15/01/2026, 15:37 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 56805942459 Advertisement / Notification No 02-EXAM/2025

Candidate's Name ROHIT RATHAUR Father's / Husband's Name RAJENDRA RATHAUR

Mother's Name SUSHILA RATHAUR Date of Birth 03/03/2001

Are you a domicile of Uttar Pradesh? Yes Home State UTTAR PRADESH

Home District UNNAO Gender Male

Category OBC Economically Weaker Sections No

(EWS)

Are you Married? No Mobile Number 63* * * *7066

Email ID * * *itrathaur112801@[Link]

Candidate's Other Details

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

Fighter from Uttar Pradesh?

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

Personnel Status? Uttar Pradesh?

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

disability? disability?

Do you have No Do you have multiple disabilities? No

psychological/neurological
disability?

Do you have locomotor disability? No

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

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 No
relaxation ?

Basic Academic Details

Examination Board Name Year of Passing Roll Is Grade Obtained Total Percentage
Passed Number System Marks Marks
High School UTTAR PRADESH BOARD OF HIGH SCHOOL AND INTERMEDIATE EDUCATION 2016 1402593 No 507 600 84.50
Intermediate UTTAR PRADESH BOARD OF HIGH SCHOOL AND INTERMEDIATE EDUCATION 2018 1082896 No 320 500 64

Certificates/Documents Details

[Link]. Document Name Issuing Authority Issuing Date Certificate No

1 Age Proof (Certificate of Matriculation) BOARD OF HIGH SCHOOL AND INTERMEDIATE EDUCATION 15/05/2016 35197168

2 Caste Certificate of SC/ST/OBC TEHSILDAR 07/05/2025 261253003805

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15/01/2026, 15:37 Print Application Form
Bank Transaction Details

Bank Name - Payment Mode : State Bank Of India - UPI Fees, Transaction ID - Date: Rs. 25.00 , 6649838369957 -
2026/01/15

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

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

1 माध्यमिक शिक्षा परिषद, उत्तर प्रदेश Yes 2018 1082896 Is Grade: No

की इण्टरमीडिएट परीक्षा या सरकार UTTAR PRADESH BOARD Obt Marks: 320.00
द्वारा इसके समकक्ष मान्यता प्राप्त OF HIGH SCHOOL AND 29/04/2018 Tot Marks: 500.00
कोई अन्य परीक्षा, उत्तीर्ण होना INTERMEDIATE Per: 64.00
आवश्यक 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 ↓ Permanent Address Correspondence Address

Name , C/O: Rohit Rathaur Rohit Rathaur

House no./Village : Khadim ali kheda Khadim ali kheda

Street No./PO : Safipur Safipur

Locality/Kasba/City : Safipur Safipur

State / District Name : UTTAR PRADESH / UNNAO UTTAR PRADESH / UNNAO

Pin : 241504 241504

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.
✔ 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 :15/01/2026 ,TIME :15:33:43 App. form printing Date & Time : [ 15/01/2026 ,3:36:05 PM ]

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