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OPTION FORM

00916726
Information Required for Allocation of State Services Personnel
{Vide section 77 in Part VIII of the Andhra Pradesh Reorganization Act, 2014}
Name of the Department

Director General & Inspector General of Prisons and


correctional Services

Category of post to which the Government Servant belongs

Head Warder (Men)

1.

Name of the Government Servant


(As given in the Service Register)

Chinnammagari Mallikarjuna

2(a).

Employee ID

1209071

2(b).

e-Mail

3.

Date of Birth

02/11/1961

4.

Gender

Male

5.

Social Status

BC-B

6.

Marital Status

Married

7.

Date of entry into Government Service

02/11/1993

8.

Details of first (Initial) Posting

8(a).

Designation of the Initial Post

Jail Warder

8(b).

Place of the Initial Posting (Jail Warder)

CENTRAL PRISION, YSR KADAPA,YSR Kadapa, Andhra Pradesh

8(c).

Minimum qualification prescribed for the Initial Post /


Matriculation which ever is less (Jail Warder)

10th Class (Matriculation)

8(d).

Month & Year in which you have first appeared for the
aforementioned examination (10th class)

03 / 1978

9.

Have you been confirmed in the post in which you are


first appointed ?

Yes

10.

Are you a local candidate in terms of


Andhra Pradesh Public Employment Order 1975
(Six-Point Formula) ?

Yes

10(a). Place of Birth

Lingareddypalli, Anantapur, Andhra Pradesh

10(b). Home District

Anantapur, Andhra Pradesh

10(c). Please specify the state inrelation to which you are a


local candidate

Residuary State of AP

10(d). Specify the basis of local candidature

By virtue of Residence

Details of Places where you Resided for a period of 7 years immediately preceding the date of notification for the post
Period of Residence
S.No

Place of Residence

From
To
Month / Year Month / Year

District

03 / 1977

03 / 1978

LINGAREDDYPALLI

Anantapur

03 / 1976

02 / 1977

LINGAREDDYPALLI

Anantapur

03 / 1975

02 / 1976

LINGAREDDYPALLI

Anantapur

03 / 1974

02 / 1975

LINGAREDDYPALLI

Anantapur

03 / 1973

02 / 1974

LINGAREDDYPALLI

Anantapur

03 / 1972

02 / 1973

LINGAREDDYPALLI

Anantapur

03 / 1971

02 / 1972

LINGAREDDYPALLI

Anantapur

11.

Designation (of the post) held on 01-06-2014

Head Warder

12(a). Status of Employee as on 01-06-2014

Others

12(b). Office Type

Office of HOD/State Level Entity

12(c). Name & Address of the office

District jail, Chittoor, Chittoor

13.

Method of Appointment to the Post of Head Warder


(Men)

By Promotion

14.

Nature of Appointment to the Post of Head Warder


(Men)

Regularly Appointed

15.

Are you holding the post of Head Warder (Men) in a


Substantive capacity ?

Yes

16.

Name of the Designation (post) currently held

Head Warder

17.

Name & Address of the office where you are currently


working

District jail, Chittoor, Chittoor

18.

Are you provisionally ordered to serve Telangana ?

No

19. Preference
I prefer to be alloted to the State of Andhra Pradesh
19(a). The reason why I prefer to be alloted to the State of
Andhra Pradesh

Mother State and my native region

19(b). Are you claiming preferential allotment in terms of


paragraph 18(k) of the Guidelines {Spouse Criteria} ?

No

19(c). Are you claiming preferential allotment in terms of


paragraph 18(l) of the Guidelines {Spouse Criteria} ?

No

19(d). Are you claiming preferential allotment in terms of


paragraph 18(m) of the Guidelines {Extreme personal
hardship} ?

No

Affirmation
I solemnly declare that information given above is correct to the best of my knowledge and belief and nothing has been concealed.
Signature :
Name : Chinnammagari Mallikarjuna
Reorg ID : 16726
Mobile : 9492393089
Place :
Date :

Note #1:

Please attach Residence certificate along with this form.

Note #2:
Incase you claim preferential allotment in terms of paragraph 18(k) / 18(l) or 18(m), please furnish full particulars in support of
your claim in separate sheet and attach it to this form along with supporting documents to establish your claim duly certified and
recommended by the Head of Department.
Note #3:
It is here by made clear that while the preference in favour of a State expressed by a Government servant will be taken into
account while allocating the employee to a State, it shall not be mandatory for the Government to allot the employee to the State of his / her
choice;and that is open to the Government to allot the employee in accordance with the Guidelines framed under the Andhra Pradesh
Reorganisation Act. 2014. It shall also be open to the Government to depute an employee allocated to a State to the other Successor State
in terms of proviso to Section 77(2) of the A.P Reorganisation act, 2014.

00916726