RECRUITMENT FOR ASSISTANT RURAL DEVELOPMENT OFFICER (ASSISTANT RURAL

DEVELOPMENT OFFICER)

APPLICATION DETAILS

Application ID : 2019102600029

Application Date : 26th October 2019

EXAMINATION DETAILS

Center of Examination : TIRUPATI

Bonafide Resident of : ANDHRA PRADESH

Home District : SPSR NELLORE

CANDIDATE DETAILS

Full Name of Applicant : Venkateswarlu Vemuri

Father Name : Ramachandraiah Vemuri

Mother Name : Sumathi Vemuri

Date of Birth : 24/06/1994

Category : Ews

Gender : Male

Nationality : Indian

Marital Status : Unmarried

SPECIAL CATEGORIES

Person With Disability : No

(a) Category of Disability : Not Applicable

Employee of DSRVS : No

CORRESPONDENCE ADDRESS DETAILS

Address : 1-189 South Street

City / Village : Subramanyam Vi Balayapalli Mandal

State : ANDHRA PRADESH

District : SPSR NELLORE

PIN Code : 524404

Phone No : Not Available

Mobile : 9498407784

Email : venkatesh.vemuri94984@gmail.com

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 EDUCATIONAL QUALIFICATIONS

Sr. No Name of Examination Passing Year Division / Grade

1 Secondary 2009 1st class

2 Higher Secondary 2011 1st class

3 Graduate 2015 1st class

4 Post Graduate - -

5 Professional - -

6 ITI/Vocational - -

IDENTIFICATION DETAILS

ID Proof Type : Pan Card

ID Proof Number : AXRPV8053C

Identification Marks on Body : A Mole On Right Below Of Elbow

OTHER INFORMATION

1. Do you have more than one spouse

: No
living (Rule 12(a))?

2. Have you accepted Dowry in your

: No
marriage (Rule 12(f))?

3. Whether any charge sheet for

committing any offence has ever been
: No
filed against you in the Court of Law
(Rule 12(d))?

4. Whether any negative final report

concerning you has ever been filed in a : No
Court of Law?

5. Have you ever been convicted for

any offence involving moral turpitude : No
by a Court of Law (Rule 12(c))?

6. Have you ever been convicted for

any offence other than involving moral : No
turpitude by a Court of Law?

7. Have you ever been acquitted for

any offence involving moral turpitude : No
or any offence by a Court of Law?

8. Whether you have ever been

Dismissed/Removed/Terminated from
: No
Service by the previous Employer(Rule
12(b))?

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 9. Being an advocate were you ever
found guilty of professional : No
misconduct (Rule 12(d))?

10. Whether any criminal prosecution

: No
is pending against you?

11. Have you been permanently

debarred or disqualified from
: No
appearing in any examination (Rule
12(c))?

12. NCS Registration Number : Not Applicable

13. Apprentice Registration Number : Not Applicable

PAYMENT DETAILS

Payment ID : DSRVS11374473

Payment Date : 26th October 2019

Transaction Amount : Rs. 460

Payment Status : Success

DECLARATION

I (VENKATESWARLU VEMURI) have carefully read the terms and conditions of notification, instructions
and relevant rules before filling up the application form online and I hereby undertake to abide by them,
particularly conditions of eligibility prescribed for recruitment. I hereby declare & verify that all
informations made in this application form are true, complete and correct. In the event of any information
being found false or incorrect or the ineligibility being detected, action, as deemed fit, can be taken against
me by the DSRVS at any stage. I further declare & verify that I fulfill all the conditions of eligibility
regarding age, educational qualification, experience, fitness, character etc. prescribed for admission to the
Examination/Interview. I also declare that I shall not directly or indirectly influence the selection process in
any manner.

Signature

Photo

Application is downloaded on 26th October 2019, 00:23:36

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