APPLICATION NO : CCLA-990061

GOVERNMENT OF ANDHRA PRADESH Chief Commissioner Of Land Administration (CCLA)

APPLICATION FOR THE POST OF VILLAGE REVENUE OFFICERS Circular No.2, Dated 30.11.2011 1. 2. 3. 4. 5. 6. 7. 8. 9. Reference Id : 301210069011928081986
Name : LAKSHMI SINGINENI District : PRAKASAM Mandal : NAGULUPPALAPADU Village : AMMANA BROLU Father's/Husband`s name : KRISHNA MURTHY S Date of birth : 28/8/1986 Gender : Female Address for communication : AMMANABROLU NGPADU PRAKASHAM
*301210069011928081986*

9a. 9b. 9c. 10. 11. 12. 13. 14. 15.

District : PRAKASAM Mandal : NAGULUPPALAPADU Pincode : 523180 Community you belong : OC e-Mail : lakshmi_singamaneni@yahoo.com Mobile : 9490176449 Do you belong to Andhra Pradesh State : Yes Are you an Ex-Service Man : No Are you a PH-Person : No

PH Details
Visually Handicapped : Visually Handicapped Percentage : Hearing Handicapped : Hearing Handicapped Percentage : Orthopedically Handicapped : Orthopedically Handicapped Percentage : No 0% No 0% No 0%

16. 17. 17a.

Fee Amount
400

Post Name : VILLAGE REVENUE OFFICERS Qualification Details

Qualification : Intermediate or Equivalent Qualification

Payment Details
Journal Number
EKPH03136275

Payment Date
22/12/2011

I hereby declare that all information furnished by me in this application is true and correct I undertake to produce the original documents at any moment, failing which my candidature may be cancelled. I am fully aware that furnishing false information will lead to a criminal case against me, apart from cancelling my candidature as it amounts to cheating. I am aloneresponsible if any wrong entries are made by me in the application form.

Sd/LAKSHMI SINGINENI Generated for CCLA'S Recruitment Processing: http://ccla.cgg.gov.in/ POWERED BY Governance Centre for Good