SL.No.

Form A Application For Home Guard Enrolment

To, The SP/CP., __________________________________________

Photo to be affixed I desire to be enrolled as a member of the Home Guards 1. Name in Full: (Capital Letters Only) Fathers/ Husbands name: Date of Birth: Place of birth & Native district : Address &telephone Number if any with nearest Police Station: Male/Female Whether S.T. ? : Educational Qualification: Technical Qualification/Experience :

2. 3. 4. 5.

6. 7. 8. 9.

10. Trade/Occupation 11. Whether convicted\arrested\involved in any crime, If so, give details of such conviction/arrest/involvement Along-with crime details: Encl : i) Passport size photos -2 ii) Photo-copies of documents/certificates reg. Education, Trade/Technical, Nativity, Caste, etc.

Signature of the applicant

HALL TICKET UNIT LEVEL HOME GUARDS RECRUITMENT ANDHRA PRADESH HYDERABAD
Identity Card (Candidate copy) for the Post of Home Guard

CANDIDATE COPY Registration No. (to be filled in by office only)

1. Name of the candidate :

2. Signature of the Candidate 4. Identification marks: a) b) Name of the Test 5. Physical measurement test Signature of the Chief Superintendent Date & Time

3. Signature of the Chief Superintendent

Paste here firmly a signed recent passport size colour photograph

Venue of the test

Result

NQ

NP

Name of the Test 6. Qualifying test in 800 mts

Date & Time

Venue of the test

Result

NQ

NP

Signature of the Chief Superintendent

Name of the Test 7. Physical efficiency tests (3)

Date & Time

Venue of the test

Result

NQ

NP

Signature of the Chief Superintendent

Q Qualified NQ- Not qualified

NP Not Participated