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UNION PUBLIC SERVICE COMMISSION
DETAILED APPLICATION FORM
ENGINEERING SERVICES (MAIN) EXAMINATION, 2024
Roll No. : 0812398
RID: 12400242947
Branch : ELECTRONICS & TELECOM ENGINEERING
E-mail : RRNITKKR12@GMAIL.COM
Mobile : 7206341319
Alternate Mobile No. :
1. Name (As per Matriculation) | RAM RATAN MEENA
Have you ever changed your name?: | NO
2. (a) Address for correspondence to which | KHOHARA CHAUHAN , RENI
communication is to be sent | BAIRER
Post Office: | ALWAR
City: | ALWAR
District: | ALWAR
State : | RAJASTHAN
Pin Code : | 301408
(b) Telephone No. with STD Code | -
(c) Mobile No. | 7206341319
(d) Fax No. |
(e) E-mail address | RRNITKKR12@GMAIL.COM
(f) Permanent Postal Address | KHOHARA CHAUHAN , RENI
| BAIRER
Post Office: | ALWAR
City: | ALWAR
District: | ALWAR
State : | RAJASTHAN
Pin Code : | 301408
3. Nationality | INDIAN
4. Gender | MALE
5. Marital Status | UNMARRIED
6. Citizenship | A CITIZEN OF INDIA(1)
7. State of Domicile | RAJASTHAN
8. (a) Date of Birth | 02-01-1997
(b) Age Relaxation claimed | NO
Roll No. :- 0812398 | This is a Printout of "PREVIEW OF THE FORM".There is no need to send the Printout to the
commission.However, candidate may take a printout after final submission for future reference only.
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9.(a) Mother tongue : | HINDI
(b) Identification Mark : | SHARK ON FORE
10.Place of Birth :
If born in India: | YES
Post Office | BAIRER
City/Town/Village | KHOHARA CHAUHAN,RENI
District | ALWAR
State | RAJASTHAN
Pincode | 301408
11. (a) Community | ST (2)
(a.1) Do you want to change your | NO
category from SC/ST/OBC/EWS
to Unreserved
I UNDERSTAND THAT MY RESERVED CATEGORY STATUS WILL BE DECIDED IN THE LIGHT OF
RULES/NOTICE OF ESE, 2024 AND ON THE BASIS OF SUPPORTING DOCUMENTS/CERTIFICATES
UPLOADED ONLINE ONLY WITH DAF. NO CERTIFICATE/DOCUMENT SUBMITTED BY ANY
OTHER MODE AND/OR AFTER THE CLOSING OF DAF, WILL BE CONSIDERED. I ALSO
UNDERSTAND THAT ANY REQUEST FOR CATEGORY CHANGE SUBMITTED BY ANY OTHER
MODE AND/OR AFTER THE CLOSING OF DAF WILL NOT BE CONSIDERED.
Note 1: 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 Engineering Service (Preliminary) Examination, 2024 (i.e. 26.09.2023).
Note 2: 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 2022-23 (i.e. for the period from 1st April,
2022 to 31st March, 2023) 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 01.04.2023 (after the
completion of FY 2022-23) but not later than the closing date of online application for
Engineering Service (Preliminary) Examination-2024 i.e. 26.09.2023. Such candidates must
meet the Income and Asset criteria issued by the Central Government.
Note 3: In case you are an OBC Category candidate, upload a scanned copy of OBC (Non-Creamy Layer) certificate
in prescribed format based on the income for the Financial Years (FYs) 2022-23, 2021-22 and 2020-21.
The Certificate must be issued on/after 01.04.2023 (after the completion of FY 2022-23) but not later
than the closing date of online application for Engineering Service (Preliminary) Examination-2024 i.e.
26.09.2023
(b) Certificate No. | 23505502708
(c) Date of issue | 2023-01-19
(d) Designation of issuing authority | SDM
(e) Full address of issuing authority | SDM ,RENI ,ALWAR
(f) Name of the Caste as mentioned in | MINA (9)
the Community Certificate and | RAJASTHAN
Name of the issuing State
[For SC/ST/OBC Candidates]
(g) State your religion if you belong to SC
/State your creamy layer if you
belong to OBC |
Roll No. :- 0812398 | This is a Printout of "PREVIEW OF THE FORM".There is no need to send the Printout to the
commission.However, candidate may take a printout after final submission for future reference only.
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(h) State if you belong to any of the
minority Communities notified by the
Government(Muslim/Christians/Sikhs
/Buddhists/Zoroastrians[Parsi]/Jains) | NO
(i) If yes, mention the name of the
Minority community |
12. What Languages(including Indian Languages) can you read/write or speak ? Give particulars and state the
examination(s) passed, if any, for each :-
Read Only Speak Only Read & Speak Read, Write & Examination(s)
Speak passed
HINDI 10TH
HINDI 12TH
SANSKRIT 10TH
13. (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 answer is "YES" | NO
(b) Certificate No. |
(c) Date of issue |
(d) Designation of issuing authority |
(e) Full address of issuing authority |
Note : If you do not possess the prescribed educational qualification as mentioned in Rule – 6 of
the Examination Rules, 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 of the Engineering Services Examination 2024.
