3. size : 38x25
Kaka Advt. Agency
continued..
¼i`"B&3½
4- vk;q x.kuk dh fu'pk;d frfFk ¼tgk¡ vU;Fkk u fy[kk gks½
01 tqykbZ] 2016
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Js.kh ds vH;FkhZ vkj{k.k fo"k;d izek.k&i= 'kklukns'k la[;k
(Screening Test)
'ON-LINE'
'ON-LINE APPLICATION' SUBMIT
Click
'ON-LINE APPLICATION'
(Claims)
(Candidature)
& & ]
& ] &
&
III
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izk:i ij ftykf/kdkjh ls izkIr dj izLrqr djsaA
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vkijkf/kd okn yfEcr gksus] nks"k fl) gksus] ,d ls vf/kd thfor ifr ;k
iRuh ds gksus] rF;ksa dks xyr izLrqr djus rFkk vH;FkZu p;u ds lEcU/k esa
flQkfj'k djuss vkfn ÑR;ksa esa fyIr ik;s tkus ij vH;FkZu fujLr djus
rFkk vk;ksx dh ijh{kkvksa ,oa p;uksa ls izfrokfjr djus dk
vf/kdkj vk;ksx dks gksxkA
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izkIr dj ldsaxsA
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voxr djkus ds mn~ns'; ls fn;s tk jgs gSaA fofHkUu inksa dh vko';drk ds
vuqlkj bu uewuksa esa vUrj gks ldrk gSA
16-
17-
18-
19- vH;FkhZ dks vku&ykbu vkosnu dh vfUre frfFk rd foKkfir
vfuok;Z vgZrk /kkfjr djuk vko';d gksxkA
ifjf'k"V&1% ^^vku&ykbu vkosnu&i=** Hkjus gsrq foLr`r
vuqns'k
Û 2 6
(Debar)
website "contact us"
INSTRUCTIONS FOR FILLING ONLINE APPLICATION
Part -1
Part -2
1. Log on http://uppsc.up.nic.in to access the home page of the
“Candidate Segment”.
2. Before filling up the form candidates are advised to carefully
go through the Relevant Notification published in the News
Papers and also available in the “All Notification/
Advertisement” in Candidate segment page.
3. Place the mouse over the “All Notification/ Advertisement”
menu to view details of notifications with respect of
vacancies/post.
4. Click on “All Notification / Advertisement” link would take you
to the list of all the active Notifications, where you can select to
apply for any of the listed notification by clicking on the link
“Apply” against each notification.
5. Click on “Apply” button it will open option “Candidate
Registration”.
For Part-I Candidate Registration process you have to click
on “Candidate Registration” option it will fetch out Candidate
Basic Registration page in which the candidates have to fill
fundamental information, particulars and details asked for. All
pink fields are mandatory and essential to be filled in by the
candidate. Every field has clear instructions for filling up are
written which should be carefully read and strictly followed by
the candidates while filling up the form.
6. Read User guidelines carefully using “User Instruction”
option.
The Application submission of form is divided into two
options namely “Candidate Registration” and “Submit
Application Form”.
7. Now click on “Candidate Registration” option to accomplish
1 part of form submission.
Here the system asks for Candidate's
including 'Name', 'Father's/husband name', 'UP
Domicile', 'Category', 'DOB', Gender, 'Marital status', 'Contact
no.', email, Qualification details, and other relevant information.
After entering verification code Click on button at
bottom of the page, the second page that will display your
Registration Slip where you can find your 11 digit registration
number with detail that you can also take print for future
reference.
[The candidates are supposed to fill in the Payment Details
while filling up Part-II of the Online Application Submission.]
8. After Completion of PART-I Registration. You have to go
through via “Generate E-Challan” and “Submit Application
Form” options to complete Part-II portion.
Click on “Generate E-Challan” button in candidate segment it
will open-up a page and ask for Candidate Registration Number
and Bank Name to Generate E-Challan.
When candidate provides valid information, then click on
“Generate E-Challan” button it will generate Bank Challan with
respective of bank that you have to deposit in bank and they will
give you candidate Challan Copy with Transaction date and
number for further proceeding.
