Post applied under Project - Uttar Pradesh State Rural Livelihoods Mission 
Date of application:27 February 2020
Note : Fields marked with * are mandatory.

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Personal Details
Please upload a scanned copy of your passport size photograph as per the sizes mentioned
Note: Image should be in jpg/jpeg format and size should not exceed 50 KB and Height must be in between 2.5cm -7.5cm and Width must be in between 2.5cm -7.5cm
AADHAR card Number  
  First Name Middle name Last name
Candidate Name*
Mother's Name*  
Father's/Husband's Name  
Date of birth *
Age cutoff date is --
Email* Gender*
Mobile* +91 Phone no. with STD code  
Note: Mobile number & Email-id should be of Candidate who is applying for the position.
Please select your Domicile State* Category:*
Are you entitled to reservation under the Freedom Fighter's category?* No    Yes   
(Applicable only to those candidates whose own Paternal or Maternal Grandfather were freedom fighters, drawing a pension from the Home Ministry, Govt of India, and having a PPO number to that effect, and a certificate issued by the District Magistrate to the candidate. Candidates claiming this reservation would have to submit this certificate as required by Govt of UP at the time of document verification)
Are you entitled to reservation under the category of " Son/ Daughter of defense personnel of UP, either retired (superannuated) OR killed/disabled in action OR defense personnel posted in UP" ? YES/ NO* No    Yes   
(Candidates claiming reservation under this category, would have to produce relevant certificates/documents as required by Govt of UP at the time of certificate verification)
Are you physically handicapped? No     Yes    
Address of correspondence
House No./ Street *
City/Town/Village* Pincode * (six digit code)
State* District*
If permanent address is the same as the address mentioned above, click the box.
Permanent Address
House No./Street
City/Town/Village Pincode (six digit code)
State District

Educational Details
Note Note : Enter your Education Qualification that meets the eligibility criteria prescribed for this position.
  Note : All fields in this tab is mandatory
इस पद के लिए निर्धारित शैक्षिक पात्रता को पूरा करने वाली अपनी शिक्षा योग्यता / डिग्री दर्ज करें।
Level * Specialization 
If other, Please specify)*
Board/University*  Course Type* Passing year
& Month*
Mark sheet
Enter your other educational details here : Please enter educational qualifications in chronological order as applicable in your case.
Note:Please DO NOT enter the above enterded educational details here again
Level  Specialization  Board/University Course Type Passing year % or CGPA Mark-sheet number
Post Graduation
PG diploma
    Click here to add any additional degree/ diploma  

Training Details
Enter Details of Trainings Undergone, if any.
Subject Institution No. of days Training year
    Add more Details

Work Experience Details
Note : Note: Fill in the relevant details only if you have full time work experience for which you can produce valid supporting work experience certificates at the time of document verification.
ENTER YOU WORK EXPERIENCE DETAILS, STARTING FROM CURRENT OR IMMEDIATE LAST (Mention in brief the organization you worked in, your job profile and your key achievements)
Work Experience is mandatory for this post.
All fields in this tab are mandatory
Name of Organization Designation Level
of Posting
Please mention briefly - your job profile OR the work that you did at this
position.(minimum 50 words)

Area of experience(If OTHER Please specify)

    Click here to add another work experience

Provide Name, Phone number and email address information of two professional references, of which one should have been your reporting officer of a recent job. Note that reference details of any family/ friend/relative cannot be provided. Name Email-ID Contact No.

Please upload scanned copy of your signature as per the size mentioned
Note:: Scanned signature image should be in 3.5cm (width ) * 1.5cm (height) [132pixel * 56pixel ] and size should not exceed 25KB
Please check all the information filled by you are correct before you submit. After submission you will not be permitted to make any changes.
Note:Note: This application SHOULD BE SAVED for all future references and communications. We advise you to take a print out of your application for your own reference.

I have read terms and conditions of detail advertisement and the selection methodology published on the SIDS website and I will abide by them.

I have read the eligibility criteria for the position I am applying for and I declare that I meet all the eligibility criteria for this position. I confirm and certify that the particulars furnished above by me are correct and complete to the best of my knowledge and belief I declare that if any of the information submitted by me is found to be incorrect or incomplete at ANY stage of the selection process, OR I do not meet the prescribed eligibility criteria for this position, my application is may be rejected and that I will not have any claim for the same.
मैंने SIDS वेबसाइट पर विज्ञापन में दिए गए विवरण और चयन प्रक्रिया को अच्छी तरह से पढ़ और समझ लिया है और मैं इनका पालन करूँगा/ करुँगी |

मैंने इस पद की पात्रता को अच्छी तरह से पढ़ और समझ लिया है और मैं यह प्रमाणित करता/ करती हूँ की मैं इस पद की सभी पात्रता पूरी करता/ करती हूँ |

मैं ये प्रमाणित करता/ करती हूँ की इस आवेदन में मेरे द्वारा दिया गया सभी विवरण सही और सम्पूर्ण हैं. अगर मेरे द्वारा दिया गया कोई भी विवरण गलत या अपूर्ण पाया जाता है, तो मेरा आवेदन, चयन प्रक्रिया के किसी भी चरण में अयोग्य किया जा सकता है. किसी भी गलत या अपूर्ण विवरण की जिम्मेदारी सिर्फ मेरी ही होगी |

Tick the box to state that you have careefully read and agree to terms and conditions of applying for this position.