STATE LEVEL POLICE RECRUITMENT BOARD ANDHRA PRADESH, HYDERABAD Application form for the posts of Additional Public

Prosecutors Grade II and Assistant Public Prosecutors in Andhra Pradesh State Prosecution Service NOTE: 1. Please fill the application form after carefully reading the INSTRUCTIONS FOR FILLING THE APPLICATION FORM 2. Suppression or concealment of facts will result in disqualification 3. The candidate should not submit more than one application for this recruitment

Registration No. (to be filled by office only)

Paste here firmly a signed recent passport size colour photograph

1. Name of the candidate (in capital letters):

2. Fathers name (in capital letters):

3. Gender (Write 1 for male, 2 for female)

Date 4. Date of birth: (as per SSC Certificate) 5. Name of the post(s) applied for: (Codes are given below)
Name of the post Additional Public Prosecutors Grade II Code 41

Month

Year

Name of the post Assistant Public Prosecutors

Code 42

6. Community (Codes are given below)

Category OC BC-A Code A01 B02 Category BC-B BC-C Code C03 D04 Category BC-D BC-E Code E05 F06 Category SC ST Code G07 H08

1 of 11

Addl. PP Gr. II and APP Rect. 2013 169/R&T/Rect.1/2013 dt 08-03-2013

7. For BC candidates only: a) Have you submitted certificate in Annexure IV ? (Write 1 for Yes, 2 for No) For office use only: b) If Yes, whether candidate does not come under creamy layer i.e., eligible for reservation under BC quota ? (Write 1 for Yes, 2 for No)

8. For BC-E candidates only: Sl. No. of the caste* Name of the caste

* codes are given below

Sl. No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Caste(s) Achchukattalavandlu, Singali, Singamvallu, Achchupanivallu, Achchukattuvaru, Achukatlavandlu Attar Saibulu, Attarollu Dhobi Muslim / Muslim Dhobi / Dhobi Musalman, Turka Chakla or Turka Sakala, Turaka Chakali, Tulukka Vannan, Tsakalas, Sakalas or Chakalas, Muslim Rajakas Faqir, Fhakir Budbudki, Ghanti Fhakir, Ghanta Fhakirlu, Turaka Budbudki, Darvesh, Fakeer Garadi Muslim, Garadi Saibulu, Pamulavallu, Kani- kattuvallu, Garadollu, Garadiga Gosangi Muslim, Phakeer Sayebulu Guddi Eluguvallu, Elugu Bantuvallu, Musalman Keelu, Gurralavallu Hajam, Nai, Nai Muslim, Navid Labbi, Labbai, Labbon, Labba Pakeerla, Borewalc, Deera Phakirlu, Bonthala Qureshi, Kureshi / Khureshi, Khasab, Marati Khasab, Muslim Katika, Khatik Muslim Shaik / Sheikh Siddi, Yaba, Habshi, Jasi Turaka Kasha, Kakkukotte Zinka Saibulu, Chakkitakanevale, Terugadu Gontalavaru, Thirugatigantla, Rollaku Kakku Kottevaru, Pattar Phodulu, Chakketakare, Thuraka Kahsa Other Muslim groups excluding: Syed, Saiyed, Sayyad, Mushaik; Mughal, Moghal; Pathans; Irani; Arab; Bohara, Bohra; Shia Imami Ismaili, Khoja; Cutchi-Memon; Jamayat; Navayat; and all the synonyms and sub-groups of the excluded groups; and except those who have been already included in the State List of Backward Classes.

9. Do you claim reservation / age relaxation under the Orthopadically Handicapped (Write 1 for Yes, 2 for No) 10. Educational qualification (Codes are given below)
Educational qualification B.L. or equivalent Code A1 Educational qualification M.L. or equivalent Code B2

2 of 11

Addl. PP Gr. II and APP Rect. 2013 169/R&T/Rect.1/2013 dt 08-03-2013

Date 11. Date of enrollment as advocate in Bar Council of the State of Andhra Pradesh or any other State or Bar Council of India

Month

Year

11. a) Places of practice in Courts (for post code no. 41): Sl. No. Place (including name of district and state) From Period To

b) Places of practice in Criminal Courts in the state of Andhra Pradesh (for post code no. 42): Sl. No. Place (including name of district and state) From Period To

12. Indicate the zones for which you would like to be allotted in the event of selection for posts in code no. 42: (Codes are given below) Pref.1 Pref.2 Pref.3 Pref.4 Pref.5 Pref.6

3 of 11

Addl. PP Gr. II and APP Rect. 2013 169/R&T/Rect.1/2013 dt 08-03-2013

Name of the zone Zone I Zone II

Code 51 52

Name of the zone Zone III Zone IV

Code 53 54

Name of the zone Zone V Zone VI

Code 55 56

Note: Options once exercised are final and cannot be changed later. Candidate advised to fill up all the 6 preferences. If he does not fill up all the 6 and leave some preferences blank, his / her case will be considered for the remaining zones as per software programme