14. Educational Qualifications : Commencing with Matriculation or equivalent examination till Graduation:-
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 First 75.83 2012 Hindi ,English,Maths Ravi Bal Hans Sec Sch Board of secondary
,Science,Social ,tehatra education
Science,Sanskrit ,Rajasthan
12th or Equivalent First 72.80 2014 Hindi ,English,Maths Children academy sr Board of secondary
,Physics,Chemistry sec sch,Alwar education
,Rajasthan
Stream at Graduation Level :-- ENGINEERING
DEGREE/DIPLOM First 6.89 10 2019 Electronic and NIT Kurukshetra NATIONAL
A IN communication INSTITUTE OF
ENGINEERING Engineering TECHNOLOGY,
FROM FOREIGN KURUKSHETRA,
UNIVERSITY/COL HARYANA
LEGE/INSTITUTI
ON RECOGNISED
BY THE GOVT. OF
INDIA
Roll No. :- 0812398 | This is a Printout of "PREVIEW OF THE FORM".There is no need to send the Printout to the
commission.However, candidate may take a printout after final submission for future reference only.
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15.(a) Have you ever been employed? : | YES
If yes, Are you in
Government/Public Enterprise? | YES
If yes, Date of intimation in writing
to your Head of Office/Department
regarding appearing in Engineering
Services Examination 2024. | 14-08-2024
Note: The candidates employed in Government/Public Sector Enterprise/Government Autonomous Bodies
must ensure that they have intimated their parent Department before applying for this Examination with
proof of receipt by the Department. If it is found, that the candidates have not done the same, their
candidature is liable to be rejected forthwith without any further notice.
Details of your employment of any kind(in chronological order -till date):-
Designation/ Monthly Whether Period Name of Place of employment
Position remuneration Permanent/ From To employer/ (Address)
(Total) in Rs. Temporary/ Organisation/
Ad hoc etc. Firm/Individual
SCIENTIST B 110000 PERMANENT 17-04-2023 20-08-2024 STQC ERTL NORTH,PHASE 2,
OKHLA,NEW DELHI
15.(b) Have you been self-employed?: | NO
16. (a) Name of Father | KEHARI LAL MEENA
(a.1) Status | ALIVE
(b) Name of Mother | RAJANTI DEVI
(b.1) Status | ALIVE
(c) Nationality of Father | INDIAN
(d) Nationality of Mother | INDIAN
(e) Father's present postal Address | 1932
(If deceased give last address) | NH4,NEW QUARTER COLONY
Post Office: | OLD FARIDABAD
City: | FARIDABAD
District: | FARIDABAD
State : | HARYANA
Pin Code : | 121001
(f) Mother's present postal Address | KHOHARA CHAUHAN
(If deceased give last address) | RENI
Post Office: | BAIRER
City: | ALWAR
Roll No. :- 0812398 | This is a Printout of "PREVIEW OF THE FORM".There is no need to send the Printout to the
commission.However, candidate may take a printout after final submission for future reference only.
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District: | ALWAR
State : | RAJASTHAN
Pin Code : | 301408
(g) Father's Profession: | GOVT. SERVICE/PUBLIC SECTOR
(h) Mother's Profession: | HOUSEWIFE
(i) If your Father is in service,the post held
by him (if retired, indicate the post held
by him at the time of his retirement) | KHALASI
(j) If your Mother is in service,the post held
by her (if retired, indicate the post held
by her at the time of her retirement) | NOT APPLICABLE
(k) Annual income of your Father | RS.800000
(l) Annual income of your Mother | RS.0000
(m) State to which your Father originally | RAJASTHAN
belongs
(n) District to which your Father originally | ALWAR
belongs
(o) State to which your Mother originally | RAJASTHAN
belongs
(p) District to which your Mother originally| ALWAR
belongs
17. Have you claimed age relaxation
and/or fee exemption as Person
with Benchmark Disability Candidate?
(If Yes,upload a scanned copy of
prescribed certificate in support
of your claim). | NO
18. Your order of preference against the Services/Posts given below,for which you would like to be
considered for appointment. (Please write your first preference as 1 and second preference as 2 and so on ) .
In case no preference is exercised,then '0' shall be filled against each service(s).
