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UNION PUBLIC SERVICE COMMISSION

DETAILED APPLICATION FORM [DAF]-I
CIVIL SERVICES (MAIN) EXAMINATION, 2024

RID. : 12416794736
Roll No. : 0805000
Name : AYUSH KUMAR
Email : [email protected]
Mobile : 8102081080

1. (a) Date of Birth | 17-02-2003

(b) Age Relaxation claimed | NO

2. (a) Address for correspondence to which | JUDGE COLONY KHAGAUL PATNA

Communication is to be sent | KHAGAUL
Post Office: | KHAGAUL
City: | PATNA
District: | PATNA
State : | BIHAR
Pin Code : | 801105
(b) Telephone No. (with STD Code) | -
(c) Mobile No. | 8102081080
(d) Fax No. |
(e) E-mail address | [email protected]
(f) Permanent Postal Address | JUDGE COLONY KHAGAUL
| PATNA
Post Office: | KHAGAUL
City: | PATNA
District: | PATNA
State : | BIHAR
Pin Code : | 801105

3. Gender : | MALE

4. Marital Status : | UNMARRIED

(If Married, Nationality of spouse) |
5. (a) Citizenship : | A CITIZEN OF INDIA.(1)
(b) Nationality : | INDIAN

6. Mother tongue : | HINDI

7. Place of Birth :
If born in India: | YES
Post Office | BARIDIH
City/Town/Village | JAMSHEDPUR

Roll No. :- 0805000 |

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District | EAST SINGHBHUM
State | JHARKHAND
Pincode | 831017

8. (a) Community |
Note 1: No change in the community status already indicated by candidate in his / her application form for
this examination will be allowed by the Commission except in the circumstances mentioned in the
Rule 26 of CSE Rules, 2022.
Note 2: In case you are a 'SC, ST, OBC(Non Creamy Layer) or EWS' candidate, upload a scanned copy of
certificate in support of your claim. For, SC/ST/OBC(Non Creamy Layer)/EWS candidates, it should be
issued by the date of closure of online application form for Civil Services (Preliminary)
Examination,2022 (i.e. 22.02.2022).
Note 3: 'Income and Asset Certificate' based on the income for Financial Year 2020-21 (i.e. for the period from
1st April, 2020 to 31st March, 2021) must only be submitted to claim the benefit of the Economically
Weaker Section reservation as per the prescribed format and such candidates must meet the
Income and Asset criteria issued by the Central Government. Certificate of any other Financial Year
shall not be treated as valid.
Note 4: In case you are an OBC candidate, OBC(Non-Creamy Layer) certificate based on the income for the
Financial Years (FYs) 2020-2021, 2019-2020 and 2018-2019 must only be submitted.
(b) Certificate No. |
(c) Date of issue |
(d) Designation of issuing authority |

(e) Full address of issuing authority |

(f) Name of the Caste as mentioned in |

the Community Certificate and |
Name of the issuing State.
[For SC/ST/OBC Candidates]
(g) If you belong to any of the minority
Communities notified by the Government
(Muslim/Christians/Sikhs/Buddhists/
Zoroastrians[Parsi]/Jains) | NO
(h) If yes, Name of the Minority
community |

9.1.(a) Whether you are a candidate with | NO

Benchmark Disability
(b) Category |
(b).2 If yes, Indicate Form Type of the |
Certificate of Disability

(c) Percentage of disability as indicated in |

the Certificate of Disability
(d) Certificate No. |
(e) Date of Issue |
(f) Designation of issuing authority |
(g) Full address of issuing authority |

Roll No. :- 0805000 |

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(h) Are you a PwBD candidate having |
physical limitation to write?(If Yes,
upload scanned copy of requisite
certificate as per Appendix - IV of the
Notice of CSE, 2022 dated 2nd
February, 2022.)
(i) Do you want to avail Compensatory |
Time
(j) Would you require scribe in the |
Examination
Note 1: The Persons with Benchmark Disabilities in the categories of blindness, locomotor disability (both arm
affected – BA) and cerebral palsy will be provided the facility of scribe, if desired by the person. In case
of other category of Persons with Benchmark Disabilities as defined under section 2(r) of the RPWD
Act, 2016, the facility of scribe will be allowed to such candidates on production of a certificate to the
effect that the person concerned has physical limitation to write, and scribe is essential to write examination
on behalf, from the Chief Medical Officer/ Civil Surgeon/Medical Superintendent of a Government
Health Care institution as per proforma at Appendix – IV of the Notice of CSE, 2022 dated 2nd
February, 2022.
Note 2: The candidates have discretion of opting for his/her own scribe or request the Commission for the same.
Note 3: The qualification of the Commission’s scribe as well as own scribe will not be more than the minimum
qualification criteria of the examination. However, the qualification of the scribe should always be
matriculate or above.
Note 4: The Persons with Benchmark Disabilities in the category of blindness, locomotor disability (both arm
affected – BA) and cerebral palsy will be allowed Compensatory Time of twenty minutes per hour
of the examination. In case of other categories of Persons with Benchmark Disabilities, this facility will
be provided on production of a certificate to the effect that the person concerned has physical limitation
to write from the Chief Medical Officer/ Civil Surgeon/ Medical Superintendent of a Government
Health Care institution as per proforma at Appendix – IV of the Notice of CSE, 2022 dated 2nd
February, 2022.
(j)(i) If yes, "Commission's Scribe" or "Own |
Scribe"
(k) Would you require any assistive |
device(s)
(l) Would you require question paper in |
larger font size?