13. Age relaxation: a) Indicate the code if you belong to any of the categories (Codes are given below) b) If so, have you submitted relevant certificates ? (Write 1 for Yes, 2 for No)
Category A.P. State Govt. employee Worked in the Army, Naval or Air Force of the Union Working as NCC instructor Code A1 B2 C3 Category Retrenched temporary employee in the State Census Department None of the above Code D4 E5

14. Furnish the details if you are an employee of the A.P. Govt. (for age relaxation): Date a) Date of joining service Month Year

Years b) Length of service as on 01-07-2013

Months

Days

c) Are you still in service 1 for Yes, 2 for No)

(Write

15. Furnish the details if you served as an employee in the Army, Naval or Air Force of the Union (for age relaxation): Date Month Year a) Date of entry

Date b) Date of discharge

Month

Year

Years c) Total service rendered

Months

Days

4 of 11

Addl. PP Gr. II and APP Rect. 2013 169/R&T/Rect.1/2013 dt 08-03-2013

16. Furnish the details if you worked as an instructor in NCC (for age relaxation): Date a) Date of entry Month Year

Date b) Date of discharge

Month

Year

Years c) Total service rendered

Months

Days

17. Identification marks:

1. 2.

18. Do you belong to State of A.P. (Write 1 for Yes, 2 for No)

19. a) Study details from 4th class to 10th class: Class IV V VI VII VIII IX X or SSC * Codes are given below Name and place of School Duration of study giving month & year Name of the district District code*

5 of 11

Addl. PP Gr. II and APP Rect. 2013 169/R&T/Rect.1/2013 dt 08-03-2013

b) Residence details: (To the candidates who have not studied in any educational institution during the whole or part of the relevant 4/7 years period but claim to be local candidates by virtue of residence) Residence (preceding to SSC/Matriculation or equivalent (private study) or acquired Degree from Open Universities without studying SSC/ Matriculation or equivalent in educational institutions) 1st year 2nd year 3rd year 4th year 5th year 6th year 7th year * Codes are given below
District
Srikakulam Vizianagaram Visakhapatnam East Godavari West Godavari Krishna

Address

Name of the district

District code*

Code
01 02 03 04 05 06

District
Guntur Prakasam Nellore Chittoor Anantapur Kurnool

Code
07 08 09 10 11 12

District
Kadapa Mahaboobnagar Nalgonda Ranga Reddy Hyderabad Medak

Code
13 14 15 16 17 18

District
Nizamabad Adilabad Karimnagar Warangal Khammam

Code
19 20 21 22 23

20. Full postal address (in capital letters): Name: ____________________________________________ S/o / D/o / W/o / C/o: ________________________________ House No.: ____________________________________ Village: ______________________________________ District: _______________________________________ Contact Ph No.: Street: _______________________ Mandal: ______________________ Pin Code:

Cell, if any: ______________________________ Landline, if any: __________________________

6 of 11

Addl. PP Gr. II and APP Rect. 2013 169/R&T/Rect.1/2013 dt 08-03-2013

LIST OF DOCUMENTS ENCLOSED 1. SSC or equivalent certificate 9. Certificate in respect of orthopaedically handicapped persons (Annexure V of the notification) 10. A.P. Govt. employee service certificate 11. NCC Instructor service certificate 12. Service certificate in the Army, Naval or Air Force of the Union 13. Retrenched temporary employee certificate in the State Census Department 14. Crossed Demand draft of Rs. 100/15. Any other documents

2. B.L. or equivalent certificate 3. Certificate regarding enrollment as Advocate 4. Certificate(s) of practice

5. Study Certificate (s) (from IV to X Class) (Annexure II (A)) 6. Residence Certificate (Annexure II (B)) 7. Community certificate (Annexure III) 8. Application cum Certificate of Creamy Layer status (for BC candidates) (Annexure IV of the notification)

DECLARATION OF THE CANDIDATE

I have read the provisions in the rules and notification of the State Level Police Recruitment Board and the instructions carefully and hereby undertake to abide by them. I further declare that I have not been debarred from appearing in any examination. I declare that I fulfill all the conditions of eligibility regarding age limits, educational qualifications etc. prescribed for admission to the examination. I hereby declare that all statements made in this application are true, complete and correct to the best of my knowledge and belief. I understand that in the event of any information being found to be false or incorrect or incomplete as that I have suppressed any information or that I do not satisfy the eligibility criteria, my candidature for the selections is liable to be rejected or cancelled and even after appointment, my services are liable to be terminated without any notice. I am willing to serve anywhere in A.P. / India, if selected.

