Application for the post of Technical Assistant on contract basis for two years in

the Ground Water and Water Audit Department, Government of Andhra

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1. Personal Information:

Name as per SSC or Birth certificate :

Gender : Male/Female

Father/Husband Name :

Date of Birth
:
(DD-MM-YYYY)

Nationality :

Caste (SC/ST/BC/OC) :

Native District :

Residential Address :

E-mail ID :

Mobile No. :

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 2) Educational Qualification Information:
Percentage
Name of the Passed
Duration of Marks
Name of the Course Institution / out
of Course /Grade
University year
Secured
10th Standard /
:
SSC
Diploma in Civil
:
Engineering
Any Other Relevant Additional Qualification
1) :

2) :

3) Employment History/ Work Experience

Employment History
:
(Give details of the last 3 postings)
Field experience in Water and allied
:
sectors
Experience in data collection,
compilation, analysis and Report :
Writing
Computer Proficiency :
Documentation Skills :

4) Details of attested copies of Certificates to be enclosed

1) 10th Standard / SSC

2) Diploma in Civil Engineering
3) Any Other Relevant Additional Qualification
4) Aadhaar Card or any authorized Identity
5) Nativity/Residential Certificate
6) Caste Certificate
7) Employment History (Give details of the last 3 postings)

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 8) Field experience in Water and allied sectors
9) Experience in data collection, compilation, analysis and Report
Writing
10) Computer Proficiency
11) Documentation Skills
12) Awards/Citations Received

 Have you been charge-sheeted, convicted of or pleaded guilty to an

offence?: Yes/No___________________

 If yes, particulars thereof and present status_______________

 Have you been associated with any organization that has been
blacklisted or has been proved of financial fraud? Yes / No

 If yes, please mention_______________

Declaration:
I certify that, the information furnished by me in this
application is true and complete. I understand that false information may
be grounds for not hiring me or immediate termination of employment at
any point of time in the future if I am hired. I authorize the verification
of any or all information listed above (including the enclosed documents)

Date :

Place:
Signature of Applicant