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Print Application Form

This document is a detailed application form for the Preliminary Eligibility Test (PET) 2025 for the position of Lekhpal in Uttar Pradesh. It includes personal details of the candidate, academic qualifications, and declarations regarding the accuracy of the information provided. The application has been provisionally accepted, with submission and printing dates noted.

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0% found this document useful (0 votes)
22 views6 pages

Print Application Form

This document is a detailed application form for the Preliminary Eligibility Test (PET) 2025 for the position of Lekhpal in Uttar Pradesh. It includes personal details of the candidate, academic qualifications, and declarations regarding the accuracy of the information provided. The application has been provisionally accepted, with submission and printing dates noted.

Uploaded by

librarysingh24
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

उत्तर प्रदेश सरकार GOVERNMENT OF UTTAR PRADESH  हिन्दी

Uttar Pradesh
उत्तर प्रदेश अधीनस्थ सेवा चयन आयोग

Subordinate Services Selection Commission


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Print Application Form
Application  Photo & Signature  Other Details 
Fee Deposition & Final Submission  Print Application Form 
Uttar Pradesh Subordinate Services Selection
Commission,Lucknow
उत्तर प्रदेश अधीनस्थ सेवा चयन आयोग, लखनऊ
Detailed Application Form ( विस्तृत आवेदन पत्र )
Under: PRELIMINARY ELIGIBILITY TEST (PET) 2025

Notification Details :
Advertisement 02-EXAM/2025
Number :

Applied For : LEKHPAL,

Candidate's Personal Details


Registration Number 56805250854 Advertisement / 02-EXAM/2025
Notification No
Candidate's Name AKUL PATEL Father's / Husband's ARVIND KUMAR
Name
Mother's Name NEELAM DEVI Date of Birth 02/04/2005
Are you a domicile of Yes Home State UTTAR PRADESH
Uttar Pradesh?
Home District RAEBARELI Gender Male
Category OBC Economically Weaker No
Sections (EWS)
Are you Married? No Mobile Number 90* * * *4243
Email ID * * *elakul217@[Link]
Candidate's Other Details
Are you a Dependent of No Ex. Servicemen No
Freedom Fighter from Personnel Status
Uttar Pradesh?
Ex. ECO/SSCO/CO Of No Are you a person with No
Army Personnel Status? disability of Uttar
Pradesh?
Do you have vision related No Do you have hearing No
disability? related disability?
Do you have No Do you have multiple No
psychological/neurological disabilities?
disability?
Do you have locomotor No
disability?

Are you a Skilled Player No Category of Player N/A


from Uttar Pradesh?
Employment Details Not An Employee of Uttar Pradesh
Government
Claiming age relaxation other than above grounds (Caste category,Sub category,Uttar Pradesh
Government Service duration etc.)
Are you claiming any additional age relaxation ?
No

Basic Academic Details


Examination Board Name Year of Roll Is Obtained Total Percentage
Passed Passing Number Grade Marks Marks
System
High School UTTAR PRADESH BOARD OF 2020 1228464 No 536 600 89.33
HIGH SCHOOL AND
INTERMEDIATE EDUCATION
Intermediate CENTRAL BOARD OF 2022 23716541 No 346 500 69.2
SECONDARY EDUCATION

Certificates/Documents Details
[Link]. Document Name Issuing Authority Issuing Certificate No
Date
1 Age Proof (Certificate Uttar Pradesh board of high 27/06/2020 36217477
of Matriculation) school and intermediate
education
2 Caste Certificate of Tehsildar 20/12/2025 281253015062
SC/ST/OBC

Bank Transaction Details


Bank Name - Payment State Bank Of India - UPI Fees, Transaction ID - Rs. 25.00 ,
Mode : Date: 3735212925618 -
2026/01/13

Details of essential qualifications for the post (LEKHPAL, ) ↓


Sr Qualification Acquired Name of Board/ Year Of Certificate/Roll/Reg Marks
No. Institute/University Passing/ Number
Registration Issue Date Detail
Registration Issue Date
1 माध्यमिक शिक्षा Yes 2022 23716541 Is
,
परिषद उत्तर Central board of Grade:
प्रदेश की secondary 22/07/2022 No
इण्टरमीडिएट education Obt
परीक्षा या Marks:
सरकार द्वारा 346.00
इसके समकक्ष Tot
मान्यता प्राप्त Marks:
कोई अन्य 500.00
,
परीक्षा उत्तीर्ण Per:
होना आवश्यक 69.20
है।

Preferential Qualification Details


S No. Qualification Acquired
1 Served in the Territorial Army for a minimum period of two years or No
2 Has been obtained National Cadet Corps B certificate No

↓ Address Details ↓
Name , C/O:

House no./Village :
Street No./PO :
Locality/Kasba/City :
State / District Name :
Pin :

Permanent Address
Akul patel, village -saraura ,post-isia, Raebareli

Saraura
Isia
Bachhrawan
UTTAR PRADESH / RAEBARELI
229301

Correspondence Address
Akul patel, village -saraura ,post-isia, Raebareli

Saraura
Isia
Bachhrawan
UTTAR PRADESH / RAEBARELI
229301

Declaration
/
✔ मैं एतद्द्वारा घोषणा करता करती हूं कि मैंने विज्ञापन भलीभांति पढ़ लिया है और मैं इसके सभी
/
नियम और शर्तों को स्वीकार करता करती हूं ।
I hereby declare that I have read the advertisement and I accept all the terms &
conditions of the same.
✔ मैं एतद्द्वारा घोषणा करता/करती हूं कि इस आवेदन में की गई सभी प्रविष्टियां/विवरण मेरी
जानकारी और विश्वास के अनुसार सत्य, पूर्ण और सही हैं।
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.
✔ मैं एतद्द्वारा घोषणा करता/करती हूं कि आवेदन की अंतिम तिथि तक मुख्य परीक्षा के लिए
निर्धारित सभी शैक्षणिक/अन्य पात्रता मानदंडों को पूरा करता/करती हूं । मै अवगत हूं कि मेरे द्वारा
प्रस्तुत की गई कोई भी जानकारी गलत/असत्य पाये जाने की दशा में मेरा अभ्यर्थन आयोग द्वारा निरस्त
कर दिया जाएगा ।
I hereby declare that I fulfil all the educational/ other eligibility criteria
prescribed for the Main Examination in respect of the post being applied for, as
on the last date of application. I am aware that in case any of the information
submitted by me is found to be incorrect or false, then my candidature shall be
liable to be cancelled by the Commission.

Please login with your PET registration number to avail the Dashboard facility for all
activities of recruitment process.
Current status of application
Application form has been provisionaly accepted.
App. form submission date : DATE :13/01/2026 ,TIME :12:23:17
App. form printing Date & Time : [ 13/01/2026 ,1:44:40 PM ]
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