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Personal Examination Educational Parental Employment Upload Payment Final

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Information Information Information Information Information Documents Module Submission

Candidates are advised to refer Instructions to the Candidate

Candidates are advised to refer to Guidelines for filling up Online DAF-I

PERSONAL INFORMATION

Roll No : 5808367

Name : VIKUS PATEL

Date Of Birth : 18-02-90

Gender : MALE

Address for Correspondence Line 1* : Use Only - , . ' special characters

Line 2:

Post Office:

City :

State* : Select State


District* :
Select District

Pincode* :

STD Code and Phone :

Fax :

Mobile : 9056365894

Email : VIKUS.PATEL@GMAIL.COM

Check here if your Permanent postal address is same as Correspondence address.


Permanent Postal Address Line 1* :

Line 2:

Post Office:

City :

State* : Select State


District* :
Select District

Pincode* :

Community : OBC
Note 1: No change in the community status already indicated by candidate in his / her
application form for this examination will be allowed by the Commission except in the
circumstances mentioned in the Rule 26 of CSE Rules, 2021.
Note 2: In case you are a 'SC, ST, OBC(Non Creamy Layer) or EWS' candidate, upload a
scanned copy of certificate in support of your claim. For, SC/ST/OBC(Non Creamy
Layer)/EWS candidates, it should be issued prior to the date of closure of online application
form for Civil Services (Preliminary) Examination,2021 (i.e. prior to 24.03.2021).
Note 3:'Income and Asset Certificate' based on the income for Financial Year 2019-20 (i.e.
for the period from 1st April, 2019 to 31st March, 2020) must only be submitted to claim
the benefit of the Economically Weaker Section reservation as per the prescribed format
and such candidates must meet the Income and Asset criteria issued by the Central
Government. Certificate of any other Financial Year shall not be treated as valid.
Note 4: In case you are an OBC candidate, OBC(Non-Creamy Layer) certificate based on
the income for the Financial Years (FYs) 2019-2020, 2018-2019 and 2017-2018 must only
be submitted.
Certificate No.* : VLS/DES/2008/ CST/148

Date of Issue* : 14-07-08


Certificate should be issued prior to the date of closure of online application form for Civil
Services (Preliminary) Examination, 2021 (i.e. prior to 24.03.2021).
Designation of issuing Authority* : BLOCK DEVELOPMENT OFFICER DESARI VAISHALI BIHAR

Full address of issuing authority* :

Please state whether you belong to


NO
Creamy Layer or not
Name of the Caste/Tribe/Community as mentioned
in the Community Certificate and Name of the issuing NAME OF THE CASTE/TRIBE/COMMUNITY Select State
State* :
Central list with SL. No. of Caste/Tribe/Community
Central List for OBC ( ncbc.nic.in/User_Panel/CentralListStateView.aspx )
*:

Age Relaxation claimed: NO

Marital Status * Select Marital Status


Residence Status
Nationality * : INDIAN

Citizenship Status * : Select HELP


Click on help to get codes.
If born in India : Yes No
Place of Birth
Post Office :

City/Town/Village * :

State* : Select State


District :
Select District

Pin Code * :

Mother Tongue * : Select Mother Tongue


Have you ever been recommended as a PH/ PwBD
candidate in the examination conducted by the UPSC in Select
the past?* :
If yes, mention name and year of the examination
(s) with Roll No.* :

Name of the Examination Year of the Roll NO


Examination
Add
More

Whether such recommendation was on the basis of


the Certificate of Disability NOW UPLOADED by you for Select
the CS(M) Exam,2021* :
After any such recommendation by the UPSC were
you ever found UNFIT/NOT RECOMMENDED by the
Central Standing Medical Board or any other Medical Select
Board constituted by the Goverment with regard to
your physical disability?* :
if yes, provide details thereof* :

Candidate with benchmark disability : NO

Photo Identity Card* AADHAR CARD

908123025363

Note 1: Upload a scanned copy of Photo Identity Card


Note 2: Photo Identity Card to be carried by the candidate in the examination hall.

(*) - Star marked fields are essentially to be filled by the candidate.