[The candidates may however note that Application would
be treated as incomplete and rejected unless accompanied with
Part-II Application Form submission.]
9. Click on “Submit Application Form” would take you to the 2
part of the online application.
10. Now to complete online application submission you just click
st
nd
Candidate Basic Registration form:
Personal
Information
“Submit”
on“SubmitApplicationForm”inCandidateSegmentPage.
Clicking on “Submit Application Form” button it will opens-up
a page and ask for Candidate Registration Number, Fee
details, Scanned photograph with signature and some of your
personnel details that you filled during registration process.
And click on submit button & you will be moved on next page
where you can fill all information to complete form submission.
[Here the candidate is required to upload the images of
recent and . Images to be
uploaded should be only in format of
size not exceeding .]
# the candidate should scan his signature, which has been
put on white paper using pen with his/her
photograph.
At the top of the page there is a for the
candidates. Candidates are advised to go through the contents
of the carefully. Candidate has the option to either
agree or disagree with the contents of Declaration by clicking
on or buttons. In case the candidate
opts to disagree, the application will be dropped and the
procedure will be terminated. Accepting to agree only will
submit the candidate's Online Application.
This section shows information relevant to Notification i.e.
Notification number, selection type, directorate/ department
name and post name
This section shows information about candidate personnel
details i.e. Registration Number, candidate name, Father/
Husband name, Gender, DOB, UP domicile, Category, Marital
status, email and contact number.
Other details of candidate shows the information details
about UP Freedom Fighter, Ex Army, service duration and your
physical challenges
It shows your educational and experience details
Here you will see your complete communication address and
photo with your signature.
At the bottom of the page there is a 'Declaration' for the
candidates. Candidates are advised to go through the contents
of the Declaration carefully.
After filling all above particulars there is provision for preview
your detail before final submission of application form on
clicking on “Preview” button.
Preview page will display all facts/particulars that you have
mentioned on entry time if you are sure with filled details then
click on “Submit” button to finally push data into server with
successfully submission report that you can print.
Otherwise using “Back” button option you can modify your
details.
11. On clicking “View Application status” option in Candidate
Segment page you can see current status of candidate.
12. On clicking “Result” option in Candidate Segment page
candidate can see result status of periodically.
13. “Interview/Exam Schedule” option in Candidate Segment
page candidate can see Interview and examination schedule
details periodically.
14. On clicking “Key Answer Sheet” candidate can download
key answer sheet.
15. On clicking “Admit Card/Hall Ticket” candidate can
download their Admit Card using with some basic credential of
candidate.
16. On clicking “List of Rejected Candidate” candidate can view
Rejected candidate list.
17. On clicking “Syllabus” candidate can view syllabus of
particular examination.
[Candidates are advised to take printout of the Online
Application and retain it for further communication with the
UPPSC.] [The Candidates applying for the examination should
ensure that they fulfill all eligibility conditions for admission to
examination. Their admission at all the stages of the
examination will be purely provisional subject to satisfying the
prescribed eligibility conditions.] UPPSC takes up verification
of eligibility conditions with reference to original documents at
subsequent stages of examination process.
Online
Application process must be completed (including filling up of
Part-I and Part-II of the Form) before last date of form
submission according to Advertisement, after which the web-
link will be disabled.
Photograph Signature Specimen
.jpg, .jpeg, .gif, .tif, .png
50 KB
Black Ink
Detailed Application Form:
'Declaration'
Declaration
'I Agree' 'I do not agree'
Notification Details
Personnel Details
Other Details of candidate
Education & Experience Details
Candidate address, photo & signature details
Declaration segment
[CANDIDATES ARE ADVISED TO TAKE A PRINT OF THIS
PAGE BY CLICKING ON THE “Print” OPTION AVAILABLE]
LAST DATE FOR RECEIPT OF APPLICATIONS :
4. NAME & ADDRESS OF THE INSTITUTE/HOSPITAL
DISABILITY CERTIFICATE
ANNEXURE
Certificate No. ................. Date .............
