:50:22.973 2000 111595231377 Online

Print Date :06/08/2022 05:50 PM

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