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Personal Examination Educational Parental Employment Upload Payment Final
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Candidates are advised to refer Instructions to the Candidate

Candidates are advised to refer to Guidelines for filling up Online DAF-I

Specific Details for Civil Services (Main) Examination

Do you hail from Arunachal If No, Select the Language for paper A
Pradesh/Manipur/Meghalaya/Mizoram/Nagaland/Sikkim and are claiming NO
HINDI
exemption from appearing in INDIAN LANGUAGE FOR PAPER A? :

Optional Subject for paper VI & VII * : POLITICAL SCIENCE & INTERNATIONAL RELATIONS

Choice of Centre for Examination*: Delhi

Do you want to change your Centre for Main Examination?* : YES NO

Language Medium for Examination for Paper I to Paper V (Essay and


ENGLISH
General Studies) :
Language Medium for Examination for Paper VI to Paper VII (Optional
ENGLISH
Subject at (b) of Col. 11 above) :
NOTE : In case of candidates opting for literature in any of the Indian Language
as optional subject for papers VI & VII , they would have to write these two
papers (VI & VII) in the script specified for that particular language as given in
Annexure IV of Instructions to candidate.

Language Medium for Interview Test*: [Select Medium of Interview Test]

Note 1 : The candidates, opting for Indian Language medium for the written part
of the Civil Services (Main) Examination, may choose either the same Indian
Language or English or Hindi as the medium for the interview.

Note 2: The candidates, opting to write the Civil Services (Main) Examination in
English, may choose as the medium for interview either English, or Hindi, or any
other Indian Language opted by them for the compulsory Indian Language Paper
in the written part of the Civil Services (Main)Examination. However, the
candidates, who are exempted from the compulsory Indian Language Paper, will
have to choose either English or Hindi as medium of Interview for Personality
Test.

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Candidates are advised to refer Instructions to the Candidate

Candidates are advised to refer to Guidelines for filling up Online DAF-I

EDUCATIONAL INFORMATION

Particulars of all examinations passed Commencing with Matriculation or equivalent examination till Graduation *:-
Please fill either Percentage of Marks or CGPA and leave other blank.

Note : Please read disclaimer before selecting Degree/University details. Disclaimer


CGPA
Percentage Name of
Examination Class/Division Year of Name of
of Subject(s) School/College
Passed /Grade Out Passing Board/University
Marks(%) Score /Institution
of

10th or Equivalent

12th or Equivalent

Select Stream at Graduation Level Select

Select Graduation Degree Select Graduation University

Save

Note: Candidates will be required to submit information about higher educational qualifications achievements in different fields, service
experience and upload supporting documents/certificates, OBC Annexure (for OBC category only), EWS Annexure (for EWS category
only), etc at DAF-II stage.

Do you possess the prescribed Educational


Qualification (Vide rule-6 of the rules of the
Select
examination). Please upload a scanned copy of the
Certificate if answer is "YES" *

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Candidates are advised to refer Instructions to the Candidate

Candidates are advised to refer to Guidelines for filling up Online DAF-I

PARENTAL INFORMATION

Name of Father : RAJ KUMAR SINGH

Whether Father Alive / Deceased : Alive Deceased


Name of Mother : MADHU KALASH DEVI

Whether Mother Alive / Deceased : Alive Deceased


Nationality of Father * : Select Nationality
Nationality of Mother * : Select Nationality
Father's present Postal Address Line 1 :
If deceased give last address.
Do not enter your name again in the address field.
Line 2:

Post Office:

City :

State : Select State


District :
Select District

Pincode :

Check here if your Mother's postal address is same as Father's present Postal Address.

Mother's present Postal Address Line 1 :


If deceased give last address.
Do not enter your name again in the address field.
Line 2:

Post Office:

City :

State : Select State


District :
Select District

Pincode :

Father's Profession:* :
Select Profession of Parents / Guardian

Mother's Profession:* :
Select Profession of Parents / Guardian

If your Father is in service,indicate the post held by


him
, If retired indicate the post held by him at the time of
his retirement, otherwise fill "NOT APPLICABLE"*
If your Mother is in service,indicate the post held by
her
,If retired indicate the post held by him at the time of
his retirement, otherwise fill "NOT APPLICABLE"*
Annual income of your Father:* :
If deceased or no income enter '0'.
Annual income of your Mother:* :
If deceased or no income enter '0'.
State to which your Father originally belongs:* : Select State
District to which your Father originally belongs:* :
Select District

State to which your Mother originally belongs:* : Select State


District to which your Mother originally belongs:* :
Select District

Whether your family owns or possesses any Yes No


of the following assets :*
i) 5 acres of agricultural land and above;
ii) Residential flat of 1000 sq ft. and above;
iii) Residential plot of 100 sq. yards and above
in notified municipalities;
iv) Residential plot of 200 sq. yards and above
in areas other than the notified municipalities.

