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                               UNION PUBLIC SERVICE COMMISSION
                                  DETAILED APPLICATION FORM
                                 CIVIL SERVICES EXAMINATION, 2025
RID. :      12509492086
Name :     ARVIND
Have you ever changed your name? : NO
Email :    arvindsagitra2003@gmail.com
Mobile :   6265443026
1. (a) Date of Birth                           | 20-03-2002
   (b) Age Relaxation claimed                  | NO
2. (a) Address for correspondence to which | MAKAN NO 149 WARD 09 VILLAGE PIPLIYA
                                             DHAKAD
  Communication is to be sent              |
              Post Office:                 | ERA
              City:                        | SITAMAU
              District:                    | MANDSAUR
              State :                      | MADHYA PRADESH
              Pin Code :                   | 458558
 (b) Telephone No. (with STD Code)         | -
 (c) Mobile No.                            | 6265443026
 (c.1) Alternate Mobile No.                | 9575689518
 (d) Fax No.                                   |
 (e) E-mail address                            | ARVINDSAGITRA2003@GMAIL.COM
 (f) Permanent Postal Address                  | MAKAN NO 149 WARD 09 VILLAGE PIPLIYA
                                                   DHAKAD
                                               |
              Post Office:                     | ERA
              City:                            | SITAMAU
              District:                        | MANDSAUR
              State :                          | MADHYA PRADESH
              Pin Code :                       | 458558
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 :
Rid. :- 12509492086        |          This is "PREVIEW OF THE FORM".This will not be accepted by
                                      Commission.Only FINALLY SUBMITTED FORM will be accepted.
                                                                                                 Page No. 2/10
        If born in India:                          |   YES
       Post Office                                 |   ERA
       City/Town/Village                           |   SITAMAU
       District                                    |   MANDSAUR
       State                                       |   MADHYA PRADESH
       Pincode                                     |   458558
8. (a) Community                                | UNRESERVED (4)
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, 2025.
Note 2: In case you are a SC or ST category candidate, upload a scanned copy of certificate in prescribed format
        in support of your claim. The certificate must be issued latest by the date of closure of online application
        form for Civil Services (Preliminary) Examination, 2025.
Note 3: In case you are EWS Category candidate, upload a scanned copy of ‘Income and Asset Certificate’ in
        prescribed format based on the income for Financial Year 2023-24 (i.e. for the period from 1st April, 2023
         to 31st March, 2024) in support of your claim. Certificate based on the income of any other Financial
        Year shall not be treated as valid. The Certificate must be issued on/after 01.04.2024 (after the completion
        of FY 2023-24) but not later than the closing date of the application for Civil Services (Preliminary)
        Examination-2025. Such candidates must meet the Income and Asset criteria issued by the
        Central Government.
Note 4: In case you are an OBC Category candidate, upload a scanned copy of OBC (Non-Creamy Layer)
         certificate inprescribed format based on the income for the Financial Years (FYs) 2023-24, 2022-23
          and 2021-22.The Certificate must be issued on/after 01.04.2024 (after the completion of FY 2023-24) but
           not later than the closing date of the application for Civil Services (Preliminary) Examination-2025
 (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 PwBD/PwD                   | NO
         candidate
  (b)(1) Category                                      |
   (b).2     Indicate Form Type of the Certificate     |
            of Disability
   (c)      Percentage of disability as indicated in   |
            the Certificate of Disability
   (d)      Certificate No.                            |
Rid. :- 12509492086       |            This is "PREVIEW OF THE FORM".This will not be accepted by
                                       Commission.Only FINALLY SUBMITTED FORM will be accepted.
                                                                                                Page No. 3/10
   (e)   Date of Issue                             |
   (f)   Designation of issuing authority          |
   (g)   Full address of issuing authority         |
   (h)   Are you a PwBD/PwD candidate [as          |
         per column 9.1.(a)] having physical
         limitation to write?(If Yes, upload
         scanned copy of the requisite certificate
         as per Appendix-V (for PwBD) /
         Appendix-VII (for PwD)of the Notice
         of CSE, 2025 dated 22nd January,
         2025)
   (i)   Do you want to avail Compensatory         |
         Time
   (j)   Would you require scribe in the           |
         Examination
Note 1: The Persons with Benchmark Disabilities(PwBD)in the categories of blindness, locomotor disability (both
         arm affected – BA) and cerebral palsy will be eligible for the facility of scribe. In case of other
         category of Persons with Benchmark Disabilities as defined under section 2(r) of the RPWD Act, 2016,
         such candidates will be eligible for the facility of scribe 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-V of the Notice of CSE, 2025 dated,
        22nd January, 2025.
