TELANGANA STATE LEVEL POLICE RECRUITMENT BOARD

PRELIMINARY APPLICATION FORM - 2022

PART- I
Notification Rc No. 41 / Rect. / Admn-1 / 2022 dated 25-04-2022
Post/s Applied for SCT PC CIVIL AND / OR EQUIVALENT

Medium of Written Examination

(Except Technical Papers, which TELUGU Registration Number
will be in English only)

Name of the Candidate G SAI KUMAR 71140572

Father's Name G NARSIMLU

Mother's Name G VINODA

Gender MALE Community BC-D

Date of Birth 06-06-2002 Age as on 01-07-2022 20 years 0 months 25 days

Aadhaar Number 254424165820 SSC Roll No 1816200853

Mobile Number 9542261400 E-mail Id ramsai0058@gmail.com

Identification Mark 1 A MOLE ON THE RIGHT CHEEK

Identification Mark 2 A MOLE ON THE RIGHT HAND

State (Local Candidature) TELANGANA

Local Candidature as per study from 1st Class to 7th Class
SANGAREDDY
(as per new Presidential Order,2018)
Educational Qualification as on 01-07-2022 INTERMEDIATE

District Preference for appearance in Tests / Exams - I SANGAREDDY

District Preference for appearance in Tests / Exams - II HYDERABAD

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 for SCT SI (Technical) / SCT PC (Technical), Candidate will be allotted to
any center in Hyderabad city or nearby.

Address for Communication

Name G SAI KUMAR
C/o G NARSIMLU
H. No. & Colony 1-49/2
Village / Town / City CHINTHALGHAT Mandal Kohir
District SANGAREDDY Pin Code 502321

DECLARATION

I hereby declare that I have read all the instructions mentioned in the Notification(s) carefully and I 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 information
furnished by me is true and correct to the best of my knowledge and is as per the Certificates / Relevant documents.

Signature

12/9/2022 01:33:17 Application Submission Date&Time: 09-05-2022 07:40:23 PM