12/31/25, 10:25 PM 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 Number : 02-EXAM/2025
Applied For : LEKHPAL,
Candidate's Personal Details
Registration Number 56801062127 Advertisement / Notification No 02-EXAM/2025
Candidate's Name RAJ KUMAR CHAUDHARI Father's / Husband's Name BADLAWAN
Mother's Name JHINKA DEVI Date of Birth 17/09/1994
Are you a domicile of Uttar
Yes Home State UTTAR PRADESH
Pradesh?
Home District AMBEDKAR NAGAR Gender Male
Economically Weaker Sections
Category SC No
(EWS)
Are you Married? No Mobile Number 86* * * *1321
Email ID * * *aj23@[Link]
Candidate's Other Details
Are you a Dependent of
Freedom Fighter from Uttar No Ex. Servicemen Personnel Status No
Pradesh?
Ex. ECO/SSCO/CO Of Army Are you a person with disability
No No
Personnel Status? of Uttar Pradesh?
Do you have vision related Do you have hearing related
No No
disability? disability?
Do you have
Do you have multiple
psychological/neurological No No
disabilities?
disability?
Do you have locomotor
No
disability?
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12/31/25, 10:25 PM Print Application Form
Are you a Skilled Player from
No Category of Player N/A
Uttar Pradesh?
Not An Employee of Uttar Pradesh
Employment Details
Government
Claiming age relaxation other than above grounds (Caste category,Sub category,Uttar Pradesh Government Service duration etc.)
Are you claiming any additional age No
relaxation ?
Basic Academic Details
Examination Roll Is Grade Obtained Total
Board Name Year of Passing Percentage
Passed Number System Marks Marks
UTTAR PRADESH BOARD OF HIGH SCHOOL AND INTERMEDIATE
High School 2009 2069161 No 340 600 56.67
EDUCATION
Intermediate UTTAR PRADESH BOARD OF HIGH SCHOOL AND INTERMEDIATE 2011 1234657 No 292 500 58.4
EDUCATION
Certificates/Documents Details
[Link]. Document Name Issuing Authority Issuing Date Certificate No
1 Age Proof (Certificate of Matriculation) U.P Board 30/05/2009 2069161
2 Caste Certificate of SC/ST/OBC tahsil dar 10/02/2025 482254000723
Bank Transaction Details
Rs. 25.00 , 1906243193755 -
Bank Name - Payment Mode : State Bank Of India - UPI Fees, Transaction ID - Date:
2025/12/31
Details of essential qualifications for the post (LEKHPAL, ) ↓
Year Of Certificate/Roll/Reg
Sr Name of Board/
Qualification Acquired Institute/University Passing/ Number Marks Detail
No.
Registration Issue Date
माध्यमिक शिक्षा परिषद, उत्तर प्रदेश की इण्टरमीडिएट Yes Is Grade: No
1234657 Obt Marks: 292.00
1 परीक्षा या सरकार द्वारा इसके समकक्ष मान्यता प्राप्त 2011
UP BOARD 06/06/2011 Tot Marks: 500.00
कोई अन्य परीक्षा, उत्तीर्ण होना आवश्यक है। Per: 58.40
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 ↓ Permanent Address Correspondence Address
Name , C/O: VILL PANDIT KA PURA KHARAGPUR ES2 2/88
House no./Village : POST ASAGAWAN THANA AHIRAULI SECTOR F
Street No./PO : TAHSIL BHITI BLOCK BHITI JANKIPURAM
Locality/Kasba/City : AKABARPUR LUCKNOW
State / District Name : UTTAR PRADESH / AMBEDKAR NAGAR UTTAR PRADESH / LUCKNOW
Pin : 224141 226021
Declaration
मैं एतद्द् वारा 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.
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12/31/25, 10:25 PM Print Application Form
मैं एतद्द् वारा 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 एतद्द् वारा 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 :31/12/2025 ,TIME :22:23:39 App. form printing Date & Time : [ 31/12/2025 ,10:25:23 PM ]
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