        Further, for persons with specified disabilities (PwD) covered under the definition of Section 2(s) of the
        RPwD Act, 2016 but not covered under the definition of Section 2(r) of the said Act, i.e. persons having
        less than 40% disability and having difficulty in writing will be eligible for the facility of scribe
        subject to production of a certificate from the competent medical authority of a Government healthcare
        institution as per proforma at Appendix-VII of the Notice of CSE-2025 dated 22nd January, 2025 to
        the effect that person concerned has limitation to write and that scribe is essential to write examination
        on his/her behalf.
        Facility of Scribe to eligible candidates will be provided, if desired by them.
Note 2: The candidates have discretion of opting for their 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(PwBD) in the category of blindness, locomotor disability (both
        arm affected – BA) and cerebral palsy will be eligible for Compensatory Time of twenty minutes per hour
        of the examination. In case of other categories of Persons with Benchmark Disabilities, such candidates
         will be eligible for this facility 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 – V of the Notice of CSE, 2025
        dated 22nd January, 2025.
        Further, for persons with specified disabilities(PwD) covered under the definition of Section 2(s) of the
         RPwD Act, 2016 but not covered under the definition of Section 2(r) of the said Act, i.e. persons having
         less than 40% disability and having difficulty in writing will be eligible for compensatory time subject
        to production of a certificate to the effect that person concerned has limitation to write from the
        competent medical authority of a Government healthcare institution as per proforma at Appendix-VII of
        the Notice of CSE-2025 dated 22nd January, 2025.
        Facility of Compensatory time to eligible candidates will be provided, if desired by them.
Rid. :- 12509492086    |           This is "PREVIEW OF THE FORM".This will not be accepted by
                                   Commission.Only FINALLY SUBMITTED FORM will be accepted.
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   (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
            CSE, 2025?
    (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                | BHOPAL
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   | POLITICAL SCIENCE & INTERNATIONAL
                                        RELATIONS
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
Rid. :- 12509492086      |          This is "PREVIEW OF THE FORM".This will not be accepted by
                                    Commission.Only FINALLY SUBMITTED FORM will be accepted.
                                                                                           Page No. 5/10
 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                                        | ENGLISH
13. (a) Name of Father                         |   SATYANARAYAN
 (a.1) Status                                  |   ALIVE
 (b) Name of Mother                            |   KAUSHLYA BAI
 (b.1) Status                                  |   ALIVE
 (c) Nationality of Father                     |   INDIAN
 (d) Nationality of Mother                     |   INDIAN
 (e) Father's Profession:                      |   TEACHING
 (f) Mother's Profession:                      |   HOUSEWIFE
 (g) If Father is in service, post held by him |   ADHYAPAK
 (g)(i) if retired indicate the post held
     by him at the time of his retirement,
     otherwise fill 'NOT APPLICABLE'           |   NOT APPLICABLE
 (h) If Mother is in service, post held by her |   NOT APPLICABLE
 (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 for          |    Rs.650000
    financial year 2023-2024
 (j) Annual income of your Mother for          |   Rs.0
    financial year 2023-2024
 (k) State to which your Father originally |       MADHYA PRADESH
     belongs
 (l) District to which your Father originally |    MANDSAUR
     belongs
 (m) State to which your Mother originally |       MADHYA PRADESH
      belongs
 (n) District to which your Mother originally|     MANDSAUR
     belongs
 (o) Father's present postal Address           |   MAKAN NO 149 WARD 09 VILLAGE PIPLIYA
                                                   DHAKAD
   (If deceased give last address)             |
             Post Office:                      |   ERA
             City:                             |   SITAMAU
             District:                         |   MANDSAUR
             State :                           |   MADHYA PRADESH
             Pin Code :                        |    458558
 (p) Mother's present postal Address           |   MAKAN NO 149 WARD 09 VILLAGE PIPLIYA
                                                   DHAKAD
   (If deceased give last address)             |
             Post Office:                      | ERA
             City:                             | SITAMAU
             District:                         | MANDSAUR
Rid. :- 12509492086     |            This is "PREVIEW OF THE FORM".This will not be accepted by
                                     Commission.Only FINALLY SUBMITTED FORM will be accepted.
