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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 Number : 08-EXAM/2026

Applied For : EXCISE CONSTABLE (GENERAL/SPECIAL

RECRUITMENT),

Candidate's Personal Details

Registration Number 57200010595 Advertisement No. 08-EXAM/2026

Candidate's Name ARPIT KUMAR Father's / Husband's Name RAKESH KUMAR

Mother's Name KALPANA VERMA Date of Birth 20/12/2004

Are you a domicile of Uttar Yes Home State UTTAR PRADESH

Pradesh?

Home District LAKHIMPUR KHIRI Gender Male

Category OBC Economically Weaker Sections No

(EWS)

Are you Married? No Mobile Number 91* * * *7802

Email ID * * *it.vermaav03@[Link]

Candidate's Other Details

Are you a Dependent of No Ex. Servicemen Personnel Status No

Freedom Fighter from Uttar
Pradesh?

Ex. ECO/SSCO/CO Of Army No Are you a person with disability No

Personnel Status? of Uttar Pradesh?

Do you have vision related No Do you have hearing related No

disability? disability?

Do you have No Do you have multiple No

 y y p
psychological/neurological disabilities?
disability?

Do you have locomotor No

disability?

Are you a Outstanding No Category of Player N/A

Sportsperson 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

Research Scholar of the Uttar Pradesh Chief Minister's Fellowship Programme Details

Are you Research Scholar of the No

U.P. Chief Minister's Fellowship
Programme?

Basic Academic Details

Examination Board Name Year of Passing Roll Is Grade Obtained Total Percentage
Passed Number System Marks Marks
High School CENTRAL BOARD OF SECONDARY EDUCATION 2019 5138694 No 400 500 80.00
Intermediate CENTRAL BOARD OF SECONDARY EDUCATION 2021 23677249 No 459 600 76.5

Certificate/Document Details

[Link]. Document Type Issuing Authority Issue Date Certificate No

1 Age Proof (Certificate of Matriculation) CBSE 06/05/2019 1745317

2 Caste Certificate of SC/ST/OBC Tehsildar 29/04/2025 234253009680

Bank Transaction Details

Bank Name - Payment Mode : State Bank Of India - UPI Fees, Transaction ID - Date: Rs. 25.00 , 9827984583015 -
2026/06/04

Department and Post Details

Year Of Certificate/Roll/Reg
Sr Name of Board/
Qualification Acquired Passing/ Number Marks Detail
No. Institute/University
Registration Issue Date

1 माध्यमिक शिक्षा Yes 2021 23677249 Is Grade: No

परिषद, उत्तर प्रदेश CBSE Obt Marks: 459.00
की इण्टरमीडिएट 03/07/2021 Tot Marks: 600.00
या सरकार द्वारा Per: 76.50
उसके समकक्ष
मान्यता प्राप्त कोई
 परीक्षा अवश्य
उत्तीर्ण हो ।

Preferential Qualification Details

S No. Qualification Acquired

1 Served in the Territorial Army for a minimum period of two years or No

2 Obtained B certificate of National Cadet Corps No

↓ Address Details ↓
Name , C/O:

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

Permanent Address
Rakesh Kumar

Shyam nagar
near tulsi memorial hospital
kheri
UTTAR PRADESH / LAKHIMPUR KHIRI
262701

Correspondence Address

Rakesh Kumar

Shyam nagar
near tulsi memorial hospital
kheri
UTTAR PRADESH / LAKHIMPUR KHIRI
262701

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
 ✔ 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 :04/06/2026 ,TIME :12:16:06
App. form printing Date & Time : [ 04/06/2026 ,12:17:05 PM ]

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