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UNION PUBLIC SERVICE COMMISSION
DETAILED APPLICATION FORM
CIVIL SERVICES(MAIN) EXAMINATION, 2018

RID. : 11821679225
Roll No. : 0108969
Name : PRASHANT MISHRA
Email : [email protected]
Mobile : 8519064615

1. (a) Date of Birth | 18-10-1989

(b) Age Relaxation claimed | NO
(c) Claimed Age relaxation |
(If,yes upload a scanned ,documentary proof/ documentary evidence in support of your claim)

2. (a) Address for correspondence to which | PANDITPUR,

communication is to be sent | BARBASA GAHARWAR
Post Office: |
City: | MIRZAPUR
District: | MIRZAPUR
State : | UTTAR PRADESH
Pin Code : | 231211
(b) Telephone No. with STD Code | -
(c) Mobile No. | 8519064615
(d) Fax No. |
(e) E-mail address | [email protected]
(f) Permanent Postal Address | PANDITPUR,
| BARBASA GAHARWAR
Post Office: |
City: | MIRZAPUR
District: | MIRZAPUR
State : | UTTAR PRADESH
Pin Code : | 231211

3. Gender : | MALE

4. Marital Status : | UNMARRIED

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

6. Mother tongue : | HINDI

7. Place of Birth :
Post Office |

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Town/Village | PANDITPUR
District | MIRZAPUR
State | UTTAR PRADESH

8. (a) Community | GENERAL (4)

Note 1: Candidate belonging to OBCs but coming in the 'Creamy Layer' and thus not being entitled to OBC
reservation should indicate their community as 'General Category (Code No.4)'.
Note 2: Candidates belonging to neither SC,ST nor OBC Communities should write 'General'
Category(Others) Code No.4' against the column of community and not leave it blank.'.
Note 3: No change in the community status already indicate by a candidate in his / her application form for this
examination will ordinarily be allowed by the Commission.
Note 4: In case you are a 'SC, ST or OBC'(Non Creamy Layer) candidate, upload a scanned copy of certificate in
support of your claim.
Note 5: Candidates belonging to OBC non creamy layer category will have to fill OBC proforma online.
(b) Name of the Caste as mentioned in the |
Community Certificate and Name of |
the issuing State

(c) State your religion if you belong to

Scheduled Caste / If OBC, state
Creamy or Non Creamy Layer |
(d) If you belong to any of the minority
Communities notified by the Government
(Muslim/Christians/Sikhs/Budhists/
Zoroastrians[Parsi]/Jains) | NO
(e) If yes, Name of the Minority
community |

9. (a) Whether you are a Physically | NO

Challenged Candidate (upload a
scanned Certificate)
(b) Category |
(c) Percentage of disability as indicated in |
certificate
(d) Are you Ortho with locomotor |
disability and cerebral palsy having
impairment of dominant(writing
extremity) ?
(e) Would you require scribe in the |
Examination
(i) If yes, "Commission's Scribe" or "Own |
Scribe"
(f) Would you require any assistive |
device(s)
(g) Would you require questin paper in |
larger font

10. Choice of Centre for Examination | DELHI

11.(a)(i)Do you hail from Arunachal Pradesh/

Manipur/Meghalaya/Mizoram/Nagaland/

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Sikkim and are claiming exemption
from appearing in INDIAN LANGUAGE
FOR PAPER A? | NO
(ii)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 VII (Essay,General
Studies and for optional Subject as
at (b) of col.11 above) | ENGLISH

(b) In case of Sindhi and Santhali

medium of script should be indicated
by the candidate |

Note : In case of candidates opting for literature in any of the Indian Language as optional subject for papers
VI & VII , they would have to write these two papers (VI & VII) in the script specified for that
particular language as given in Annexure IV of Instructions to candidate.

(c)Language Medium for Interview

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

13. (a) Name of Father | MUNNA LAL MISHRA

(b) Name of Mother | VIDYA DEVI
(c) Nationality of Father | INDIAN
(d) Nationality of Mother | INDIAN
(e) Father's Profession: | AGRICULTURE
(f) Mother's Profession: | AGRICULTURE
(g) 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) |

(h) 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) |
(i) Annual income of your Father | RS.200000
(j) Annual income of your Mother |
(k) State to which your Father originally | UTTAR PRADESH
belongs
(l) District to which your Father originally | MIRZAPUR
belongs
(m) State to which your Mother originally | UTTAR PRADESH
belongs
(n) District to which your Mother originally| MIRZAPUR
belongs
(o) Father's present postal Address | PANDITPUR,
(If deceased give last address) | BARBASA GAHARWAR,
Post Office: |
City: | MIRZAPUR
District: | MIRZAPUR

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State : | UTTAR PRADESH
Pin Code : | 231211
(p) Mother's present postal Address | PANDITPUR,
(If deceased give last address) | BARBASA GAHARWAR,
Post Office: |
City: | MIRZAPUR
District: | MIRZAPUR
State : | UTTAR PRADESH
Pin Code : | 231211

14.1(a) Do you possess the prescribed Educational

Qualification (Vide rule-7 of the rules of the Examination)?
Please upload a scanned copy of the Certificate
if answer is "YES" | YES

Note : If you do not possess the prescribed educational qualification as mentioned in rule-7 of the
examination your candidature is liable to be cancelled.

