Public Service Commission U.P.

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

Notification Details ( Examination )

Advertisement Number : A-1/E-1/2024

Department/Directorate Name : PCS EXAMINATION

Applied for Post : पी0सी0एस0 परीक्षा-2024,

Type of Recruitment : GENERAL RECTT.

Candidate's Personal Details

OTR Number : 684815150615 Application ID : 009188112000163

Candidate's Name : MANSI JAISWAL Father's/Husband's Name : PRATAP JAISWAL
Mother's Name : MADHURI JAISWAL Gender : Female
Date of Birth : 02/02/1998 Domicile of UP : Yes
Home State : UTTAR PRADESH Home District : GORAKHPUR
Category : OBC Marital Status Single
Mobile Number : XXX-XXX-3368 Email-ID : ****[email protected]

Bank Transaction Details

Payment Gateway : State Bank Of India Payment Mode : INB
Fee Amount : Rs. 125.00 Transaction ID - Date: CPADKCENZ7 - 01/01/2024

Candidate's Other Details :

Are you Dependent of UP Are You Skilled Player of UP?
No No
Freedom Fighter? :
Are You Extra Ordinary Player
No Level of Player : ---
of UP?
Service Duration (Day-Month-
Are you UP Ex. Army? No 0-0-0
Year) :
Retirement Are you ECO/SSCO/CO of
// No
Date(Date/Month/Year) : Army ?
Have your services been
Have you completed 5 year extended for rehabilitation and
No No
service ? no disciplinary action is
pending against you ?
Are You Physically
A). Are you Blind or Have
Handicapped (Divyangjan) of No No
Vision problem? :
Uttar Pradesh?
C). Have you any Physical
B). Are you Deaf or Have
No Problem (Locomoter disability No
hearing problem? :
or Cerebral Palsy)? :
D). Have you any Neurological
E). Have you Multiple Disabilities? : No
Problem? : No
Are You State Govt. Employee Service Duration (Day-Month-
No 0-0-0
of Uttar Pradesh ? : Year) :
Have you ever been Debarred Completion Date of
No N/A
from UPPSC ?: Debarment (DD/MM/YYYY) :

Basic Academic Qualification Details :

S No Examination Passed Board Name Year Of Passing Roll Number

1. High School OTHER BOARDS 2012 2788997
Essential Qualification Details
Evalation Type
Year Of Passing
Obtained Marks
Sr. No. Qualification AffirmationUniversity/Institute Cert/Roll Number
Total Mark
Issue Date
Percentage
Bachelors degree from any N/A
recognized University up to the N/A
1. Yes N/A
last date for receipt of N/A
N/A
Application N/A

A. Are You Graduate? : Yes B. Are You Post Graduate? : No

You have opted these Subjects in Graduation
Sr.No. Graduation Subject Name Acquired
1. Zoology Yes
2. Other Subject Yes

Other Essential Qualification for Specific Post :

Note:- “In case of special educational Qualification posts, the candidates must mention their options clearly, ‘yes’, in that conditions only they
shall be considered for the posts bearing special education qualification.”
( नोटः - ‘‘अभ्यर्थियों द्वारा विशिष्ट अर्हता वाले पदों हेतु स्पष्ट रूप से विकल्प ‘‘हॉं’’ दिये जाने की स्थिति में ही उन्हें विशिष्ट अर्हता वाले पदों हेतु विचार
किया जायेगा।’’)
Specific Post Details With Other Essential Qualification :
Sr.No. Name Of Post Essential Qualification Acquired (Yes/No)
Specific Post Type
क्र.सं. पद का नाम अनिवार्य योग्यता चयन (हां / नहीं)
Post Graduate Degree in mathematics or
Mathematical Statistics or Statistics or Agricultural
Statistical Officer, under U.P. Statistics from an university recognized by Law in
Specific qualifying Agriculture Service Grade-2 India or equivalent qualification recognised by the
Section-C (Statistics Branch)
posts through written
1. Government. No
examination and उ0प्र0कृ षि सेवा श्रेणी -II सेक्शन
interview – “सी” (सांख्यिकी शाखा) के भारत में विधि द्वारा स्थापित किसी विश्वविद्यालय से गणित
अन्तर्गत, सांख्यिकीय अधिकारी या गणितीय सांख्यिकी या सांख्यिकी या कृ षि सांख्यिकी में
स्नातकोत्तर उपाधि या सरकार द्वारा उसके समकक्ष
मान्यता प्राप्त कोई अर्हता।
Assistant Controller Legal Degree in Science with Physics or Mechanical
Measurement (Grade-II) Engg. As one subject
2. सहायक नियंत्रक विधिक माप No
एक विषय के रूप में भौतिकी या यांत्रिकी अभियंत्रण
विज्ञान (ग्रेड-II)
सहित विज्ञान में स्नातक उपाधि।
(i) A bachelors degree from a University established
by law in India (ii) Diploma in Hotel Management
and Catering Technology from an Institution
recognized by the Government. Or A bachelors
degree in Hotel Management and Catering
Management Officer/ Manager Technology from a University established by law in
(Estate Department) India.
3. व्यवस्था अधिकारी/व्यवस्थापक No
(एक) भारत में विधि द्वारा स्थापित किसी विश्वविद्यालय से
(राज्य सम्पत्ति विभाग )
स्नातक उपाधि। (दो) सरकार द्वारा मान्यता प्राप्त किसी
संस्था से होटल मैनेजमेंट एण्ड कै टरिं ग टेक्नालाजी में
डिप्लोमा। या भारत में विधि द्वारा स्थापित किसी
विश्वविद्यालय से होटल मैनेजमेंट एण्ड कै टरिं ग टेक्नालाजी
में स्नातक उपाधि।
Sub Registrar Law Graduate
4. No
उपनिबन्धक विधि स्नातक
Post Graduate Degree in Arts, Science or commerce
Asstt. Director of Industries
or Technology from a recognised Institution or
(Handloom) University or atleast Bachelor Degree in Textile.
5. No
सहायक निदेशक उद्योग किसी विश्वविद्यालय या किसी मान्यता प्राप्त संस्था से
(हथकरघा) कला, विज्ञान या वाणिज्य या प्रौद्योगिकी में स्नातकोत्तर
उपाधि या वस्त्रोद्योग में कम से कम स्नातक उपाधि ।

Do You Know Hindi in Devnagari Lipi? : Yes

Candidate's Permanent & Communication Address Details :
Permanent Address Correspondence/Mailing Address
PRATAP JAISWAL, EWS-73 VISTAR PRATAP JAISWAL, EWS-73 VISTAR
NAGAR BARGADWA NAGAR BARGADWA
GORAKHNATH GORAKHPUR, GORAKHNATH GORAKHPUR,
Address (Line 1 2 3) : Address (Line 1 2 3) :
EWS-73 VISTAR NAGAR EWS-73 VISTAR NAGAR
BARGADWA GORAKHNATH BARGADWA GORAKHNATH
GORAKHPUR GORAKHPUR
House No. : EWS-73 , NA House No. : EWS-73 , NA
Street No./PO : 273007 Street No./PO : 273007
City Name : GORAKHPUR City Name : GORAKHPUR
State : UTTAR PRADESH State : UTTAR PRADESH
District Name : GORAKHPUR District Name : GORAKHPUR
PIN : 273007 PIN : 273007

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 : 01/01/2024 , Time : 20:22:59 Application Form printing Date & Time : [ 01/01/2024 ,20:23:01 ]