This is to certified that Shri/Smt/Kum................................... son/wife/
daughter of Shri ................................................. age ........................
Sex ........................ identification mark (c) ..................................... is
suffering from permanent disability of following category.
A. Locomotor or cerebral palsy:
(i) BL-Both legs affected but not arms.
(ii) BA-Both arms affected
(a) Imparied reach
(b) Weakness or grip
(iii) BLA-Both legs and both arms affected
(iv) OL-One leg affected (right or left)
(a) Imparied reach
(b) Weakness of grip
(c) Ataxic
(v) OA-One arm affected
(a) Imparied reach
(b) Weakness of grip
(c) Ataxic
(vi) BH-Stiff back and hips (Cannot sit or stood)
(vii) MW- Muscular weakness and limited physical endurance
B. Blindness or Low Vision:
(i) B-Blind
(ii) PB-Partialy Blind
C. Hearing impairment:
(i) D-Deaf
(ii) PD-Partially Deaf
(Delete the category whichever is not applicable)
2. This condition is progressive/non-progressive/likely to improve/
not likely to improve. Re-assessment of this case is not
recommended/is recommended after a period of ......... years
......... months.*
3. Percentage of disability in his/her case is .......... percent.
4. Sh./Smt/Kum ................. meets the following physical
requirements for discharge of his/her duties:
(i) F-can perform work by manipulating with fingers Yes/No
(ii) PP-can perform work by pulling & pushing Yes/No
(iii) L-can perform work by lifting Yes/No
(iv) KC-can perform work by kneeling and crouching Yes/No
(v) B-can perform work by bending Yes/No
(vi) S-can perform work by sitting Yes/No
(vii) ST-can perform work by standing Yes/No
(viii)W-can perform work by walking Yes/No
(ix) SE-can perform work by seeing Yes/No
(x) H-can perform work by hearing/speaking Yes/No
(xi) RW-can perform work by reading and writing Yes/No
(Dr. .................) (Dr. .................) (Dr. .................)
Member Member Chairperson
Medical Board Medical Board Medical Board
Countersigned by the
MedicalSuperintendent/
CMO/Head of Hospital
(with seal)
* Strike out which is not applicable
Height=4.5cm1.5cm
Photo
Signature
width= 3.5 cm
Appendix-7
Guide Lines for Scanning Photograph with Signature
1.
2.
3.
.jpg, .jpeg, .gif, .tif, .png
4.
5.
6.
7.
8.
Sample Image &Signature :-
The Procedure relating to upload Photo &
Signature
Paste the Photo on any white paper as per the above
required dimensions. Sign in the Signature Space
provided. Ensure that the signature is within the box.
Scan the above required size containing photograph and
signature. Please do not scan the complete page.
The entire image (of size 3.5 cm by 6.0 cm) consisting of
the photo along with the signature is required to be
scanned, and stored in * format
on local machine.
Ensure that the size of the scanned image is not more than
50 KB.
lf the size of the file is more than 50 KB, then adjust the
settings of the scanner such as the DPI resolution, no.
colours etc., during the process of scanning.
The applicant has to sign in full in the box provided. Since
the signature is proof of identity, it must be genuine .and in
full; initials are not sufficient. Signature in CAPITAL
LETTERS is not permitted.
The signature must be signed only by the applicant and not
by any other person.
The signature will be used to put on the Hall Ticket and
wherever necessary. If the Applicant’s signature on
answer script, at the time of the examination, does not
match the signature on the Hall Ticket, the applicant will be
disqualified.