(b) Do you have any basic Educational

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 1 76 2004 ENGLIGH,HINDI GOPAL UP BOARD
,SOCIAL STUDIES, VIDYALAY,INTER
MATH,SCIENCE, COLLEGE
SANSKRIT KORAON
ALLAHABAD
.
12th or Equivalent 1 72 2006 MATHEMATICS, GOPAL UP BOARD
PHYSICS, VIDYALAY INTER
CHEMISTRY, COLLEGE
ENGLISH, KORAON,
HINDI ALLAHABAD
Stream at Graduation Level :-- ENGINEERING
BACHELOR OF 1 75 2011 ELECTRONICS SVITS RGPV
ENGINEERING AND INDORE BHOPAL
COMMUNICATION

14.3 Higher Educational Qualifications : Commencing with Post Graduation or equivalent examination :-
(Please upload scanned copy of all Degree etc.)
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
/Grade Completion of
Marks(%)

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15. Were you ever Employed : | NO

16. Please give Particulars at the University/State/National Level in respect of:-

(a) Prizes, Medals, Scholarships etc. | 1. CERTIFICATE OF EXCELLENCE IN QUIZ
COMPETITION IN SCHOOL. 2. CERTIFICATE OF
DISTINCTION IN ENGLISH FROM CBSE IN 12TH CLASS.
3. DISTRICT TOPPER IN 12TH CLASS. 4. CERTIFICATE
OF MERIT IN ENGLISH FROM DAV COLLEGE,
AMRITSAR.
(b) Sports/N.C.C. etc. | BADMINTON
(c) Position(s) of distinction Leadership |
held in College
(d) Other extra curricular activities and | UPDATING MY KNOWLEDGE ABOUT CLIMATE
interests (Such as hobbies etc.) CHANGE, RENEWABLE ENERGY AND MOBILITY

17. Having regard to answers given against

columns 6,7,13,14.2 & 14.3 which is the State
/Union Territory that you would claim
as your home State/U.T. ? | PUNJAB

18. As the Cadre Allocation Policy is already under review and the revised Policy is likely to be notified by the
Central Government very shortly, the preferences regarding allocation of cadre will be made available for
filling up by the candidates subsequently after the revised Cadre Allocation Policy becomes available. The
candidates will be notified for submitting their preferences of Cadre (for IAS/IPS) in due course of time
through an addendum to this Detailed Application Form.

19. 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 Govt. and the candidates are advised to use their discretion while indicating preferences 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, in the application form for main examination.

Note 3: The services which are not required to be opted have been shown as 'NOT OPTED.'

S.N. Name of Services/Post Order of Preference

1. Indian Administrative Service 2
2. Indian Foreign Service 1
3. Indian Police Service 3
4. Indian P&T Accounts & Finance Service, Group "A" 15
5. Indian Audit & Accounts Service, Group "A" 6
6. Indian Revenue Service (Customs and Central Excise)Group "A" 5
7. Indian Defence Accounts Service ,Group "A" 13
8. Indian Revenue Service, (I.T.) Group "A" 4
9. Indian Ordance Factories Service,Group "A" (Asstt. Works Manager- 18

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Administration)
10. Indian Postal Service,Group "A" 17
11. Indian Civil Accounts Service ,Group "A" 19
12. Indian Railway Traffic Service,Group "A" 8
13. Indian Railway Accounts Service ,Group "A" 11
14. Indian Railway Personnel Service,Group "A" 12
15. Post of Asstt. Security Commissioner ,Group "A" in Railway Protection Force 9
16. Indian Defence Estates Service (Junior Grade) ,Group "A" 14
17. Indian Information Service ,(Junior Grade) Group "A" 16
18. Indian Trade Service,Group "A" (Grade III) 7
19. Indian Corporate Law Service ,Group "A" 10
20. Armed Forces Headquarters Civil Service ,Group 'B'(Section Officers' Grade) 24
21. The Delhi ,Andaman and Nicobar Island,Lakshadweep,Daman&Diu and Dadra & 20
Nagar Haveli Civil Service,Group "B"
22. The Delhi ,Andaman and Nicobar Island,Lakshadweep,Daman&Diu and Dadra & 21
Nagar Haveli Police Service,Group "B"
23. Pondicherry Civil Service, Group "B" 22
24. Pondicherry Police Service, Group "B" 23

