8/30/23, 2:40 AM Uttar Pradesh Subordinate Services Selection Commission

Uttar Pradesh Subordinate Services

Selection Commission,Lucknow
उत्तर प्रदेश अधीनस्थ सेवा चयन आयोग, लखनऊ
I Declare that i have Read the detailed User
Manual & Notification.

Notification Details :

Advt Number : 07-Exam/2023

Applied For : PRELIMINARY ELIGIBILITY TEST (PET) 2023,

Personal Details

Registration Number.
30324015019 Advertisement / Notification No
07-Exam/2023
Candidate Name ASHEESH YADAV Father's / Husband's Name SATIRAM YADAV
Mother's Name URMILA YADAV Date Of Birth 01/03/2001
Domicile Of UP Yes Home State UTTAR PRADESH
Home District AZAMGARH Gender Male
Category OBC Economically Weaker No
Sections(EWS)
Are you Married ? No Mobile Number 90* * * *8502
Email ID * * *eeshhappyjnv@gmail.com

Candidate's Other Details

Are You Dependent of UP Freedom No Are You UP Ex. Army? No
Fighter?
Are You ECO/SSCO/CO Of Army No
Are You Skilled Player Of UP? No Level of Player N/A
Employment Details Never Employment in Uttar
Pradesh
Are You Handicap of UP? No
Are you Blind Or Have Vision problem? No
Are you Deaf or Have hearing problem? No
Have you any physical Problem? No

Have you psychological/ No Have you Multiple Disabilities? No

neurological problem? : :
Additional age relaxation other than above reasons(Caste category,Sub category,Service duration etc.)

Are you claiming any additional No

age relaxation ?

Academic Qualification

Is
Examination Year of Roll Obtained Total
Board Name Grade Percentage
Passed Passing Number Marks Marks
System
CENTRAL BOARD OF
High School 2018 5033113 No 425 500 85.00
SECONDARY EDUCATION
Intermediate CENTRAL BOARD OF 2020 23604396 No 322 500 64.4

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8/30/23, 2:40 AM Uttar Pradesh Subordinate Services Selection Commission
SECONDARY EDUCATION

Additional Qualification

Certificate/Roll
Sr Name of Board/ Year Of
Qualification Acquired Number Marks Detail
No. Institute/University Passing
Issue Date
Bachelors degree from a Yes Is Grade: No
University established by Obt Marks: 1097.00
law in India or a 2383496 Tot Marks: 1350.00
1 University of 2023
qualification recognized 24/07/2023 Per: 81.26
Allahabad
by the Government as
equivalent thereto.

Preferential Qualification Details

S No. Qualification Acquired

1 Served in the Territorial Army for a minimum period of 02 years. No
2 Has been obtained National Cadet Corps B certificate. No

Bank Transaction Details

Bank Name - Payment Mode : State Bank Of India - INB Fees, Transaction ID - Date: Rs. 185.00 , CPADAVKTV4
-30/08/2023
↓ Address Details ↓ Permanent Address Correspondence/Mailing Address

Name , C/O: Asheesh Yadav Asheesh Yadav

House no./Village : Kothiya Kothiya

Street No./PO : Imalipur Imalipur
Locality/Kasba/City : Bilariyaganj Bilariyaganj
State / District Name : UTTAR PRADESH / AZAMGARH UTTAR PRADESH / AZAMGARH
Pin : 276121 276121

Declaration

1. I hereby declare that I have read all terms & conditions according
advertisement and I accept it.

2. 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.

3. In the event of any information being found false or incorrect or

ineligibility being detect before or after Selection, the commission can take
action against me as per rule Incase it is detected that I have misled UPSSSC
on any issue then I will solely be responsible for all penal consequences
thereof.
I accept the above declaration : Yes
Current status of application

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8/30/23, 2:40 AM
App. form submission date :
:02:34:07
Uttar Pradesh Subordinate Services Selection Commission
Your application is under processing.
App. form printing Date & Time : [ 30/08/2023 ,2:39:12 AM ]
DATE :30/08/2023 ,TIME

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