er192018 8 urse> LUPSG - Candidate's Applicaton Details (Resjstraio i 1189082880") Br Kol eoe CMCC PUBLIC SERVICE COMMISSION Application details of Registration-Id: 11830928901 for National Defence Academy & Naval Academy Examination (II) - 2018 stare Year 11830928901 B ala wer sera aur Ae sere Ler (11) ~ 2018 & Fry se fe PART -1/ ¥mT-T Name / mT: BAGADHI SAI KRISHNA CHOWDARY Gender / Rin wale Date of Birth / ffir: 25-05-2001 Father's Name / fear ora: Mother's Name / RTaT 11: Nationality / afta: Marital status / Rate ft : Community / yea Do you belong to Creamy Layer / ar saw Bae wauTea Community certificate date / Bor wae are: Do you belong to Minority / wr are areweesre 8: Fee Remission Claimed / UF A: Address / at: mail / Ref fe: Akernative Educational Qualification / fire tua: Preferences / aftr: Whether Student of Sainik/ Miltary Schoo! / F113 aw fared eet Pree Whether Son of 1C0/NCO/Other Rank officers and No studying in Sainik Miltary School ar orm a Graf /afen Yes axfread ye Balke re fered ape Peel BAGADHI JAGANNADHA RAO BAGADHI UMA RANI Indian Unmamed osc No 30-05-2036, No Bakkennapalem Village Peale Visakhapatnam Visakhapatnam Andhra Pradesh - 530041 7032033498 salershnachowdarybagadhi735@¢mall.com '8160360@rguktn.acsin Passed 12th class of 10 plus 2 pattem of school education ‘or an equivalent examination with both Prysis and Mathe ‘among the subjeas Army: 4 | Navy: 2 | Alr Force: 1 | Naval Academy: 3 No PART -15 / wm 11 [Fee Payment Details, Examination Centre, Photograph & Signature of Registration-Id: 11630928901] (iterew stan :11830928904 wr ees waa ey, eb, wher oA FEMA] Fee Payment Details (Subject to verification) gear agra Pere (ea & t=) enn fer: ee taming cn neactonid / B28 0817087077995 na Transaction Date / 85 a FU: 19-06-2018, er ee Pais (in Re) / ras frre (A) 09 Visakhapatnam : Sienatre/ Fe agency Name / wah 1a: State Banko Tada Mode of Payment / HTAreT TUN; —_—_|[resit/Ocbe Cars| PPECATOPH hipstupsconine ric inupsciprintapo pipmino=RFUFT1FFOWe fT 1JQW JLaVAMMASEQTOS 12er192018 LUPSC - Candidate's Aplicaton Deals (Regstration et: 11890828901) Declaration 1. Lhereby declare that al statements made in this application are true, complete and correct to the best of my knowledge and belief, In the event of any information being found false or incorrect, or ineligbilty being detected before or after the examination, action can be taken against me by the Commission as per the provision given in the notification, RGR aN ear Pew ones HA re fe Me ah es BA Tae ote Fre org we BI A aT AAT TAT oeT eg kB te a wee me ET GN arta oh ot eed 21 2. Lhave read the provisions in the rules and the notice of the Commission carefully and hereby undertake to abide by them. I further declare that I full all the conditions of eligibity regarding age limits, educational qualifications tte, prescribed for admission to the examination, 2 Prat of ocr a stew faa ay ara wh eye og ror & othe TET eae oRgTTT Bae Ser Hae of te HT Ba, aden a ode og Predera ae, ew ace one eae A aT aA A AT sl Ge aT 3. Ihave informed my Head of Office/Department in writing that I am applying for this examination * * applicable for those who are already in government service/similar organizations or government owned industrial Undertakings whether in permanent or temporary capacity or as work charged employees other than casual or daily rated employees or those serving under public enterprises. . Ste eter Tair tae oy fee 9 oe Far & igen Fe omer aT I + + gattaan & He Bay, ch oge Be went Sayers aero oncer weet ead ae sels sags Hee ore overt ag sneer ag onuet Bhes anh oe ares mata a Rh Bae re ameter wee are waters oe ard ‘went A ances oF G1 2 hipstupsconine ric inupsciprintapo pipmino=RFUFT1FFOWe fT 1JQW JLaVAMMASEQTOS