                                                                                                                  Page No. 6/10
              State :                                 | MADHYA PRADESH
              Pin Code :                              | 458558
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. | DA1903444
   (c) Date of issue                           | 2023-04-26
   (d) Designation of issuing authority        | VICE CHANCELLOR
   (e) Full address of issuing authority       | DAVV NALANDA PARISAR RNT ROAD INDORE
(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       1ST                    9.6    10     2017    MATHMATICS                 JAWAHAR            CENTRAL BOARD
                                                                      HINDI ENGLISH             NAVODAYA             OF SECONDARY
                                                                     SCIENCE SOCIAL             VIDYALAYA             EDUCATION
                                                                         SCIENCE                  LADUNA                 DELHI
                                                                                                MANDSAUR
12th or Equivalent       1ST          84.8                    2019    MATHMATICS                 JAWAHAR            CENTRAL BOARD
                                                                      HINDI ENGLISH             NAVODAYA             OF SECONDARY
                                                                         PHYSICS                VIDYALAYA             EDUCATION
                                                                       CHEMISTRY                  LADUNA                 DELHI
                                                                                                MANDSAUR
                                           Stream at Graduation Level :--   HUMANITY
       B.A.              1ST         71.83                 2022        POLITICAL     SHREE ATAL   DEVI AHILYA VIS
                                                                  SCIENCE HISTORY BIHARI VAJPAYEE HWAVIDYALAYA
                                                                     ECONOMICS       GACC INDORE     , NALANDA
                                                                    FOUNDATION                      PARISAR, 165,
                                                                         COURSE                     R.N. TAGORE
                                                                                                  MARG, INDORE.-
                                                                                                  452 001, MADHYA
                                                                                                      PRADESH.
14.3 Higher Educational Qualifications : Commencing with Post Graduation or equivalent examination :-
Examination    Class/    Year of     Date of Likely date    CGPA      Percentag    Subject(s)        College/Institution     Board/
  Passed/     Division   Passing     Joining      of     Score Out of     e                                                 University
 Appeared/     /Grade                         Completion                  of
 Appearing                                                            Marks(%)
   M.A.                            2023-07-01 2025-04-30                          POLITICAL           SHREE ATAL    DEVI AHILYA
                                                                                   SCIENCE          BIHARI VAJPAYEE VISHWAVIDY
Rid. :- 12509492086       |              This is "PREVIEW OF THE FORM".This will not be accepted by
                                         Commission.Only FINALLY SUBMITTED FORM will be accepted.
                                                                                                        Page No. 7/10
                                                                                              GACC INDORE          ALAYA,
                                                                                                                  NALANDA
                                                                                                                PARISAR, 165,
                                                                                                                R.N. TAGORE
                                                                                                                   MARG,
                                                                                                                INDORE.- 452
                                                                                                                001, MADHYA
                                                                                                                  PRADESH.
15.(i) Have you ever been employed? :           | YES
  If yes, Are you in
Government/Public Enterprise                | NO
Details of your employments (in chronological order till date)
Designation/Posi     Monthly      Whether Perman            Period         Name of     Place of Employment
       tion        remuneration ent/Temporary/       From          To     employer/          (Address)
                 (Total) in Rupee    Ad-hoc        dd-mm- dd-mm- Organisation/
                                                      yyyy        yyyy Firm/Individual
BPOS ASSOCIATE           16500                          2024-05-03    Presently       TATA         TATA CONSULTANCY
                                                                     Continuing   CONSULTANCY       SERVICES LIMITED
                                                                                    SERVICES         SUPER CORRIDOR
                                                                                    LIMITED            ROAD INDORE
15.(ii) Have you been self-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
   (Excluding Current Examination): -           | YES
Details of other application for Examination/Recruitment held/to be held by UPSC :-
     Name of Examination/Post        Month and Roll. No.      Whether      Whether Whether you Whether you Whether
                                       year of               appeared at appeared at were recomm havejoined/a continuing
                                    Examination                  the     the Interview ended for   ppointed till date or re
                                       /Advt.                Examination              appointment             signed(with
                                    No./Item No.                                                                 date)
                                         for
                                    Recruitment
    Civil Services (Preliminary)      2023-05    0000000         YES          NO
            Examination
    Civil Services (Preliminary)      2024-05     0000000        YES          NO
            Examination
18(a). How many times have you appeared
      at the Civil Services(Pre) Examination | 2
18(b).   Details of Examination in which you have appeared including CS(P) Exam
Rid. :- 12509492086     |          This is "PREVIEW OF THE FORM".This will not be accepted by
                                   Commission.Only FINALLY SUBMITTED FORM will be accepted.
                                                                                         Page No. 8/10
                               Year        2023         2024
                               Roll No.    0000000      0000000
Note: The candidates who are not in possession of their Roll Nos. for previous year
examination are advised to fill 0000000 in place of their Roll Nos.
