Scribd Logo
Upload

Welcome to Scribd!

  • Registration-ID: 98181049 Basic Detail Form

    Uploaded by

    Rajendra Kumar
    11 views2 pages
    PERSONAL DETAIL FORM : First Name : Middle Name : Last Name : Date of Birth : Age completed as on 01.10.2014 : Gender : MALE Father's Name : Husbands Name : Mother's Name: Address for correspondence : District : State : Permanent Address : District-ID : STD Code : Application Fee / Postal Charges Details : Payment In : online Amount Transaction Amount Transaction Date Status completed successfully

    Original Description:

    Original Title

    98181049

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    PERSONAL DETAIL FORM : First Name : Middle Name : Last Name : Date of Birth : Age completed as on 01.10.2014 : Gender : MALE Father's Name : Husbands Name : Mother's Name: Address for correspondence : District : State : Permanent Address : District-ID : STD Code : Application Fee / Postal Charges Details : Payment In : online Amount Transaction Amount Transaction Date Status completed successfully

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    11 views2 pages

    Registration-ID: 98181049 Basic Detail Form

    Uploaded by

    Rajendra Kumar
    PERSONAL DETAIL FORM : First Name : Middle Name : Last Name : Date of Birth : Age completed as on 01.10.2014 : Gender : MALE Father's Name : Husbands Name : Mother's Name: Address for correspondence : District : State : Permanent Address : District-ID : STD Code : Application Fee / Postal Charges Details : Payment In : online Amount Transaction Amount Transaction Date Status completed successfully

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    Registration-ID : 98181049

    BASIC DETAIL FORM


    Category :

    SC

    If Person with Disability:

    Type Of Disability:
    Are you suffering from cerebral palsy and your writing speed is affected? :
    Percentage Of Disability
    Do you intend to use the services of a scribe(only for VI and OC candidates
    whose writing speed is affected by cerebral palsy) :
    Whether domiciled in Kashmir Division of the State of J&K during the period
    1-1-1980 to 31-12-1989 ? :
    Whether are you a Children/Family Members of those who died in 1984
    Riots? :
    Religion to which you belong :

    Hindu

    Whether you belong to Religious Minority Community ? :

    NO

    Are you an Ex-Serviceman :

    NO

    Period of Service(In Months) :


    Nationality :

    Indian

    Centre Of Examination :

    VISAKHAPATNAM

    PERSONAL DETAIL FORM


    First Name :

    GATTU

    Middle Name :

    RAMACHANDRA

    Last Name :

    RAO

    Date of Birth :

    30/07/1991

    Age completed as on 01.10.2014 :

    23

    Gender :

    MALE

    Father's Name :

    GATTU NAGARAJU

    Husbands Name :
    Mother's Name :

    GATTU RAMANAMMA LATE

    Address for correspondence :

    SATYA NAGAR COLONY


    OPP MUTYALAMMA MARKET
    GUJARATHIPETA

    District :

    SRIKAKULAM

    State :

    Andhra Pradesh

    Pincode :

    532005

    Permanent Address :

    SATYA NAGAR COLONY


    OPP MUTYALAMMA MARKET
    GUJARATHIPETA

    District :

    SRIKAKULAM

    State :

    Andhra Pradesh

    Pincode :

    532005

    CONTACT DETAIL FORM


    (STD Code) Phone No :
    Mobile No. :

    9966289225

    Email-ID :

    ramachandrarao1991@gmail.com

    Confirm Email-ID

    ramachandrarao1991@gmail.com

    Educational Qualification Details (as on 01.10.2014):


    Exam Passed

    Subject/Stream

    Date of Passing

    % Of Marks

    Class/Grade

    Graduation/Equivalent

    Science

    22/11/2013

    57.65

    Second Class

    Post Graduation :
    Professional Qualification :
    Others :

    Post Qualification work experience details (Start from present Employer) :


    Name of the
    Employer

    Designation

    Total Period of
    Service
    from(mm/yyyy)

    Total Period of
    Years of
    Service to(mm/yyyy) Service(YY/MM)

    Nature of duties
    performed

    Reasons for leaving

    Total Experience(in Months) :

    LANGUAGES KNOWN
    LANGUAGE :

    READ

    WRITE

    SPEAK

    ENGLISH

    YES

    YES

    YES

    TELUGU

    YES

    YES

    YES

    HINDI

    YES

    NO

    YES

    Application Fee / Postal Charges Details :


    Payment In :

    online

    Amount

    50

    Transaction ID

    ASBI3560060797

    Transaction Amount

    00000050.00

    Transaction Date

    18-11-2014 16:22:41

    Status

    Completed successfully.

    Track No.

    NA

    PHOTO

    SIGN

    Declaration:
    I hereby declare that all the 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 false or incorrect at any stage or not satisfying the eligibility criteria according to the requirements of the relative
    advertisement, my candidature/appointment is liable to be cancelled/terminated. I am willing to serve anywhere.
    Place:
    Date(yyyy-mm-dd): 2014-11-18
    Signature

    You might also like