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    Deepali FNT PRNT

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    aizoneho

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    Deepali FNT PRNT

    Uploaded by

    aizoneho
    8 views2 pages

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    deepali fnt prnt

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    Copyright:

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    8 views2 pages

    Deepali FNT PRNT

    Uploaded by

    aizoneho

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    © All Rights Reserved
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    11/19/2020 View Examination Form-I

    Print Application Form

    UTTAR PRADESH SECONDARY EDUCATION SERVICES SELECTION BOARD

    I declare that I have Read the detailed User Manual and Notification

    Notification Details (Examination)


    Advertisement/Notification Number : 01/2020/ General

    Applied For Post : Uttar Pradesh Secondary Education Service Selection Board / TGT -
    ART

    Applied Under : बालक वग -कॉलेज / सं थान (Boys Category - College / Institute)

    Candidate's Personal Details Photo and Signature

    Application ID : UP0020091641003002663
    Candidate Registration No. : UP00210030227338
    Candidate Name : DEEPALI KUSHWAHA

    Father's/Husband's Name : RAMESH CHANDRA KUSHWAHA

    Mother's Name : GAYATRI KUSHWAHA

    Gender - Date of Birth : Female - 02/11/1997

    Are you Domicile of UP? / Category Yes / OBC NON CREAMYLAYER


    :

    Are you Married? : No

    Contact No./ Email-ID : XXX-XXX-1994 / ****6342kushwaha@gmail.com

    Bank Transaction Details


    Bank Name - Payment Mode : State Bank Of India - INB

    Fees, Transaction ID - Date : Rs. 750.00 , IGAJWHKIG8 - 19/11/2020

    High School & Intermediate Board,Year of passing & Roll Number Details
    Examination Board Name Year of Roll Obtained Total
    Passed Passing Number Marks Marks

    High School UTTAR PRADESH BOARD OF HIGH SCHOOL AND INTERMEDIATE 2011 1422560 NA NA
    EDUCATION

    Intermediate UTTAR PRADESH BOARD OF HIGH SCHOOL AND INTERMEDIATE 2013 1056916 NA NA
    EDUCATION

    Essential Qualification Details


    Sr. Essential Equivalent Affirmation State Name/ Year Of Certificate/ Roll Evalation Percentage
    No. Qualification Qualification Board/ Institution/ Passing Number Type
    University Issuance Date Obtained
    Marks/
    Total Mark

    1. राजक य कला और श प ा व धक कला Yes UTTAR PRADESH - 2020 4048272 MARKS 58.00
    व यालय, लखनऊ का के साथ उ तर University of Allahabad, 14/06/2020 58.00
    आट मा टस े नंग दे श Allahabad-211 002, Uttar 100.00
    साट फकेट (जो पहले ाइंग मा य मक Pradesh. (Central
    ट चस साट फकेट कहलाता श ा प रष University).
    था) अथवा क
    इ टरमी डएट
    पर ा

    2. भारत म व ध वारा Yes UTTAR PRADESH - 2016 3079207 PERCENTAGE 53.00


    था पत कसी मा यता Chatrapati Shahuji 02/06/2016
    ा त व व व यालय से Maharaj Kanpur
    नातक उपा ध। University, Kalynpur,
    (शासनादे श सं या Kanpur-208 024, Uttar
    1121/15-8-90/3087/89 Pradesh. (State
    दनांक 28 फरवर , 1990 University).
    के अनु म म)

    https://pariksha.up.nic.in/Online_App/up002/View_ExamApplicationForm1.aspx?HkSMqcZq3IQu9vIVZFZQMQYLtFKf7xqr 1/2
    11/19/2020 View Examination Form-I

    Preferential Qualification Details


    Qualification Acquired

    भारत म व ध वारा था पत कसी मा यता ा त व व व यालय से एल0ट 0 या बी0एड0 उपा ध । No

    भारत म व ध वारा था पत कसी मा यता ा त व व व यालय से एम0एड0 उपा ध । No

    भारत म व ध वारा था पत कसी मा यता ा त व व व यालय से डी0 फल0 उपा ध या पी0एच0डी0 अहता । No

    Candidate's Correspondence/Mailing
    ↓ Address Details ↓ Candidate's Permanent Address Address

    Name (C/O) : RAMESH CHANDRA KUSHWAHA RAMESH CHANDRA KUSHWAHA

    House no./Village : PLOT-24 PLOT-24

    Street No./Post Office : NARPAT NAGAR JARAULI PHASE 1 NARPAT NAGAR JARAULI PHASE 1

    State / District Name : UTTAR PRADESH UTTAR PRADESH


    KANPUR NAGAR KANPUR NAGAR

    Tahsil : KANPUR SADAR KANPUR SADAR

    Police Station : BARRA POLICE STATION BARRA POLICE STATION

    Block : NA NA

    Village : NA NA

    PIN : 208027 208027

    कस वग के कॉलेज / सं थान (बालक / बा लका ) के लए आवेदन तत ु करना चाहते है ?


    (For which Category of College / Institute (Boys / Girls ), do you want to submit the Application? )
    आप अपना आवेदन कस वग के कॉलेज / सं थान (बालक / बा लका ) के लए तत ु बालक वग -कॉलेज / सं थान (Boys Category - College / Institute)
    करना चाहते ह?
    For which Category of College / Institute (Boys / Girls ), do you want to
    submit your Application? :

    आपके वारा भरा गया आवेदन प केवल बालक वग -कॉलेज / सं थान (Boys Category - College / Institute) के लए ह चयन बोड वारा अ म कायवाह हे तु
    वीकाय होगा | - Yes (हाँ)

    Ad-hoc Teacher Details (तदथ श क ववरण) :


    Are you currently an ad-hoc teacher in aided nongovernment secondary school of Uttar Pradesh? No
    ( या आप वतमान म उ तर दे श के सहायता ा त अशासक य मा य मक व यालय म तदथ श क ह ?) :

    Declaration
    1. I hereby declare that I have read all the provisions in the notice/advertisement of the examination carefully and hereby undertake to abide by them.

    2. I further declare that I fulfill all the conditions of eligibility regarding age limits,educational qualifications etc. prescribed for admission to the
    examination.

    3. I decalre that my claim for reservation as SC /ST/OBC candidate's are true and correct and I am in possession of my caste certificate in the
    prescribed format given in the notice/advertisement of the examination .I also declare that as per Govt. order No.22/16/92/T.C.-III DATED 22-10-2008 I
    do not belong to the person/sections (creamy layer) mentioned in it.

    4. I (for male candidates ) also declare that I have no more than one wife living/(for female candidates) have not married a man already having a wife
    living.

    5. I also declare that I have never been convicted by any court of law. I also declare that no criminal case is pending against me. Further declare that I
    have never been dismissed or removed from Govt. Service or my service been terminated during probation.

    6. 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. In
    the event of any information being found false or incorrect or ineligibility being detected before or after selection the Board can take action against me
    as per rules in case it is detected that I have mislead the Board on any issue then I will solely responsible for all penal consequences thereof.

    I accept the above declaration : Yes

    ↓ Current status of application ↓

    Your application is under processing.

    Application Form Submission Date : 19/11/2020 , Time : 12:21:34 AM

    Application Form printing Date & Time : [ 19/11/2020 ,12:25:36 AM ]

    https://pariksha.up.nic.in/Online_App/up002/View_ExamApplicationForm1.aspx?HkSMqcZq3IQu9vIVZFZQMQYLtFKf7xqr 2/2

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