7/5/22, 1:02 AM Uttar Pradesh Subordinate Services Selection Commission

Notification.

Notification Details :

Personal Details

Advertisement / Notification No
Registration Number.
30205718358 04-Exam/2022
VISHAL BHARTI SANJAY KUMAR
Candidate Name Father's / Husband's Name
RAM SHREE Date Of Birth 27/05/2001
Mother's Name
Yes Home State UTTAR PRADESH
Domicile OfUP LUCKNOW
Gender Male
Home District sc
Economically Weaker Sections(EWS) No
Category No
Mobile Number * * *9302
Are you Married ? * * *styles.1144020@gmail.com
Email ID
Candidate's Other Details
re You De endent of UP Freedom Fi hter? No Are You UP Ex. Arm ? No

re You ECO/SSCO/CO Of Arm

re You Skilled Pla er Of UP? Level of Pla er N/A

Employment Details Never Employment in Uttar Pradesh
e You Handica of UP'? No

re ou Blind Or Have Vision roblem? No

re ou Deaf or Have hearin roblem? No

ave you any physical Problem'? No
ave you psychological/ neurological No roblem? . Have you Multiple Disabilities? • No
Additional age relaxation other than above reasons(Caste category,Sub category,Service duration etc.)

Are you claiming any additional age No

relaxation ?
Academic Qualification
Examination Year of Roll Obtained Total
Board Name Grade Percentage
Passed Passing Number Marks Marks
System
UTTAR PRADESH BOARD OF HIGH SCHOOL AND INTERMEDIATE
High School 2017 1144020 No 501 600 83.50
EDUCATION
UTTAR PRADESH BOARD OF HIGH SCHOOL AND INTERMEDIATE
Intermediate 2019 0906151 No 367 500 73.4
EDUCATION
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

Certificates/Documents Details
S.No. Document Name Issuing Authority Issuing Date Certificate No

Age Proof (Certificate of Matriculation) 09/06/2017

 2 Caste Certificate of SC/ST/OBC 28/08/2019

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Subordinate Services Selection Commission
Bank Transaction Details

Bank Name - Payment Mode : State Bank Of India - INB Fees, Transaction ID - Date:
Rs. 95.00 , CPABVBELWI -05/07/2022
Address Details I Permanent Address Correspondence/Mailing Address

Name , C/O: Vishal Bharti, Sanjay Kumar Vishal Bharti, Sanjay Kumar

House no./Village : Gauri Vihar Gauri Vihar

Street No./PO • Sarojini Nagar Sarojini Nagar
Locality/Kasba/City : Lucknow Lucknow
State / District Name : UTTAR PRADESH / LUCKNOW UTTAR PRADESH / LUCKNOW
Pin : 226008 226008
Declaration

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

o 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.

o 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.
Lugggpt the above declaration : Yes
Current status of application
Your application is under processing.

pp. form submission date : DATE .•05/07/2022 ,TIME App. form printing Date & Time : [ 05/07/2022 AM]
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