Acknowledgement Slip

Reference No 211630
Applied for Post Junior Assistant
Full Name(as in
RENUKA URADI
SSC/10th Cert)
Mother Name YADAMMA
Father/Husband
NARSAIAH
Name
Gender Female
Date of Birth 02/04/1986
Applied
BC-D
Category
Do you come
under these Not Applicable
groups?
Do you claim
Not Applicable
age relaxation?
Do you belong
to Hindu Yes
Religion
To which
district you Warangal
belong to
Are you a
Yes
Graduate?

Address for
communication H/0 NARENDER,SHIVUNIPALLY STN GHANPUR

District Warangal PIN 506143

Email address renukauradi@gmail.com
Landline Phone
9293289447
No
Mobile Phone
9030481257
No
I solemnly declare that all information made in this application are true, complete and
correct to the best of my knowledge and belief. I have read the rules and instructions
carefully and hereby undertake to abide by them.

I further declare that I fulfill all the eligibility conditions prescribed for the posts.

If any particulars furnished by me in the above application are found to be false / wrong /
incorrect at any point of time, I shall be liable for legal / criminal action by TTD as per
rules in vogue.
Place :Warangal
Date
Signature of the Candidate
:30/07/2010
 LAST DATE OF CHALLAN PAYMENT AT BANK: 31.07.2010

Challan Challan
No bank charges to be collected from the No bank charges to be collected from the
remitter/applicant remitter/applicant

Tirumala Tirupathi Tirumala Tirupathi

Devastanams Devastanams

Candidate Copy Bank Copy

A/C No :31250125161 A/C No :31250125161

Collecting Branch Name : bank use only
Collecting Branch Name :

bank use only

Bank Journal No Bank Journal No

Bank Journal Date Bank Journal Date

Post Applied For Junior Assistant Post Applied For Junior Assistant
Ref No 211630 Ref No 211630
Name RENUKA URADI Name RENUKA URADI
H/0 H/0
Address NARENDER,SHIVUNIPALL Address NARENDER,SHIVUNIPALL
Y STN GHANPUR,Warangal Y STN GHANPUR,Warangal
Father/Husband Name NARSAIAH Father/Husband Name NARSAIAH
DOB & Gender 02/04/1986 & Female DOB & Gender 02/04/1986 & Female
Applied Category BC-D Applied Category BC-D
Applied Group Not Applicable Applied Group Not Applicable
Age Relaxation Claimed Not Applicable Age Relaxation Claimed Not Applicable
Paid into the Credit of EO TTD Recruitment Fee Paid into the Credit of EO TTD Recruitment Fee
A/C No 31250125161 , SBI , TTD Administrative building A/C No 31250125161 , SBI , TTD Administrative building
branch,Tirupati branch,Tirupati

Sl No Particulars Amount Sl No Particulars Amount

1 Application Fee 200.00 1 Application Fee 200.00
Total 200.00 Total 200.00
Amount in Words: Two hundred only Amount in Words: Two hundred only
I have read the rules & instructions carefully and hearby undertake I have read the rules & instructions carefully and hearby
to abide by them undertake to abide by them

Date Signature of Remitter/Applicant Date Signature of Remitter/Applicant

Received the above amount in Rs(in words) Two hundred only
 Received the above amount in Rs(in words) Two hundred only

Signature of Receiving
Date :
authority
Signature of Receiving
Date :
authority
Accepted at all the Branches of SBI.
Payment status can be verified from website after 3 days of Accepted at all the Branches of SBI.
making payment
Payment status can be verified from website after 3 days of
making payment

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