Place: Date: FOR OFFICE USE ONLY Place: Date: Signature of Chief Superintendent Signature of Candidate

7 of 11

Addl. PP Gr. II and APP Rect. 2013 169/R&T/Rect.1/2013 dt 08-03-2013

INSTRUCTIONS FOR FILLING THE APPLICATION FORM

1. Candidates must ensure that no relevant column is left blank or wrongly filled. Applications not filled correctly, completely and as per the instructions are liable to be rejected at any stage They must fill the application in their own handwriting using Blue / Black ball point pen without touching the border lines. eg.: A 3 B C D 1 2 3 4

2.

They need to write the relevant code in the boxes i.e., A1, B2 etc. wherever applicable in the following manner A 1 B 2

4.

Copies of the documents as stated in para 23(b) of the Notification must be enclosed in support of the information given in the form where necessary along with the entire application form (8 pages), Identity Card (Candidate copy), Identity Card (Office copy), Crossed Demand draft of Rs. 100/- (Rupees hundred only) and one self addressed envelop of the size of 12 x 28 cms. with postage stamp worth Rs.25/Failure to enclose the same will lead to rejection of the application form

8 of 11

Addl. PP Gr. II and APP Rect. 2013 169/R&T/Rect.1/2013 dt 08-03-2013

CANDIDATE COPY STATE LEVEL POLICE RECRUITMENT BOARD ANDHRA PRADESH, HYDERABAD Identity Card (Candidate copy) for the posts of Additional Public Prosecutors Grade II and Assistant Public Prosecutors in Andhra Pradesh State Prosecution Service 1. Name of the candidate : 2. Fathers Name: 3. Identification marks: a) b) 4. Name of the posts applied for: TO BE FILLED BY OFFICE ONLY: Paste here firmly a signed recent passport size colour photograph Registration No. (to be filled by office only)

(Tick the box, if applied)

41

42

A) You are eligible for post code no.

(Tick the box)

41

42

and the dates of written examination are given below:Written examination Paper I Paper II Date 09-06-2013 09-06-2013 Time 0900 hours to 1200 hours 1400 hours to 1700 hours Place

B) You have not satisfied the eligible conditions for the post code no. 41 and / or post code no. 42 as you are overage not having experience not having educational qualification not submitted the required documents (as given below)

Office Seal & Date Note:

Signature of the Chief Superintendent

If this Card is not received on or before 25-05-2013 by the candidate, contact concerned office where you submit the application, between 27-05-2013 and 30-05-2013

9 of 11

Addl. PP Gr. II and APP Rect. 2013 169/R&T/Rect.1/2013 dt 08-03-2013

INSTRUCTIONS FOR WRITTEN EXAMINATION

a) Paper I will be objective in nature containing 200 questions and will be set in English language only. Candidates have to answer the questions on an OMR answer sheet using Blue / Black Ball Point pen only. For this purpose candidates should bring Blue / Black Ball Point pens along with them. b) Paper II will be descriptive in nature and will be set in English language only. The candidates have to answer questions using blue / black pen in the Question cum Answer booklet that will be supplied by SLPRB. They have to bring pens and a smooth writing pad.

c) The candidates should take their seats in the examination hall 30 minutes before the commencement of the examination.

d) The candidates will not be admitted to the examination 10 minutes after its commencement and he should not leave the examination till expiry of full time.

e) The candidates should not bring any calculator, cell phone, pager, electronic wrist watch or any other electronic device inside the examination hall.

f) The candidates should handover the OMR sheet (Answer booklet) of Paper I and Question cum Answer booklet of Paper II to the invigilator after completion of the written examination. Candidates may retain the Question booklet of Paper I.

g) Candidates are prohibited for communicating, consulting (or) conversing with other candidates in examination hall causing disturbance / disruption in any manner whatsoever.

10 of 11

Addl. PP Gr. II and APP Rect. 2013 169/R&T/Rect.1/2013 dt 08-03-2013

OFFICE COPY STATE LEVEL POLICE RECRUITMENT BOARD ANDHRA PRADESH, HYDERABAD Identity Card (Office copy) for the posts of Additional Public Prosecutors Grade II and Assistant Public Prosecutors in Andhra Pradesh State Prosecution Service Registration No. (to be filled by office only)

1. Name of the candidate : 2. Fathers Name: 3. Identification marks: a) b) Written examination Paper I Paper II Date 09-06-2013 09-06-2013 Time 0900 hours to 1200 hours 1400 hours to 1700 hours Place Paste here firmly a signed recent passport size colour photograph

Finger Prints of the candidate : Name of the paper At the time of written examination (Paper I) Left thumb Right thumb

Signature of officer taking F.P. At the time of written examination (Paper II)

Signature of officer taking F.P.

Office Seal & Date

Signature of the Chief Superintendent

11 of 11

Addl. PP Gr. II and APP Rect. 2013 169/R&T/Rect.1/2013 dt 08-03-2013