APPLICANT INFORMATION

HIGHEST EDUCATION QUALIFICATION:

FROM TO COURSE COLLEGE NAME COMPLETE CITY, COUNTRY

YYYY/MM/DD YYYY/MM/DD ADDRESS
2005/11 2009/08/31 Professional The Institute Of The Additional New Delhi
Competence Chartered Secretary PIN :110002
Examination Accountants Of [Examinations],Th INDIA
Certificate India[ICAI] e Institute Of
Chartered
Accountants Of
India ,ICAI
Bhawan,Post Box
No:7112,Indrapras
tha Marg.

FAMILY INFORMATION: (parents and spouse)

NAME RELATIONSHIP DATE OF FULL PRESENT MARITAL IF ANY

BIRTH ADDRESS OCCUPAT STATUS DECEASED,
(YYYY/MM/DD) (PRESENT) ION MARRIED / MENTION
WIDOWED / DATE OF
SINGLE DEATH
FATHER 23/06/1951 Nageswara Rao Retired Married
Chillara Deputy
house Director
number:11-13-51 ,Animal
8/1,flat Husbundary
no:101,Shourya Department
Homes,Plot
no:76,Road
no:6,Yadav
Nagar,behind sri
krishna
temple,Alkapuri
Colony,k.V
Rangareddy
Hyderabad,
Telangana
500102
MOTHER 19/04/1963 Same as above House Wife Married
address
SPOUSE

FAMILY INFORMATION: Childrens

 (Here you can provide information maximum upto 3 rows for the childrens

NAME RELATIONSHIP DATE OF FULL PRESENT MARITAL IF ANY

BIRTH ADDRESS OCCUPATION STATUS DECEASED,
(YYYY/MM/DD) (PRESENT) MARRIED / MENTION
WIDOWED / DATE OF
SINGLE DEATH
(YYYY/MM/DD)

FAMILY INFORMATION: Siblings (Brother and sisters)

(Here you can provide maximum of 3 siblings only i.e 3 rows only)

NAME RELATIONSHIP DATE OF FULL PRESENT MARITAL IF ANY

BIRTH ADDRESS OCCUPATION STATUS DECEASED,
(YYYY/MM/DD) (PRESENT) MARRIED / MENTION
WIDOWED / DATE OF
SINGLE DEATH

GIVE DETAILS OF YOUR EMPLOYMENT FROM THE PAST 10 YEARS. DO NOT LEAVE
ANY GAPS. IF YOUR NOT EMPLOYED, STUDENT MENTION THE SAME

FROM TO NAME OF THE COMPANY AND ADDRESS DESIGNATION

YYYY/MM YYYY/MM
CHITTI VAMSY COMMERCE ACADEMY PROPRITER

IN WHICH COUNTRIES HAVE YOU LIVED UP TO 6 MONTHS OR MORE IN THE PAST 10

YEARS.

FROM TO COUNTRY CITY TYPE OF VISA

YYYY/MM/DD YYYY/MM/DD
 ADDITIONAL DETAILS:

MOTHER TONGUE Telugu

CURRENT ADDRESS Plot no:76,Flat No:101,Shourya Homes,Road No:6,Yadav Nagar,Behind

Srikrishna Temple ,Alkapuri,K.v Rangareddy,hyderabad,Telangana
DATE OF MARRIAGE (IF 23/06/2022
APPLICABLE)