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Mintu San

scan of a degree form

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chdhrirfan
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0% found this document useful (0 votes)
47 views2 pages

Mintu San

scan of a degree form

Uploaded by

chdhrirfan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Public Service Commission U.P.

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

Notification Details ( Examination )

Advertisement Number : A-6/E-1/2025

GOVT. INTER COLLEGE AND SPARSH INTER COLLEGE FOR


Department/Directorate Name : VISUALLY HANDICAPPED/SAMEKIT VISHESH MADHYAMIK
SCHOOLS

Applied for Post : LECTURER (MALE/FEMALE) SANSKRIT,

Type of Recruitment : GENERAL RECTT.

Candidate's Personal Details

OTR Number : 676855594187 Application ID : 009133744001907

Candidate's Name : MINTU KUMAR Father's/Husband's Name : SHRI CHAND


Mother's Name : SURESHO Gender : Male
Date of Birth : 15/02/1986 Domicile of UP : Yes
Home State : UTTAR PRADESH Home District : MUZAFFAR NAGAR
Category : SC Marital Status : Married
Mobile Number : XXX-XXX-2335 Email-ID : ****achandkatariya@gmail.com

Bank Transaction Details


Payment Gateway : State Bank Of India Payment Mode : INB
Fee Amount : Rs. 65.00 Transaction ID - Date: CPAFNQPNW3 - 22/08/2025

Candidate's Other Details :


Are you Dependent of UP Are You Skilled Player of
No No
Freedom Fighter? UP? :
Are You Extra Ordinary
No Level of Player : ---
Player of UP?
Service Duration (Day-
Are you UP Ex. Army? No 0-0-0
Month-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
No No
service ? and no disciplinary action is
pending against you ?
Are You State Govt.
Employee of Uttar Pradesh ? No
:
Completion Date of
Have you ever been
No Debarment (DD/MM/YYYY) N/A
Debarred from UPPSC ?:
:

Are You Physically A). Are you Blind or Have


No No
Handicapped (Divyangjan) ? Vision problem? :
C). Have you any Physical
B). Are you Deaf or Have Problem (Locomotor
No No
hearing problem? : disability or Cerebral Palsy)?
:
D). Have you any
E). Have you Multiple Disabilities? : No
Neurological Problem? : No

Basic Academic Qualification Details :

S No Examination Passed Board Name Year Of Passing Roll Number


UTTAR PRADESH BOARD OF HIGH SCHOOL AND
1. High School 2000 0631624
INTERMEDIATE EDUCATION

Essential Qualification Details


Sr. No. Qualification Affirmation
(GOVT. INTER COLLEGE) :-
(I) Post Graduation degree in the subject Sanskrit from a University/Deemed University/Institution established by law in India.
(II) Degree of Graduation in Education (B.Ed.) in a course recognized by NCTE.
(SPARSH INTER COLLEGE FOR VISUALLY HANDICAPPED/SAMEKIT VISHESH MADHYAMIK SCHOOLS) :-
(I) A Post-Graduate Degree in concerned subject from a University established by law in India.
1. Yes
(II) Degree in B.Ed. with Special B.Ed. or M.Ed. degree in Visually Impaired/Hearing Impaired, recognised by R.C.I. from a
university established by law in India.
(III) Knowledge of reading and writing in Hindi/English in Braille/Sign Language.
(IV) Registration in Rehabilitation Council of India (R.C.I.) as a special educator for teaching Visually impaired/Hearing
Impaired.

Preferential Qualification Details


Sr. No. Qualification Acquired
1. Served in the territorial army for a minimum period of two years. No
2. Obtained a B certificate of National Cadet Corps. No

Candidate's Permanent & Communication Address Details :


Permanent Address Correspondence/Mailing Address
SHRI CHAND , VILLAGE SHRI CHAND , VILLAGE
Address (Line 1 2 3) : Address (Line 1 2 3) :
NIRMANI , POST NIRMANA NIRMANI , POST NIRMANA
House No. : NA , NA House No. : NA , NA
Street No./PO : NA Street No./PO : NA
City Name : MUZAFFAR NAGAR City Name : MUZAFFAR NAGAR
State : UTTAR PRADESH State : UTTAR PRADESH
District Name : MUZAFFAR NAGAR District Name : MUZAFFAR NAGAR
PIN : 251001 PIN : 251001

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 : 22/08/2025 , Time : 11:14:12 Application Form printing Date & Time : [ 22/08/2025 ,11:14:14 ]

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