TELANGANA STATE LEVEL POLICE RECRUITMENTBOARD

Model (Dummy) Application Form - 2022

PART-I

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Signature

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Medium of Written Examination: Telugu English Urdu
(Except Technical Papers, which will be in English only)

Name of the Candidate (as per SSC or Equivalent):

(All Capital Letters)

Gender Male Female

Father’s Name (All Capital Letters)

Mother’s Name (All Capital Letters)

Aadhaar Number

Date of Birth (As per SSC or equivalent)

Are you a Local Candidate of Telangana State Yes No

(as per new Presidential Order, 2018)

If No, to which State do you local

Community OC/BC-A/BC-B / BC-C/BC-D/ BC-E/ SC / ST

Mobile Number

Email Id

Identification Marks 1)

2)

SSC Roll Number.

Mention to which District you are
st th
local as per your study from 1 class to 7 class

st
District for appearance in Tests/examinations 1 Preference

nd
District for appearance in Tests/examinations 2 Preference

Educational Qualifications as on 01-07-2022:

Note: (1) Candidate will be allotted any town in the Districts selected or any nearby District depending upon
the availability of accommodation for appearance in the Tests / Examinations.
(2) In case Candidate submits application of for SCT SI (Technical) / SCT PC (Technical), Candidate will be
allotted to any center in Hyderabad city or nearby.

Address for communication

Name
C/o
H.No & Colony
Village / Town / City
Mandal
District
Pin Code

Instructions to the Candidates:

IMPORTANT INSTRUCTIONS TO THE CANDIDATE

1) Candidates should go through the instructions given in the Notification(s) carefully for the Post(s) he / she
intends to apply before filling up the Preliminary Application, particularly with regard to their claim /
eligibility for the Post(s) applied for, especially age, educational qualification, community etc.
2) Candidates who are not local to Telangana will be treated as OC irrespective of their Community
3) Community furnished as above will not be changed. Candidates should take utmost care while furnishing
the same
4) Candidates are liable for criminal action, for furnishing false information and if they do so, their
Candidature will be rejected
5) Mere issue of Hall Ticket to the Candidate for attending Tests / Examinations will not imply that his / her
Candidature has been finally cleared by the Board. The Candidature is therefore, provisional at all stages
and the Board reserves the right to reject his / her Candidature at any stage of the selection without any
notice
6) Candidates who qualify in the Preliminary Written Test will have to furnish Part II of the Application by
giving full details as and when called for
7) Candidates are required to visit the website www.tslprb.in from time to time to get updates

DECLARATION

I hereby declare that I have read all the instructions issued in the notification(s) and the above given
instructions carefully and hereby undertake to abide by them. I am responsible for the correctness of the above
details filled in by me. I further declare that, the above information furnished by me is true and correct to the best
of my knowledge and as per the certificates / relevant documents.

Signature