Note: Larger font is only for PwBD Candidates suffering from Blindness/ Low Vision.
9. 2. (a) Have you ever been recommended as a | NO
PwBD candidate in the examinations
conducted by the UPSC in the past?

(b). If yes, mention name and year of the examination(s) with Roll No.
Name of the Examination Year of the Roll No.
Examination

(c) Whether such recommendation was on | NO

the basis of the Certificate of Disability
NOW UPLOADED by you for the
CS(M) Exam, 2022?

Roll No. :- 0805000 |

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(d) After any such recommendation by the | NO
UPSC were you ever found UNFIT/
NOT RECOMMENDED by the Central
Standing Medical Board or any other
Medical Board constituted by the
Government with regard to your
physical disability?
(e) If yes, provide details thereof |

10. Choice of Centre for Examination | PATNA

11.
(a)(i) Do you hail from Arunachal Pradesh/
Manipur/Meghalaya/Mizoram/Nagaland/
Sikkim and are claiming exemption
from appearing in INDIAN LANGUAGE
FOR PAPER A? | NO

(ii) Are you a PwBD candidate falling

under Deaf/Hard of Hearing category
and seeking exemption from appearing
in INDIAN LANGUAGE FOR PAPER A? | NO
(iii)Indian Language for Paper A | HINDI
(b) Optional Subject for paper VI & VII | GEOGRAPHY

12. (a)Language Medium for Examination

for Paper I to Paper V
(Essay and General Studies) | ENGLISH

(b) Language Medium for Examination

for Paper VI to Paper VII (Optional
Subject as at (b) of Col. 11 above) | ENGLISH

(c) In case of Sindhi and Santhali

type of script should be indicated
by the candidate |

(d)Language Medium for Interview

Test(i.e. para 27 of the Instructions)
to the Candidates) | ENGLISH

13. (a) Name of Father | UMESH PRASAD

(b) Name of Mother | GAYATRI DEVI
(c) Nationality of Father | INDIAN
(d) Nationality of Mother | INDIAN
(e) Father's Profession: | SELF EMPLOYD
(f) Mother's Profession: | PRIMARY SCHOOL TEACHER
(g) If your father is in service, the post held by him
(g)(i) if retired indicate the post held
by him at the time of his retirement,
otherwise fill 'NOT APPLICABLE' |

Roll No. :- 0805000 |

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(h) If your Mother is in service,the post held by her
(h)(i) if retired indicate the post held
by her at the time of her retirement,
otherwise fill 'NOT APPLICABLE' | NOT APPLICABLE
(i) Annual income of your Father | Rs.80000
(j) Annual income of your Mother | Rs.60000
(k) State to which your Father originally | BIHAR
belongs
(l) District to which your Father originally | BIHAR
belongs
(m) State to which your Mother originally | JAMSHEDPUR
belongs
(n) District to which your Mother originally | EAST SINGHBHUM
belongs
(o) Father's present postal Address | JUDGE COLONY KHAGAUL
(If deceased give last address) | PATNA
Post Office: | KHAGAUL
City: | PATNA
District: | PATNA
State : | BIHAR
Pin Code : | 801105
(p) Mother's present postal Address | JUDGE COLONY KHAGAUL
(If deceased give last address) | PATNA
Post Office: | KHAGAUL
City: | PATNA
District: | PATNA
State : | BIHAR
Pin Code : | 801105

(q) Whether your family owns or possesses

any of the following assets.
i. 5 acres of agricultural land and above;
ii. Residential flat of 1000 sq ft. and above;
iii. Residential plot of 100 sq. yards and
above in notified municipalities;
iv. Residential, plot of 200 sq. yards and
above in areas other than the notified
municipalities. | NO

14.1(a) Do you possess the prescribed Educational

Qualification (Vide rule-6 of the rules of the Examination)?
Please upload a scanned copy of the Certificate
if the answer is "YES" | YES
(b) Certificate No./Enrolment No./Roll No.| 2220340080025
(c) Date of issue | 06-05-2019
(d) Designation of issuing authority | PATLIPUTRA UNIVERSITY
PATNA , BIHAR
(e) Full address of issuing authority | PATLIPUTRA UNIVERSITY
KANKARBHAG, BANKAMAN COLONY
PIN-800020

Roll No. :- 0805000 |

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Note : If you do not possess the prescribed educational qualification as mentioned in rule-6 of the
examination your candidature is liable to be cancelled. The proof of passing the requisite examination
should be dated earlier than the due date (closing date) of Detailed Application Form-I of the Civil
Services (Main) Examination.

