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Application for Investigator on Contract Basis

1 2 3 4 5 6 NAME SARALA DHAYAPULE DATE OF BIRTH 22/07/1984 SEX FEMALE ST AGE AS ON 1 JUNE, 2011. 26 YEARS, 10 MONTHS, 9 DAYS HUSBANDS NAME HEMABHUSHAN RAO HANCHATE ADDRESS OF DNo 14/269-1(UP STAIRS), COMMUNICATION SAINADHA PURAM, KADAPA ROAD, MYDUKUR, KADAPA DIST, ANDHRA PRADESH. 516172 PHONE NUMBER 9440402365 PERMANANT ADDRESS DNo 14/269-1(UP STAIRS), SAINADHA PURAM, KADAPA ROAD, MYDUKUR, KADAPA DIST, ANDHRA PRADESH. 516172 CATEGORY OBC (GENERAL/SC/ST/OBC) EDUCATIONAL BSc (MATHS, STATISTICS, COMP SCIENCE) QUALIFICATION OUT OF STATISTICS / ECONOMICS / MATHIMATICS WHICH MATHEMATICS, STATISTICS PAPER YOU HAD AT DEGREE LEVEL(3) LANGUAGES KNOWN TELUGU, ENGLISH, HINDI KNOWLEDGE OF MS-OFFICE, C COMPUTER APPLICATION PREVIOUS EXPERIENCE NO OF FIELD SURVEY WORK PREFERENCE FOR PLACE PREFERE NATIONAL SUB REGIONAL OF ENAGEMENT NCE OFFICE/SUB REGIONAL OFFICE ORDER (CODE) 01 CUDDAPAH (2810) 02 HYDERABAD (2820) 03 ANANTAPUR (2811) 04 NELLORE (2814) 05 VIJAYAWADA (2830) 06 KURNOOL (2813) I DECLARE THAT THE INFORMATION FURNISHED BY ME IN THE APPLICATION IS TRUE AND CORRECT TO BEST OF MY KNOWLEDGE AND BELIEF.

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PLACE:

SIGNATURE:

DATE: APPLICANT

NAME OF THE

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