TELANGANA PANCHAYAT SECRETARY RECRUITMENT, HYDERABAD

ONLINE APPLICATION FOR THE POST OF JUNIOR PANCHAYAT SECRETARY

Filled in Online Application Form

Application No: 1031216

Unique Identification Number

(UID) / Aadhaar number / 614613964213 EPIC No.: URH1079508
Enrolment ID :

PAN No.: BSVPG4585Q Driving License No.:

Other Photo ID: AADHAR CARD Other Photo ID No.: 614613964213

Personal Details : Photo & Signature

Name as per SSC or

GAJULA VIKRAM
Equivalent Certificate

Father's / Husband's Name SREENIVAS

Mother's Name: VINODHA

Date of Birth: 23/08/1992 Gender: Male

Community: BC-D - Non Creamylayer

Place of Birth (District): JAYASHANKAR BHUPALAPALLY State: Telangana

MOHAMMAD
Mandal: MULUG Village:
GOUSE PALLY
Special Category Details:

Are you claiming reservation

under Differently Abled No SADAREM Certificate No. NA
Person ?
Orthopaedically Challenged :
Differently Abled Details: Visually Impaired : NA Hearing Impaired : NA
NA
Percenteage of Disability: NA NA NA

Do you need a scribe : NA CEREBRAL PALSY : NA

Are you claiming reservation

No Length of Service (Years) NA
under Ex Service Person?

Date of Discharge / Probable

PPO No.: NA NA
discharge

Are you claiming reservation

under meritorious sports No Name of the Sport Event: NA
person?

Participated in International / National / South Zone / State / District Level ? NA

Are you regular employee of

No Name of the department: NA
Telangana State Government?

Post Held: NA Length of Service: -- Years & -- Months

Address Details :
#2-42/B MOHAMMAD GOUSE PALLY
Correspondence
MULUGU ,
Address:
JAYASHANKAR BHOOPALAPALLY , TELANGANA , 506349
#2-42/B MOHAMMAD GOUSE PALLY
Permanent Address: MULUGU,
JAYASHANKAR BHOOPALAPALLY, TELANGANA, 506349
Email Id: vikramgajula55@gmail.com Mobile No.: 9866900791

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 TELANGANA PANCHAYAT SECRETARY RECRUITMENT, HYDERABAD

ONLINE APPLICATION FOR THE POST OF JUNIOR PANCHAYAT SECRETARY

Class 1 to Degree Study Details:

Name of the School / Board /
Class Year of Passing Study Type District Mandal
University
UPPER PRIMARY SCHOOL JAYASHANKAR
1st Class 2000 Regular MULUG
MOHD GOUSE PALLY BHUPALAPALLY
UPPER PRIMARY SCHOOL JAYASHANKAR
2nd Class 2001 Regular MULUG
MOHD GOUSE PALLY BHUPALAPALLY
UPPER PRIMARY SCHOOL JAYASHANKAR
3rd Class 2002 Regular MULUG
MOHD GOUSE PALLY BHUPALAPALLY
UPPER PRIMARY SCHOOL JAYASHANKAR
4th Class 2003 Regular MULUG
MOHD GOUSE PALLY BHUPALAPALLY
UPPER PRIMARY SCHOOL JAYASHANKAR
5th Class 2004 Regular MULUG
MOHD GOUSE PALLY BHUPALAPALLY
UPPER PRIMARY SCHOOL JAYASHANKAR
6th Class 2005 Regular MULUG
MOHD GOUSE PALLY BHUPALAPALLY
UPPER PRIMAARY SCHOOL JAYASHANKAR
7th Class 2006 Regular MULUG
MOHD GOUSE PALLY BHUPALAPALLY
SRI SIDHARTHA HIGH JAYASHANKAR
8th Class 2007 Regular MULUG
SCHOOL BHUPALAPALLY
SRI SIDHARTHA HIGH JAYASHANKAR
9th Class 2008 Regular MULUG
SCHOOL BHUPALAPALLY
SRI SIDHARTHA HIGH JAYASHANKAR
10th Class 2009 Regular MULUG
SCHOOL BHUPALAPALLY
Inter / JAWAHAR LAL NEHRU GOVT MEDCHAL
2012 Regular Uppal
Diploma POLYTECHNIC MALKAJGIRI
WARANGAL INSTITUTE OF
Degree 2015 Regular WARANGAL RURAL ATMAKUR
TECHNOLOGY & SCIENCE
JAYASHANKAR
Local status claimed by the candidate:
BHUPALAPALLY
Do you want to be considered as non local candidate for other districts for selection: No

Districts Priority Order:

Priority Priority Priority

District District District
Order Order Order

1 JAYASHANKAR BHUPALAPALLY 11 Ranga Reddy 21 MANCHERIAL

2 Nalgonda 12 Medak 22 KUMURAM BHEEM ASIFABAD

3 Mahabubnagar 13 SURYAPET 23 Karimnagar

4 Khammam 14 SIDDIPET 24 JANGOAN

5 SANGAREDDY 15 Adilabad 25 PEDDAPALLI

6 KAMAREDDY 16 NIRMAL 26 RAJANNA SIRCILLA

7 VIKARABAD 17 NAGARKURNOOL 27 JOGULAMBA GADWAL

8 Nizamabad 18 YADADRI BHUVANAGIRI 28 WANAPARTHY

9 BHADRADRI KOTHAGUDEM 19 JAGITIAL 29 WARANGAL URBAN

10 MAHABUBABAD 20 WARANGAL RURAL 30 MEDCHAL MALKAJGIRI

31 Hyderabad

Exam Details:
Selected district to write exam WARANGAL URBAN

Medium of Examination Telugu

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 TELANGANA PANCHAYAT SECRETARY RECRUITMENT, HYDERABAD

ONLINE APPLICATION FOR THE POST OF JUNIOR PANCHAYAT SECRETARY

Payment Details:
Date of
Transaction ID: 404540 Amount 400.00 04/09/2018 20:53:00
Payment:
Declaration

I have read notification details.

I read the user guide.

I have gone through the detailed notification, and I agree that I am eligible for the post I am applying for.
Further, I agree that once fee is paid, it is neither refundable nor transferable. I hereby declare that I possess
all the academic, professional and other qualifications as mentioned in the notification.
I am a graduate as on 31.08.2018.

Candidates who are claiming local status as per rule 7 of G.O Ms. no. 124, GAD dt 30.08.18, if found to have
given false information during verification, their candidature will be cancelled.

I have read the notification and i am conversant with the conditions therein.

I hereby declare that all the particulars furnished in this application are true, correct and complete to the best
of my knowledge and belief. In the event of any information being found false or incorrect or ineligibility being
detected before or after the examination, action can be initiated against me by the Government of Telangana
including debarring my candidature.

Application submitted on : 04/09/2018 21:51:00

Sd/-

GAJULA VIKRAM

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