240130

Common Recruitment Process for RRBs (CRP-RRBs-X) for Recruitment of Group “A” - Officers
(Scale-I)

Registration Number : 2020545156

Full Name : APPALA SRINIVASA REDDY

YERUSU
Category : OBC

Are you a person with benchmark disability of 40% and above : NO

Type of Disability : -

Sub-Type of Disability for 'ID & Others’ : -

Sub-Type of Disability : -

Sub-Type of Multiple Disability : -

Are you as per PWBD guidelines eligible to use compensatory time at : -
the time of examination ?
Are you suffering from cerebral palsy and your writing speed is : -
affected

If Yes, Do you need compensatory time at the time of examination? : -

Whether your dominant (Writing) hand is affected : -

If Yes, Do you need compensatory time at the time of examination? : -

Are you as per PWBD guidelines eligible to use the services of a scribe : -
and wish to avail the same ?

Are you a Child/Family Members of those who died in 1984 Riots? : NO

Religion to which you belong : Hindu

Do you belong to Religious Minority Community ? : NO

Are you an Ex-Serviceman ? : NO

Period of service rendered in defence services as an Ex-serviceman (in : -

months)

Have you joined a Government job on the civil side after availing of the : -
benefits given as an ex-serviceman?
Nationality / Citizenship : Indian

Have you appeared for the CWE/CRP - RRB earlier : NO

How many attempts ? : -

Select the CWE/CRP-RRB attempted earlier : -

State/UT for which you want to apply for : Andhra Pradesh

Centre for Preliminary Examination : Kakinada

Centre for Main Examination : Vijaywada

Kindly indicate Medium of Paper - how you would like the paper to be : English and Telugu
presented to you ?

I intend to bring the following ID when appearing for the examination (I : YES
confirm my name on this ID and this application exactly match)

ID Proof : Aadhar Card

ID Proof No. : XXXXXXXX4111

Application Fee / Intimation charges

Payment In : ONLINE

Fees : 720.34

Tax : 129.66 (IGST)

Amount : 850.00

Payment Status : PAID

Reference ID : VHD40071699203

Transaction Date : 27-06-2021

Personal Details
Date of Birth : 11-10-1992

Age completed as on 01.06.2021 : 28

Gender : MALE
Do you have twin brother / sister ? : NO

Gender of the twin : -

Name of the twin : -
Marital Status : Unmarried

Father's Name : CHINNA RAO YERUSU

Mother's Name : BABY SAROJENI YERUSU

Spouse's Name : -
Address for Correspondence
Address 1 : Door number 2 dash 254

Address 2 : ANJANEYA NAGAR

Address 3 : RAMANAYYAPETA
KAKINADA RURAL
District : EAST GODAVARI

State : ANDHRA PRADESH

Pincode : 533005
Permanent address

Address 1 : Door number 2 dash 254

Address 2 : ANJANEYA NAGAR

Address 3 : RAMANAYYAPETA
KAKINADA RURAL

District : EAST GODAVARI

State : ANDHRA PRADESH

Pincode : 533005
State for GST invoicing : Permanent Address
(ANDHRA PRADESH)
 Contact Details
Mobile No : +91 9491495338
Alternative Number : -
(Mobile No/Landline No)

Email ID : srinivasareddy58@gmail.co
m

     

Educational Qualification (as on 28.06.2021)

Exam Passed Degree/ Subject / Stream Date of Passing % of Marks Class / Grade

Graduation / Equivalent Others - Bachelor of Tec 16-09-2014 79.40 First Class

Whether local language of the state selected : YES

was studied in standard VIII or any level above
standard VIII in Government recognized
Boards of Education/ School or having any
certificate to the effect for standard VIII or any
level above standard VIII?
: Telugu

Do you have Computer Knowledge : ? : YES

If yes, Details of Computer Knowledge: : Ms Office

1 Andhra Pragathi Gramin Bank

Banks in order of Preference 2 Chaitanya Godavari Grameena Bank
3 Saptagiri Grameena Bank

Other Details :

For the safety and wellbeing of candidates, Pre-Exam : -

Training may not be held. In case it is possible to hold
Pre-Exam Training, are you desirous of taking Pre-
Exam Training ? (Applicable Only for SC/ST/ Minority
Community)?:
If Yes ,Centre for Training : -

Whether any prosecution/ detention/ fine/conviction/ : NO

sentence against you has been awarded by any court
of law for any offence? ?

If yes, particulars of the same ? : -

 
Languages Known Read Write Speak

 English  YES  YES  YES

 Telugu  YES  YES  YES

 Hindi  YES  YES  YES

Uploaded Document Details :

1. Thumb impression  
 2. Handwritten Declaration  

Declaration:
I hereby declare that, I have read, understood and agreed the terms and conditions of the Advertisement for the said post and all the
statements made in the application are True, Complete and Correct to the best of my knowledge and belief. I understood that in the event of
any information being found untrue or incorrect at any stage or I am not satisfying any of the eligibility criteria stipulated, and also in case of
creating influence/ undue pressure regarding recruitment shall tantamount to cancellation of my candidature. I will follow all the Guidelines
regarding Social Distancing Mode of Exam given in advertisement and subsequently. Any violation may result in cancellation of my
candidature

I confirm that my name as filled by me in the application form exactly matches with the name in my ID proof

I have understood that as per the advertisement, a candidate can apply for only one post in officer’s cadre i.e. for Officer Scale-I or Scale-II or
Scale-III.               

Date: 27-06-2021 Signature of Applicant

Thumb impression

Handwritten Declaration