TELANGANA STATE LEVEL POLICE RECRUITMENT BOARD

PRELIMINARY APPLICATION FORM - 2022

PART- I
Notification Rc No. 42 / Rect. / Admn-1 / 2022 dated 25-04-2022
Post/s Applied for SCT SI CIVIL AND / OR EQUIVALENT

Medium of Written Examination

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

Name of the Candidate BAMINI SANGAMESHWAR 81597960

Father's Name BAMINI NARAYANA

Mother's Name PADMASHALI BUCHAMMA

Gender MALE Community BC-B

Date of Birth 11-06-1995 Age as on 01-07-2022 27 years 0 months 21 days

Aadhaar Number 320583364036 SSC Roll No 1037129872

Mobile Number 7989295077 E-mail Id

Identification Mark 1 A MOLE ON THE RIGHT THIGH

Identification Mark 2

State (Local Candidature) TELANGANA

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

District Preference for appearance in Tests / Exams - I HYDERABAD

District Preference for appearance in Tests / Exams - II RANGAREDDY

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 BAMINI SANGAMESHWAR
C/o BAMINI NARAYANA
H. No. & Colony 9-52,bhavani nagar colony
Village / Town / City Shankarpalli Mandal Shankarpalle
District RANGAREDDY Pin Code 501203

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

20/5/2022 07:22:53 Application Submission Date&Time: 20-05-2022 07:06:21 PM