Category : | ELECTRONICS & TELECOM ENGINEERING
Name of Services/Posts Order of Preference
INDIAN TELECOMMUNICATION SERVICE GR A 1
INDIAN NAVAL ARMAMENT SERVICE(ELECTRONICS AND TELECOM ENGINEERING POSTS) 4
INDIAN NAVAL MATERIAL MANAGEMENT SERVICE (ELECTRONICS AND TELECOM ENGINEERING POSTS) 5
JUNIOR TELECOM OFFICER GR B 7
DEFENCE AERONAUTICAL QUALITY ASSURANCE SERVICE/SSO-II (ELECTRONICS & TELE) 3
INDIAN RADIO REGULATORY SERVICE GR A 2
CENTRAL POWER ENGINEERING SERVICE GR B (ELECTRONICS & TELECOMMUNICATION ENGINEERING POSTS) 6
Note 1 : No request for addition/alteration in the preferences indicated by a candidate in this application
Roll No. :- 0812398 | This is a Printout of "PREVIEW OF THE FORM".There is no need to send the Printout to the
commission.However, candidate may take a printout after final submission for future reference only.
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form will be entertained by the Commission.
Note 2 : Candidate is advised to indicate all the Services/Posts (as given in para 2 of Notice) for which he/she is
eligible in terms of the Rules in the order of preferences in Col. 18 of his/her application form.In case he/she does
not give any preference for any Services/Posts or does not include certain Services/Posts in Col. 18 of the application
form, it will be assumed that he/she has no specific preference for these Services/Posts and in that event he/she shall
be allocated to any of the remaining Services/Posts in the order as appearing in the notification and in which there
are vacancies after allocation of candidates according to the Services/Posts of their preference.
19. Whether you have ever applied for/been
selected for U.P.S.C. Examination
/Recruitments earlier?(Excluding
current examination) | YES
Details of other application for Examination/Recruitment held/to be held by UPSC :-
Name of Examination/ Month and year of Roll No. Whether you appeared Whether you were
Recruitment Examination /Name at the recommended for
of the Post for Examination/Interview appointment
Recruitment
Engineering Services 2021 1107819 YES NO
20.(a) Whether any action was/has been initiated
against you as per Rule 11 of
Engineering Service Examination-2024
by Commission/Hospital/Govt.? | NO
(b) Have you ever been debarred by UPSC/
any Public Service Commission
or SSC from any of their
Examinations/Selections? | NO
21. Please give Particulars at the University/State/National Level in respect of :-
(a) Prizes, medals, scholarships,etc | NATIONAL SCHOLARSHIP RECEIVED DURING
GARADUATION
(b) Sports / N.C.C. etc. |
(c) Position(s) of distinction /leadership | CLASS MONITOR IN CLASS 10TH
held in School/College
(d) Other extra curricular activities and | LOVE TO TRAVEL AND EXPLORING
interests (Such as hobbies etc.) CULTURES
22.1.(a) Whether you are a PwBD/PwD | NO
candidate
Roll No. :- 0812398 | This is a Printout of "PREVIEW OF THE FORM".There is no need to send the Printout to the
commission.However, candidate may take a printout after final submission for future reference only.
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22.2(a) Are you a PwBD/PWD candidate [as |
per column 22.1.(a)] having physical
limitation to write? (If Yes, upload
scanned copy of the requisite certificate
as per Appendix-IV (for
PwBD)/Appendix-VI (for PwD) of the
Notice of Engineering Service
Examination, 2024 dated 06.09.2023)
(b) Had you availed Compensatory Time |
at the time of written Examination
(c) Had you used the facility of scribe at |
the time of written Examination
22.3 (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
Engineering Services Examination,
2024?
(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 |
23. Photo-ID Proof | AADHAR CARD (XXXXXXXX7538)
24. List of scanned copies uploaded by the candidate:-
Note 1: The documents/certificates uploaded with DAF only will be accepted.
Note 2: The documents/certificates submitted through any other mode or after closing date of DAF will NOT be
accepted under any circumstances.
--->A Scanned Copy of Matriculation Certificate / School Leaving Certificate as proof of birth or any other
certificate / document as prescribed in Rule 5 of the Rules of Engineering Services Examination 2024
--->A Scanned copy of the certificate(s) showing his/her educational qualification as prescribed in Para
3(iii) of the Notice of the Examination uploaded on the website of the Commission and Rule 6 of the Rules
of Examination published in the Gazette of India dated 06th September, 2023
--->A Scanned Copy of Certificate in Support of claim to belong to Scheduled Castes/Scheduled
Tribes/Other Backward Classes (Non Creamy Layer) / Economically Weaker Section/PwBD (wherever
applicable).
--->Any of the following photo ID proofs (Viz. Aadhar card, Voter ID card, PAN card, Passport, Driving
Roll No. :- 0812398 | This is a Printout of "PREVIEW OF THE FORM".There is no need to send the Printout to the
commission.However, candidate may take a printout after final submission for future reference only.
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License, Educational Institution/Office ID Card or any other photo ID issued by Central/State Government).
Roll No. :- 0812398 | This is a Printout of "PREVIEW OF THE FORM".There is no need to send the Printout to the
commission.However, candidate may take a printout after final submission for future reference only.
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