20. Have you ever been debarred by

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

21. Whether you have selected or

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

22. How many times have you appeared

at the Civil Services(P)
Examination so far, including the current
Examination held in June, 2017 |4

23. Details of CS(P) Examination in which you have appeared including CS(P), 2017
Year 2014 2015 2016 2017
Roll No. 0 0 0006650 0482541

24. Have you ever accepted allocation

to a Service/Post on the basis
of Civil Services Examination
held in earlier years? | NO

25. Fee Payment Details (Subject to Verification) :-SC/ST/FEMALE AND PH CANDIDATES ARE
EXEMPTED FROM PAYING FEE.

Candidates applying (excepting Female/SC/ST/PH 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 depositing the money in any Branch of SBI by cash, or by using Net Banking
facility of SBI/State Bank of Bikaner & Jaipur/State Bank of Hyderabad/State Bank of Mysore/State

Roll No. :- 0482541 |

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Bank of Patiala/ State Bank of Travancore or by using Visa/Master/Rupay Credit/Debit card.

26. List of Scanned documents to be uploaded by the candidate:-

--->Scanned Copy of the certificate of Age.
--->Scanned Copy of the certificate(s) of educational qualifications (including a copy of recognition
letter/equivalence certificate from AIU/UGC/IMA, if applicable).
--->Scanned Copy of the certificate in support of claim to belong to Scheduled Castes/Scheduled
Tribes/Other Backward Classes (where applicable).(Annexure VI & VII may be filled online by OBC
candidate).

Roll No. :- 0482541 |

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DECLARATION TO BE SIGNED 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 knowlege and belief. I have read rule 14 of the Rules of the
Examination published in the Gazette of India Extraordinary dated 22nd February, 2017
and understand that in the event of any information being found false or incorrect or
ineligibility being detected before or after the examination, action can be taken against me by
the Commission.

I further declare that I fullfill 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 4 of the said Rules of the Examination.

I have not withheld any information required as per this proforma.

I have read the rules and instructions carefully and I hereby undertaken to abide by them.

I have informed my Head of the Office/Department in writing that I have applied for this examination.

Signature of the Candidate

Place:
Date:

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UNION PUBLIC SERVICE COMMISSION
SUMMARY SHEET
(FOR OFFICE USE ONLY)
DATE:-
SESSION:-
ROLL NUMBER :- | 0482541
NAME OF EXAMINATION :- | CIVIL SERVICES(MAIN) EXAMINATION, 2017
NAME :- | ARUNPREET SINGH
DATE OF BIRTH :- | 06-06-92
OPTIONAL SUBJECT:- | SOCIOLOGY
PLACE OF BIRTH :-
TOWN/VILLAGE | GONIANA
DISTRICT | BATHINDA
STATE | PUNJAB

Please give Particulars at the University/State/National Level in respect of:-

(a)Prizes, Medals, Scholarships etc. | 1. CERTIFICATE OF EXCELLENCE IN QUIZ

COMPETITION IN SCHOOL. 2. CERTIFICATE
OF DISTINCTION IN ENGLISH FROM CBSE IN
12TH CLASS. 3. DISTRICT TOPPER IN 12TH
CLASS. 4. CERTIFICATE OF MERIT IN
ENGLISH FROM DAV COLLEGE, AMRITSAR.
(b) Sports/N.C.C. etc. | BADMINTON
(c) Position(s) of distinction Leadership held in |
College
(d) Other extra curricular activities and interests (Such | UPDATING MY KNOWLEDGE ABOUT
as hobbies etc.) CLIMATE CHANGE, RENEWABLE ENERGY
AND MOBILITY

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 1 78 2008 ENGLIGH,PUNJABI ST.FRANCIS ICSE
,SOCIAL STUDIES, SCHOOL,TARN
MATH,SCIENCE,C TARAN
OMPUTER
APPLICATIONS.
12th or Equivalent 1 85 2010 ECONOMICS,BUSI SHRI GURU CBSE
NESS STUDIES,AC HARKRISHAN
COUNTANCY,ENG PUBLIC
LISH,PHYSICAL SCHOOL,TARN
EDUCATION TARAN
Stream at Graduation Level :-- COMMERCE & ACCOUNT & ECONOMIC
BACHELOR OF 1 60 2013 ECONOMICS,BUSI DAV COLLEGE,AM GURU NANAK
BUSINESS ADMIN NESS STUDIES,CO RITSAR DEV
ISTRATION MPUTER APPLICA UNIVERSITY,
TIONS,ENGLISH,P AMRITSAR,
UNJABI PUNJAB
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Do you have any basic Educational
Qualification obtained from a foreign
institution? | NO

Roll No. :- 0482541 |

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