(*) - Star marked fields are essentially to be filled by the candidate.

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Candidates are advised to refer Instructions to the Candidate

Candidates are advised to refer to Guidelines for filling up Online DAF-I

Employment Information

Have you been ever Employed. * : Select

Have you ever been debarred by the UPSC from


Select
any of its Examinations/Selections? * :

How many times have you appeared at the Civil Services


(Preliminary) Examination so far,including the current
Examination select
held in October, . * :
(Select 1,2,3,4,5....etc. in the opposite box as the case may be)

If you have appeared at the Civil (YEAR)


Services(Preliminary)Examination
held by the UPSC,write in boxes opposite the year or years (ROLL NO.)
of
examination in which you appeared so far,including CS(P), (YEAR)
2021
in ascending chronological order. (ROLL NO.)
(If you do not remember your Roll No. enter "0".)

(YEAR)

(ROLL NO.)

Have you ever accepted allocation to a Service/Post on the


basis of Select
Civil Service Examination held in earlier years?* :

Save
After any updation it must be saved by clicking save button.

Whether you have ever applied for U.P.S.C


Select
Examinations/Recruitments :- * :

(*) - Star marked fields are essentially to be filled by the candidate.

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Warning ! :-- Every time you update any information ,it is essential to save by clicking both "Save" and "Save & Continue" Buttons ,otherwise the updated
information will not be saved.
Personal Examination Educational Parental Employment Upload Payment Final
Home Logout
Information Information Information Information Information Documents Module Submission

Candidates are advised to refer Instructions to the Candidate

Candidates are advised to refer to Guidelines for filling up Online DAF-I

Upload Documents

Instructions

1.Please Upload all the documents as specified in the instructions to candidates for filling Detailed Application Form.

2.You may scan the document(s) in 200 dpi grey scale and convert to separate pdf files up to 1 MB. The PDF so created must not be password
protected.

3.You must ensure that uploaded pdf file is legible.

List of Enclosures to be uploaded by the candidates :

Scanned Copy of proof of date of birth as prescribed in Para below Note IV under Rule 5 of
1. Upload
the rules for the exam. [Col. 1(a) of this form]
Scanned Copy of certificate in support of claim for age relaxation (where applicable)[Col. 1
2.
(c) of this form.]
Scanned Copy of Certificate in support of claim to belong to SC / ST / OBC (Non Creamy
3. Layer)/EWS (details of which have been indicated in Col.8), UNDERTAKING FOR OBC/EWS Upload
CANDIDATES, as applicable
4. Scanned Copy of certificate in support of claim to being PwBD. [Col. 9 of this form]
A scanned copy of Hailing Certificate to show that the candidate hails from Arunachal
5.
Pradesh/Manipur/ Meghalaya/ Mizoram/ Nagaland or Sikkim (Where applicable)
A scanned copy of an Undertaking ‘B’/self-declaration by those Hard of Hearing candidates
with Benchmark Disability who have been granted such exemption from 2nd or 3rd
6. language courses by the concerned education Board/University and who are availing the
Exemption from appearing in Indian Language Paper A . [Ref. para 18(1) of the Instructions
to candidates annexed]
Scanned Copy of the certificate of graduation or equivalence educational qualifications
7. (including a copy of recognition letter / equivalence certificate from AIC/UGC, if applicable) Upload
[Col. 14 of this form]
Copy of the selected Photo ID Proof (viz. Aadhaar Card, Voter Card, PAN Card, Passport,
8. Upload
Driving Licence or any other Photo ID Proof issued by the Central/State Government.)
Undertaking “A” for Government employees in the prescribed format annexed with
9. Instructions to Candidates. [Ref. Col. 15(i) of this form and Para 13 of the Instructions to
the candidate]

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Personal Examination Educational Parental Employment Upload Payment Final
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Information Information Information Information Information Documents Module Submission

Candidates are advised to refer to Guidelines for filling up Online DAF

Payment

Payment By Cash
Through any SBI Branch

Pay By Card

Visa/Master/Rupay/Prepaid Credit/Debit Card Payment Gateway

Pay By Net Banking


State Bank of India State Bank Of Mysore State Bank of Travancore

State Bank of Hyderabad State Bank of Patiala State Bank of Bikaner and Jaipur

If you have already paid fee through Net Banking( In case of Failure ) you can update the status by clicking Status

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