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. Please give Particulars at the University/State/National Level in respect of:-
 (a)Prizes, Medals, Scholarships etc.                       | CENTRAL SECTOR SCHOLARSHIP
 (b) Sports/N.C.C. etc.                                     | CLUSTER LEVEL VOLLYBALL
 (c) Position(s) of distinction Leadership held in          | HOUSE CAPTAIN
School/College
 (d) Other extracurricular activities and interests (Such   | MEETING NEW PEOPLE
as hobbies etc.)
Rid. :- 12509492086    |           This is "PREVIEW OF THE FORM".This will not be accepted by
                                   Commission.Only FINALLY SUBMITTED FORM will be accepted.
                                                                                                       Page No. 9/10
21. Your order of preference against the Services/Posts given below , for which you would like to be
   considered for appointment.
 Note 1 : It is clarified that the below order of services does not reflect their relative importance in the eyes of the
 Government and the candidates are advised to use their own discretion while indicating preference for various
 services.
 Note 2: A candidate shall be required to mandatorily indicate order of preferences only for those services
 participating in the Civil Services Examination for the year, for which he is interested to be allocated to. No
 change in preferences for Services once submitted by a candidate would be permitted . In case preference for
 none of the Services is indicated, the candidate will not be considered for Service Allocation [as per Rules
 of CSE, 2025].
 Note 3: The services which are not required to be opted have been shown as 'NOT OPTED.'
 Note 4: A candidate who is appointed to the Indian Police Service on the basis of the results of an earlier
 examination and continues to be a member of that service shall not be eligible to opt for the Indian Police
 Service in Civil Services Examination, 2025.
S.N.                                   Name of Services/Post                                       Order of Preference
1.     Indian Administrative Service                                                                        1
2.     Indian Foreign Service                                                                               2
3.     Indian Police Service                                                                                3
4.     Indian Audit and Accounts Service, Group "A"                                                        10
5.     Indian Civil Accounts Service ,Group "A"                                                            11
6.     Indian Corporate Law Service ,Group "A"                                                             12
7.     Indian Defence Accounts Service ,Group "A"                                                          13
8.     Indian Defence Estates Service, Group "A"                                                           14
9.     Indian Information Service, Group "A"                                                               15
10.    Indian Postal Service,Group "A"                                                                     16
11.    Indian Post & Telecommunication Accounts and Finance Service, Group "A"                             17
12.    Indian Railway Management Service (Traffic), Group "A"                                              18
13.    Indian Railway Management Service (Personnel), Group "A"                                            19
14.    Indian Railway Management Service (Accounts), Group "A"                                             20
15.    Indian Railway Protection Force Service, Group "A"                                                  21
16.    Indian Revenue Service (Customs & Indirect Taxes) Group "A"                                          5
17.    Indian Revenue Service, (Income Tax) Group "A"                                                       4
18.    Indian Trade Service, Group "A" (Gr. III)                                                           22
19.    Armed Forces Headquarters Civil Service , Group 'B'(Section Officer's Grade)                        23
20.    Delhi , Andaman and Nicobar Islands, Lakshadweep, Daman & Diu and Dadra &                            6
       Nagar Haveli Civil Service (DANICS), Group "B"
21.    Delhi , Andaman and Nicobar Islands, Lakshadweep, Daman & Diu and Dadra &                             7
       Nagar Haveli Police Service (DANIPS), Group "B"
22.    Pondicherry Civil Service (PONDICS), Group "B"                                                        8
23.    Pondicherry Police Service (PONDIPS), Group "B"                                                       9
22. Photo-ID Proof |                                  AADHAAR CARD (XXXXXXXX2222)
23. List of Scanned documents uploaded by the candidate:-
Rid. :- 12509492086     |          This is "PREVIEW OF THE FORM".This will not be accepted by
                                   Commission.Only FINALLY SUBMITTED FORM will be accepted.
                                                                                                                                  Page No. 10/10
                                     --> Matriculation Certification / School Leaving Certificate as proof of date of birth or any other
                                     certificate/document as prescribed in the rules for the exam.
                                     --> The certificate of graduation or equivalent educational qualifications (including a copy of recognition
                                     letter / equivalence certificate from AIC/UGC, if applicable)
                                     --> 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.)
                                   Rid. :- 12509492086   |          This is "PREVIEW OF THE FORM".This will not be accepted by
                                                                    Commission.Only FINALLY SUBMITTED FORM will be accepted.
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