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Union Public Service Applications for various posts
Union Public Service Commission notifies Special, Class Railway Apprentices Examination, 2012
For More details http://upsc.gov.in
UNION PUBLIC SERVICE COMMISSION
APPLICATION FORMAT FOR RECRUITMENT BY SELECTION
NOTE : PLEASE FILL IN THE FORM ACCORDING TO INSTRUCTIONS TO CANDIDATES
CANDIDATE TO FILL FEE PARTICULARS FOR OFFICE USE ONLY
SPACE FOR CENTRAL
RECRUITMENT FEE
STAMPS
* AMOUNT OF FEE PAID
ROLL NO. :
Rs. :
PART –I (BRIEF PARTICULARS OF CANDIDATE)
1. ADVT. NO.: ITEM NO. : YEAR:
2. NAME OF THE POST APPLIED FOR
3. FULL NAME :
(IN CAPITALS)
FIRST NAME MIDDLE NAME
SURNAME
(PLEASE LEAVE ONE BOX BLANK BETWEEN EACH NAME)
4. (a) DATE OF BIRTH :
(IN FIGURES) DAY MONTH YEAR
(b) DATE OF BIRTH :
(IN WORDS) 5. GENDER : (Write ‘1 for Male, ‘2’ for Female)
6. WHETHER PHYSICALLY HANDICAPPED ? (Write ‘1’ for Yes, ‘2’ for No)
(See “Instructions and Additional Information to Candidates for Recruitment by Selection”)
7. COMMUNITY :
[Write ‘1’ for SC
‘2’ for ST
‘3’ for OBC
‘4’ for GENERAL ]
8. IS ANY AGE RELAXATION BEING CLAIMED?
(Write ‘1’ for Yes, ‘2’ for No)
IF ‘YES’ FURNISH DETAILS UNDER THE RELEVANT CATEGORY / CATEGORIES GIVEN BELOW:
(See Instruction – I)
(A) CENTRAL / U.T. GOVERNMENT SERVANT (As on closing date)
(B) SPORTSPERSON
(C ) ORDINARILY DOMICILED IN THE STATE OF J&K
(D ) WIDOW / DIVORCEE / JUDICALLY SEPARATED (E) EX- SERVICEMAN
(IF ANSWER TO 8 (E) IS ‘ YES’ TOTAL NO. OF YEARS OF ELIGIBLE SERVICE
IN THE ARMED FORCES.
YEARS
9. DO YOU POSSESS THE ESSENTIAL EDUCATIONAL QUALIFICATIONS
AS MENTIONED IN THE ADVERTISEMENT? (Write ‘1’ for Yes, ‘2’ for No)
10. (A) DO YOU POSSESS RELEVANT EXPERIENCE FOR THE POST ?
(Write ‘1’ for Yes, ‘2’ for No) ( See Instruction – II)
(B) IF YES, INDICATE THE LENGTH OF EXPERIENCE
AS ON CLOSING DATE :
YEARS MONTHS DAYS
11.(A) DO YOU POSSESS HIGHER EDUCATIONAL QUALIFICATIONS(OVER AND
ABOVE THE ESSENTIAL EDUCATIONAL QUALIFICATIONS) LIKE Ph.D.,
M.Phil., M.Tech. / M.E., M.D. / M.S., Etc ? (Write ‘1’ for Yes, ‘2’ for No)
(B) IF “YES” Write ‘1’ IN THE RELEVANT BOX / BOXES :
Ph.D M.Phil M.E./ MD/MS Others
M.Tech 12 DO YOU POSSESS ANY OF THE DESIRABLE QUALIFICATIONS ?
(Write ‘1’ for Yes, ‘2’ for No, ‘3’ for Not Applicable)
13 (A) MODE OF SUBMISSION OF APPLICATION :
(Write ‘1’ if Submitted by Hand / Courier, ‘2’ if submitted by Post /Speed Post).
(B) IF ANSWER TO 13(A) IS ‘2’ INDICATE REGION CODE :
(See Instruction –III)
I hereby declare that all the statements made in the application are true and complete to the best of my
Knowledge and belief. I understand that action can be taken against me by the Commission if I am declared by them
to be guilty of any type of misconduct mentioned herein. I have informed my Head Office / Department in writing
that I am applying for this selection.
Date :
Place :
Signature of the Candidate
(Candidate must fill detailed particulars in Part –II of form)