ifjf'k"V
m0iz0 dh vuqlwfpr tkfr rFkk vuqlwfpr tutkfr ds fy;s tkfr
izek.k&i= ¼izk#i& ½
mÙkj izns'k ds vU; fiNM+s oxZ ds fy, tkfr izek.k&i= ¼izk#i& ½
II
I
izekf.kr fd;k tkrk gS fd Jh@Jherh@dqekjh----------------------------- lqiq=@lqiq=h Jh----
------------------------ fuoklh ----------------- xzke -------------------- rglhy---------------- uxj----------------------
--------------- ftyk---------------------------- mRrj izns'k jkT; dh------------------------- tkfr ds O;fDr
gSa ftls lafo/kku ¼vuqlwfpr tkfr½ vkns'k] 1950 ¼tSlk fd le;≤ ij la'kksfèkr
gqvk½@ lafo/kku ¼vuqlwfpr tutkfr] mRrj izns'k½ vkns'k] 1967 ds vuqlkj
vuqlwfpr tkfr@ vuqlwfpr tutkfr ds :i esa ekU;rk nh xbZ gSA
Jh@Jherh@dqekjh-------------------------------- rFkk@vFkok mudk ifjokj
mRrj izns'k ds xzke---------------------------------rglhy-----------------------------------uxj-------------------------
-------- ftyk---------------------------------esa lkekU;r;k jgrk gSA
LFkku -------------------------- gLrk{kj-----------------------------
fnuakd ----------------------- iwjk uke-----------------------------
eqgj --------------------------- in uke-----------------------------
ftykf/kdkjh@vfrfjDr ftykf/kdkjh@flVh eftLVsªV@ijxuk eftLVsªV@rglhynkj@
vU; osru Hkksxh eftLVsªV] ;fn dksbZ gks@ftyk lekt dY;k.k vf/kdkjhA
izekf.kr fd;k tkrk gS fd Jh@Jherh@dqekjh----------------------------------lqiq=@lqiq=h -----
-------------------- fuoklh---------------------rglhy--------------------uxj------ ftyk---------------------- mRrj
izns'k jkT; dh-----------------------------fiNM+h tkfr ds O;fDr gSaA ;g tkfr m0iz0 yksd lsok
¼vuqlwfpr tkfr;ksa] vuqlwfpr tutkfr;ksa vkSj vU; fiNM+s oxksZa ds fy;s vkj{k.k½
vf/kfu;e] 1994 ¼;Fkkla'kksf/kr½ dh vuqlwph&,d ds vUrxZr ekU;rk izkIr gSA
;g Hkh izekf.kr fd;k tkrk gS fd Jh@Jherh@dqekjh-------------------
iwoksZDr vf/kfu;e] 1994 ¼;Fkkla'kksf/kr½ dh vuqlwph&nks tSlk fd m0iz0 yksd lsok
¼vuqlwfpr tkfr;ksa] vuqlwfpr tutkfr;ksa vkSj vU; fiNM+s oxksZa ds fy;s vkj{k.k½
¼la'kks/ku½ vf/kfu;e] 2001 }kjk izfrLFkkfir fd;k x;k gS ,oa tks m0iz0 yksd lsok
¼vuqlwfpr tkfr;ksa] vuqlwfpr tutkfr;ksa vkSj vU; fiNM+s oxksZa ds fy;s vkj{k.k½
¼la'kks/ku½ vf/kfu;e] 2002 }kjk la'kksf/kr dh x;h gS] ls vkPNkfnr ugha gSA buds
ekrk&firk dh fujarj rhu o"kZ dh vof/k ds fy;s ldy okf"kZd vk; vkB yk[k
#i;s ;k blls vf/kd ugha gS rFkk buds ikl èkudj vf/kfu;e] 1957 esa ;Fkk fofgr
NwV lhek ls vf/kd lEifRr Hkh ugha gSA Jh@Jherh@dqekjh-----------------------------------
rFkk@vFkok mudk ifjokj mRrj izns'k ds xzke--------------------------- rglhy-----------------------
------------------- uxj------------------------ ftyk------------------------ esa lkekU;r;k jgrk gSA
LFkku -------------------------- gLrk{kj -----------------------------
fnuakd ----------------------- iwjk uke -----------------------------
eqgj --------------------------- in uke -----------------------------
ftykf/kdkjh@vfrfjDr ftykf/kdkjh@flVh eftLVsªV@ijxuk eftLVsªV@rglhynkjA
Recent photograph
of the candidate
showingthedisability
duly attested by the
Chairperson of the
MedicalBoard
lfpo
size : 38x25
Kaka Advt. Agency
¼i`"B&4½