04/08/2025, 17:31 Application Form Submitted Successfully Confirmation

Public Service Commission U.P., PRAYAGRAJ

लोक सेवा आयोग उ0प्र0, प्रयागराज
Detailed Application Form ( विस्तृत आवेदन पत्र )

Notification Details ( Examination )

Advertisement Number : A-5/E-1/2025
GOVERNMENT COLLEGES AND DEPT. OF
Department/Directorate
EMPOWERMENT OF PERSONS WITH
Name :
DISABILITIES
ASSISTANT TEACHER (MALE/FEMALE)
Applied for Post :
COMMERCE,
Type of Recruitment : GENERAL RECTT.
Candidate's Personal Details
OTR Number : 529156379010 Application ID : 009190743003004
Candidate's Name Father's/Husband's
MANOJ KUMAR YADAV VIJAY BAHADUR YADAV
: Name :
Mother's Name : SAVITRI DEVI Gender : Male
Date of Birth : 15/09/1987 Domicile of UP : Yes
Home State : UTTAR PRADESH Home District : DEORIA
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04/08/2025, 17:31 Application Form Submitted Successfully Confirmation

Category : OBC Marital Status : Married

Mobile Number : XXX-XXX-3777 Email-ID : ****rmanoj1591987@[Link]
Bank Transaction Details
Payment Gateway : State Bank Of India Payment Mode : INB
Transaction ID -
Fee Amount : Rs. 125.00 CPAFLTMZL8 - 04/08/2025
Date:
Candidate's Other Details :
Are you Dependent of Are You Skilled
No No
UP Freedom Fighter? Player of UP? :
Are You Extra
No Level of Player : ---
Ordinary Player of UP?
Service Duration
Are you UP Ex. Army? No 0-0-0
(Day-Month-Year) :
Retirement Are you
Date(Date/Month/Year) - - - ECO/SSCO/CO of No
: Army ?
Have your services
been extended for
Have you completed 5 rehabilitation and
No No
year service ? no disciplinary
action is pending
against you ?
Are You State Govt.
Employee of Uttar No
Pradesh ? :
Have you ever been Completion Date of
Debarred from UPPSC No Debarment N/A
?: (DD/MM/YYYY) :
Are You Physically A). Are you Blind
Handicapped No or Have Vision No
(Divyangjan) ? problem? :
C). Have you any
B). Are you Deaf or Physical Problem
Have hearing No (Locomotor No
problem? : disability or
Cerebral Palsy)? :
D). Have you any
Neurological E). Have you Multiple Disabilities? : No
Problem? : No
Basic Academic Qualification Details :
Examination Year of
S No Board Name Roll Number
Passed Passing
UTTAR PRADESH BOARD OF HIGH
1. High School SCHOOL AND INTERMEDIATE 2001 1547667
EDUCATION
Essential Qualification Details
Sr. No. Qualification Affirmation
GOVERNMENT COLLEGES:-
1. (1) Graduation degree in Commerce from a University/Deemed University/ Institution established by law in India Yes
(2) Degree of Graduation in Education ([Link].) in a course recognized by NCTE in India

Preferential Qualification Details

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Sr. No. Qualification Acquired

1. Served in the territorial army for a minimum period of two years No
2. Obtained a B certificate of National Cadet Corps No

Candidate's Permanent & Communication Address Details :

Permanent Address Correspondence/Mailing Address
VIJAY BAHADUR VIJAY BAHADUR
Address (Line 1 2 3) : YADAV, VILLAGE Address (Line 1 2 3) : YADAV, VILLAGE
LERHA, POST LERHA LERHA, POST LERHA
House No. : NA , NA House No. : NA , NA
Street No./PO : NA Street No./PO : NA
City Name : DEORIA City Name : DEORIA
State : UTTAR PRADESH State : UTTAR PRADESH
District Name : DEORIA District Name : DEORIA
PIN : 274202 PIN : 274202
I accept the following declaration : :Yes
1. I hereby declare that I have read all terms & conditions according to the advertisement and I accept it.
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.
3. I under take that if any information furnished or documents submitted by me are found to be false or
have been concealed, then my application/candidature is liable to be rejected/cancelled by UPPSC.
Accepted : Application form has been Provisionally accepted.
Application Form Submission Date : 04/08/2025 , Application Form printing Date & Time : [
Time : 17:32:09 04/08/2025 ,17:32:20 ]

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