TELANGANA STATE LEVEL POLICE RECRUITMENT BOARD ONLINE APPLICATION FORM - 2022 of the Post SCT SI Civil and / or Equivalent SCT PC Civil and / or Equivalent Registration Num| 81232390 74232390 ‘adhaar Number 500762048463 Medium of Written Examination Telugu (xcept Tecnica Papers vnich wll be In English only) Me Selected Language for Paper-I in the Final Written Examination of SCT Sts (Givi) and / or equivalent Telugu Posts Candidate Sumame JAGILAPU Name ofthe Candidate (2s per SSC or Equivalent Certificate) JAGLAPY MAHENDER Father's Name JAGILAPU SHANKARAIAH Mother's Name JAGILAPU LAXMI Gender Male Date of Birth 08/03/1998 (@s per SSC or Equivalent Certificate) ‘Age as on 01-07-2022 24 years 3 months 25 days cure ‘si ere hee er Fe Ideicaton Mak 2 ANOLE ON THE LEFT TEMPLE 7s nearest CP / P Ffee cP Raragundom mia: cat Community / Caste BC-B Do you belong to section of Creamy Layer or Non Creamy Layer? Examination Centre for SCT SI level PWT where attended Examination Centre for SCT PC level PWT where attended District Preference for attending Physical Tests / Final Written Examination (For Technical Papers, Candidates will be allotted any Test Centre in / around Hyderabad Gy) Local Candidate of Telangana State (es per Presidential Order2018) ‘Are you working now in any of the Post(s) notified in the present Notification(s) Do you claim reservation as Meritorious Sports Person? ‘Are you an Employee of Telangana State Government ? Have you worked as an Instructor in NCC? ‘Are you a Retrenched Temporary Employee in the State Census Department during 1991? Page 1 of 6 Non Creamy Layer ‘ANURAG UNIVERSITY, VENKATAPUR(V), GHATKESAR(M), MEDCHAL MALKAJGIRI(DIST)- 500090 ‘SRE VENKATESHWARA COMMERCE DEGREE COLLEGE, NO 16-2-754/A/2, PLOT NO 2 GADDIANNARAM, NEAR KONARK DIAGNOSTICS, DILSUKHNAGAR, HYD -60-500060 Hyderabad Report generated onCategory?(For Army / Navy / Air Force / Territorial Army Personnel) Class. nh Cass sth Class sth Class ath Class. 3rd Class 2nd Class ist Class study Type Regular Regular Regular Regular Regular Regular Regular Year of Passing 2008 2007 2006 2005 2004 ‘School Name / Residence Address UPPER PRIMARY SCHOOL UPPER PRIMARY SCHOOL UPPER PRIMARY SCHOOL UPPER PRIMARY SCHOOL UPPER PRIMARY SCHOOL UPPER PRIMARY SCHOOL UPPER PRIMARY SCHOOL, Police District / Commissionerate of Jurisdiction RAMAGUNDAM RAMAGUNDAM RAMAGUNDAM RAMAGUNDAM RAMAGUNDAM RAMAGUNDAM RAMAGUNDAM Revenue Nameof ame of the Jtnisticion Mancal’ —ilage/Lecalty PEDDAPALLT SRIRAMPUR _ANKAMPALLT PEDDAPALLT | SRIRAMPUR _ANKAMPALLT PEDDAPALLT ——SRIRAMPUR —_ANKAMPALLT PEDDAPALLI —SRIRAMPUR _ANKAMPALLT PEDDAPALLI —SRIRAMPUR—ANKAMPALLI PEDDAPALLI — SRIRAMPURANKAMPALLT PEDDAPALLI — SRIRAMPURANKAMPALLT Note: Candidates who have not studied in any Government Educational Institutions / Government Recognized Educational Institutions during the whole or part of the relevant 4/7 years period preceding 7th Class, but claim to be local Candidates by virtue of residence shall submit Residence Certificate issued by the oe = for the relevant period Mention Revenue District to which you are local as per Study / Residence (trom fst to 7th class as per New Presidential Orden) Mention Police District / Commissionerate to which you are local as per Study / Residence (fom 1st fo 7th class as per New Presidential Order) Local to Contiguous District Cadre (as per Police Distrcts/ Commissionerates ) Local to Contiguous District Cadre (as per Revenue Districts) Local to Zone Local to Contiguous Zone SCT SI Civil and / or Equivalent, Other SI / ASI Posts Peddapali Ramagundam Contiguous District Cadre -I Contiguous District Cadre =I Zone-I-Kaleshwaram Contiguous Zone 1 Post Code Post Name Preference 11 SCT Sub Inspector of Police (Civil) in Police Department 1 12 SCT Reserve Sub Inspector of Police (AR) in Police Department 2 13 SCT Reserve Sub Inspector of Police (SAR CPL) (Men) in Police Department 3 14 SCT Reserve Sub Inspector of Police (TSSP) (Men) in Police Department 4 16 _ Sub Inspector (Men) in Special Protection Force Department 5 17 Station Fire Officer in Fire Services Department 6 18 Deputy Jallor (Men) in Prisons & Correctional Services Department: 7 Page 2 of 6 Report generated on‘SCT PC Civil and / or Equivalent, Other Constable Posts: Post Code Post Name Preference 21 SCT Police Constable (Civil) in Police Department 1 22 SCT Police Constable (AR) in Police Department: 2 24 SCT Police Constable (TSSP) (Men) in Police Department 3 23 SCT Police Constable (SAR CPL) (Men) in Police Department 4 25 Constable (Men) in Special Protection Force (SPF) Department 5 26 Firemen in Fire Services Department 6 27 Warders (Male) in Prisons and Correctional Services Department 7 Note: Candidate will be considered for Selection to Posts for which Preference is given above and will nat be considered for Not Opted Posts Cadre of Post(s) Unit Name (in order of