Uttar Pradesh Subordinate Services Selection Commission,Lucknow

उर  ूदशे  अधीनःथ  सवेा  चयन  आयोग , लखनऊ 

I Declare that i have Read the detailed User Manul & Notification.

 

Notification Details ( Examination )

Advertisement Number : 7(3)/2015 Applied For :GRAM PANCHAYAT

ADHIKARI,Type of Recruitment : General

Candidate's Personal Details

Application ID : 200034506001630 Registration No. : 50600120763

Candidate Name : NITIN KUMAR  Father's/Husband's Name

:

KISHAN SWAROOP

SHARMA

Gender - Date of Birth : Male -07/08/1992Domicile of UP /

Category :Yes /GENERAL

Are you Married? No Contact No./ Email-ID :8410788349

/nknitin35@live.com

Bank Transaction Details

Bank Name - Payment

Mode :

State Bank Of India -

OTH BK DR CARD

Fees, Transaction ID -

Date:

Rs. 105.00 ,

DU24842671

-08/07/2015

Other Detail s of Candidate

Are you Dependent of UP Freedom

Fighter? No Are you UP Ex. Army? No

Service Duration (Day-Month-Year) :

0 -

0 -

0

Retirement Date(Date/Month/Year) : _ _ _ 

Are you ECO/SSCO/CO of Army ? No Have you complete 5 year service ? No

Have your services been extended for 

rehabilitation and no disciplinary action

is pending against you ?

 No

Have you ever been Debarred from U.P.

Subordinate Services Selection

Commission? :

No

Completion Date of Debarment

(DD/MM/YYYY) :../../.... Are You Handicap of UP? No

Are you Blind Or Have Vision problem? : NoAre you Deaf or Have hearing problem?

: No

 

Have you any physical Problem? : No

Are You Skilled Player Of UP? : No

Are You Govt./Ex-Govt. State Employee

of Uttar Pradesh ?No

 

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High School & Intermediate Board,Year of passing & Roll Number Details

Sr.NoExamination

Passed 

Board Name Year of  

Passing

Roll

 Number 

Obtained 

Marks

Total

Marks

1. High School UTTAR PRADESH BOARD OF HIGH

SCHOOL AND INTERMEDIATE EDUCATION

2006 0333883 367 600

2. Intermediate UTTAR PRADESH BOARD OF HIGH

SCHOOL AND INTERMEDIATE EDUCATION

2008 0198932 245 500

Essential Qualification Details

Sr

No.Qualification Acquired

Is Grade

System

Obtain

Marks

Total

Marks

Percentage

(%)

1Secondary Education Council of UP Intermediate examination or an

examination recognized by the Government to be equivalent.Yes No 245.00 500.00 49.00

2CCC certificate awarded by the DOEACC society . Date of issuance of the

Certificate must be on or before the last date of form submission.Yes N/A N/A N/A N/A

Preferential Qualification Details

Sr

No.Qualification Acquired

1

A Candidate who has (1) Served in the Territorial Army for a minimum period of 02 years or (2) Obtained B certificate of 

 National Cadet Corps (3) Rural background shall other things being equal be given preference in the matter of direct

recruitment.

No

Candidate's Address, Photo Signature Detail s

↓ Address Details

↓Candidate's Permanent Address

Candidate's

Correspondence/Mailing AddressPhoto&Signature↓

Address /Name : Nitin Kumar S/o Kishan

Swaroop Sharma

 Nitin Kumar S/o Kishan

Swaroop Sharma

House

no./Village :185 Nagala Sukharam 185 Nagala Sukharam

Street No./PO : Sahapau Sahapau

City Name : Hathras Hathras

State / District

 Name :Uttar Pradesh / HATHRAS Uttar Pradesh / HATHRAS

PIN : 281307 281307

  I accept the following declaration : Yes  

1. I here by declare that I have read all term & condition accroding advertisement and I accept it.

2. I here by declare that all the entires/statements made in this application are true, complete and correct to the best of my knowledge and 

 belief.

3. In the event of any information being found false or incorrect or ineligibility being detect before or after Selection, the commission can

take action against me as per rule incase it is detected that I have misled UPSSSC on any issue then I will solely responsible for all penel

consequences thereof.

Current status of application

Your application is under process ing.

Application Form Submission Date :  10/07/2015 , Time : 1:17:49 PM  

 Application Form printing Date & Time : [ 10/07/2015 ,1:19:20 PM ]

 

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