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 56808360213 Advertisement / Notification No 02-EXAM/2025

Candidate's Name ANJALI MISHRA Father's / Husband's Name MARKANDEY MISHRA

Mother's Name NISHA MISHRA Date of Birth 15/02/2002

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

Home District LUCKNOW Gender Female

Category General Economically Weaker Sections (EWS) Yes

Are you Married? No Mobile Number 82* * * *3862

Email ID * * *hraanjali2868@[Link]

Candidate's Other Details

Are you a Dependent of Freedom Fighter from

No Ex. Servicemen Personnel Status No
Uttar Pradesh?
 Are you a person with disability of Uttar
Ex. ECO/SSCO/CO Of Army Personnel Status? No No
Pradesh?

Do you have vision related disability? No Do you have hearing related disability? No

Do you have psychological/neurological

No Do you have multiple disabilities? No
disability?

Do you have locomotor disability? No

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

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 Passing Roll Is Grade Obtained Total Percentage
Passed Number System Marks Marks
High School UTTAR PRADESH BOARD OF HIGH SCHOOL AND INTERMEDIATE EDUCATION 2016 1932290 No 495 600 82.50
Intermediate UTTAR PRADESH BOARD OF HIGH SCHOOL AND INTERMEDIATE EDUCATION 2018 1072075 No 369 500 73.8

Certificates/Documents Details
[Link]. Document Name Issuing Authority Issuing Date Certificate No
1 Age Proof (Certificate of Matriculation) Board of school and intermediate education uttar pradesh 15/05/2016 54051492
2 EWS Certificate uttar pradesh goverment 13/01/2026 6459

Bank Transaction Details

Bank Name - Payment Mode : State Bank Of India - UPI Fees, Transaction ID - Date: Rs. 25.00 , 7485329655626 - 2026/01/24

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

Sr Name of Board/ Year Of Certificate/Roll/Reg

No. Qualification Acquired Institute/University Passing/ Number Marks Detail
Registration Issue Date
माध्यमिक शिक्षा परिषद, उत्तर प्रदेश की इण्टरमीडिएट परीक्षा या सरकार द्वारा इसके समकक्ष Yes Is Grade: No
34033350 Obt Marks: 369.00
1 मान्यता प्राप्त कोई अन्य परीक्षा, उत्तीर्ण होना आवश्यक है। Board of High School and 2018
intermediate education 29/04/2018 Tot Marks: 500.00
Per: 73.80
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: MARKANDEY MISHRA MARKANDEY MISHRA

House no./Village : 356/SB/242 SHEELA GARDEN ALAM NAGAR 356/SB/242 SHEELA GARDEN ALAM NAGAR
Street No./PO : RAJAJIPURAM RAJAJIPURAM
Locality/Kasba/City : LUCKNOW LUCKNOW
State / District Name : UTTAR PRADESH / LUCKNOW UTTAR PRADESH / LUCKNOW
Pin : 226017 226017

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.

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Current status of application
Application form has been provisionaly accepted.
App. form submission date : DATE :24/01/2026 ,TIME :11:58:00 App. form printing Date & Time : [ 24/01/2026 ,11:59:34 AM ]