(f)(i) Do you have any basic Educational

Qualification or higher qualification
obtained from a foreign institution? | NO

14.2 Educational Qualifications : Commencing with Matriculation or equivalent examination till Graduation:-
(Please upload scanned copy of all Certificates/Degree)
Examination Class/ Percentage CGPA Year of Subject(s) Name of Name of
Passed Division of Score Out of School/College Board/University
/Grade Marks(%) Passing /Institution
10th or Equivalent 10th 66.8 2019 Hindi, English, Prarambhika CBSE
Science, Maths, Ahmedpur Baluaa
Social Science
12th or Equivalent 12th 51 2021 Physics, Chemistry, J N L COLEGE BSEB
Maths Khagaul
BACHELOR
Stream at Graduation Level :-- OF COMPUTER APLICATION
BCA IT 66 2024 Information B.D College PATLIPUTRA
Technology Patna UNOVERSITY
PATNA

15.(i) Have you ever been employed? : | NO

16. Have you ever been debarred by

the UPSC from any of its
Examinations/Selections? | NO

17. Whether you have ever applied for

U.P.S.C. Examination /Recruitment:- | NO

18(a). How many times have you appeared

at the Civil Services(Pre) Examination
so far, including the current
Examination held in June, 2022 |8

18(b). Details of Examination in which you have appeared including CS(P) Exam, 2024
Year 2015 2016 2017 2018 2019
Roll No. 0 0 0 0 0

Year 2020 2021 2022

Roll No. :- 0805000 |

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Roll No. 0 0 0805000

19. Have you ever accepted allocation

to a Service/Post on the basis
of Civil Services Examination
held in earlier years? | NO
(a). Year of the Civil Services
Examination on the basis of which
you had been last allocated to
service/post |
(b). Name of service/post to which
allocated |
(c). Your Roll No. for the examination |
(d). Whether you were appointed/joined
Service? |

(e). Whether you are continuing in that

Service/Post? |

(f). If you have resigned from such post/service

Mention date of acceptance of the resignation
by the Competent authority |

20. Fee Payment Details (Subject to Verification) :-

Details of Fee paid:Candidates applying (excepting Female/SC/ST/PwBD candidates who are exempted from
payment of fee) for Civil Services (Main) Examination are required to pay a fee of Rs.200/- (Rupees
Two Hundred only) either by remitting the money in any Branch of State Bank of India or by using
Visa/Master/Rupay Credit/Debit Card/ UPI Payment or by using Internet Banking of any Bank.

21. Photo-ID Proof | AADHAR CARD (XXXXXXXX7976)

22. List of Scanned documents uploaded by the candidate:-

--> Scanned Copy of proof of date of birth as prescribed in Para below Note IV under Rule 5 of the rules
for the exam. [Col. 1(a) of this form]
--> Scanned Copy of Certificate in support of claim to belong to SC / ST / OBC (Non Creamy Layer)/EWS
(details of which have been indicated in Col.8), UNDERTAKING FOR OBC/EWS CANDIDATES, as
applicable
--> Scanned Copy of the certificate of graduation or equivalence educational qualifications (including a
copy of recognition letter / equivalence certificate from AIC/UGC, if applicable)[Col. 14 of this form]
--> Copy of the selected Photo ID Proof (viz. Aadhaar Card, Voter Card, PAN Card, Passport, Driving
Licence or any other Photo ID Proof issued by the Central/State Government.)

Roll No. :- 0805000 |

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DECLARATION BY THE CANDIDATE

I, hereby declare that all statements and entries made in all the columns of this application are true,
complete and correct to the best of my knowledge and belief.

2. That I have read Rule 19 of the Rules of the Civil Services Examination, 2024 published in Part I –
Section 1 of the Gazette of India Extraordinary dated 14nd February, 2024 and understand that in the
event of any information being found false or incorrect or ineligibility being detected before or
after the examination, or flouting of any instructions given by the Commission alongwith e-Admit
card/ Question – cum – Answer Booklets/ e-Summon letter etc.action can be taken against me by
the Commission.

3. That I further declare that I fulfil all the eligibility conditions regarding age limits, educational
qualifications etc. prescribed for admission to the Examination. I have not exhausted the number of
attempts admissible to me under the Rule 3 of the Rules of the Examination, 2024.

4. That I have not withheld any information required as per this Detailed Application Form- I.

5. I have thoroughly scrutinised the list of scanned documents as enumerated in Column 21 and 22
of the DAF-I and uploaded scanned copies of all the documents relevant for me.

6. That I have read the Rules of Examination and the instructions carefully and I hereby undertake to abide
by them.

7. That I have informed my Head of the Office/Department in writing that I have applied for this
examination as required in Col. 15 (i) of the DAF-I.

Signature of the Candidate

[Note: Online submission of the DAF-I by the candidate within prescribed time period is
construed as his/her signed applicaion]

Roll No. :- 0805000 |

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