preference) For Contiguous Police District Cadre |; [coniquos Ostet Cae -1 2 [eoniauousbistet Code 1 1 _[eontiouous Distr Cadre -1 2 |coniouous DistctCodre-1 ror Contiguous Revenue District cadre|_2_ [Catia Dstt Cadre 4 |eoniauousbistct Core 10 Posts (Post code(s): 27) 5 |Contiquous District Cadre - V 6 | Contiguous District Cadre - VI 7 |eoniouous District Code - vi Fer Contiguous Zonal cadre Pests 1 [contguaus zone! 2 |coniguous Zone 1 _[Ramagundom 2 |eermnagar 3 _|ircta—Rajonna 4 [eaapet 5 [Warangal 6 [Hyderabad 7 _ [ovperavea @ |auou 9 |Nzamabed 10 [Rachakonda 11 [sunapet 12. [Sangaretay 13 [viarabed 14 [Gedwatoguambe For Poti istic Cadre Pots 15 _|Nanaboobnar 16 |ragararrot 17_ |roreyonnet 18 [Wwanaparty 19 [adiobaa 20 [Wem 21 footer 22_|psfbod-Komarambheem 73 _[Bhupalapatlayasnankar 24 [kamera 25 [Medak 26 _|knemmam 27 |ketnoguder-Bhodra 28 |ahabubabaa 29 |Nalgonda Page 3 of 6 Report generated on : 11/6/2022 10:17:11 AM2 [Karimnagar 3 [brats —Raaona 5 6 _[ernoa 7 & [renee Rey 3 1 Warted a 2 fanaa B 14_[astobanonaramtheem 75 vast hopalapa 16 palate Formevenue Dict cadre Posts [7 fag 18, aa 19 |Kamareddy 20 |Medak 2 fethaguder- Shera 2 |etennam 23_[rahabobavoa 24 [rane 25_fsavanet 26 [ehongi-vooan 27 _Panaaon 2a |peacarnaraign 2 _Pealanbe Gaal 20_|anaboomagar 21_fpeanoet 32 Raper 33 |Wanaparthy 1 [Zone-t Kaleshwaram 2. [Zone-IIt Rajanna ror zonal Cadre Posts 3 fzone-v1 Charminar 4 [Zonet Basara (Post codes): 14, 12, 17) 5 |zone-tv Bhadradri 6 |Zone-v Yadadri 7 |Zone-vit Jogulamba Note: The opted Unit preferences will be considered subject to the vacancies notified in the Unit(s) for the said Post(s) as per the Noticiation(s) Note: Candidate will be considered for Selection in Selection-Units for which preference is given above and will not be considered for Not Opted Selection-Units Do you claim Reservation under any of the Special Categories? No Note: No Special Category Reservations are applicable for the Post(s) of- Station Fire Officer, SCT SI (PTO), SCT ASI (FPB),Transport Constables, Prohibition and Excise Constable and Driver Operator Post Name ‘SCT SI Civil and / or Equivalent Graduation ‘SCT PC Civil and / or Equivalent Gradvation Do you possess valid Light Motor Vehicle (LMV) Driving Licence as on Date of No Notification Page 4 of 6 Report generated onName SAGILAPU MAWENDER co | JOY PRAVEEN KUMAR House Number & Colony | 584 Vilage / Town / City " ANKAMPALLY Pincode 505162 Dstt Peddapal Mandal = Mobile Number | 7893623679 Email Id mahender jagilapu@gmail.com Document Name Community Certificate Yes ‘SSC or Equivalent Certificate Yes 3 Non Creamy Layer Certificate Yes 4 Educational Qualification Certificate for PC Civil Yes 5 Educational Qualification Certificate for SI Civil Yes 6 Study / Residence Certificate 1 Yes 7 Study / Residence Certificate 2 Yes 8 Study / Residence Certificate 3 Yes 9 Study / Residence Certificate 4 Yes 10 Study / Residence Certificate § Yes 11 Study / Residence Certificate 6 Yes Study / Residence Certificate 7 Thereby declare that I have read all the instructions issued in the Notification(s) carefully and hereby undertake to abide by them. Tam responsible for the correctness of the above detail filed in by me. I further dedlare that I have nat been debarred from appearing in any examination. {declare that I fulfil all the conditions of eligibility regarding Age, Education etc,, prescribed in the said Notfication(s). Thereby declare that all statements made in this Application are true, complete and correct to the best of my knowledge and belief. I Understand that in the event of any information being found to be false or incorrect or incomplete or suppressed (by me) or my not satisfying the eligibility criteria, my candidature is liable to be rejected or cancelled at any stage of selection and even after ‘appointment, my services are liable to be terminated without any notice, besides initation of criminal action, Page 5 of 6 Report generated onI declare that I am fully fit to compete in the Physical and Ground tests and I applied for the Notified Posts only after going through the relevant details and eligibility criteria mentioned in the Notfication(s).I will be particapting in the Physical / Ground tests on my own ‘accord without any external coercion, being fully aware of the risks involved therein and shall take full reponsibilty for any untoward incident or injury that may be caused during the conduct of the Physical / Ground tests, | further declare that I will not involve in any malpractice or ilegal activities in the recruitment tests. In case it is found that T have furnished any false information or involved in any malpractice or ilegal activities, I clearly understand that I am liable for penal action as per the existing rules / law. it JAGILAPU MAHENDER 1n Submitted on: 11/6/2022 10:05:09 AM {Candidate Name) Page 6 of 6 Report generated on : 11/6/2022 10:17:11 AM