APPLICATION NO : GRPIV573978

ANDHRA PRADESH PUBLIC SERVICE COMMISSION :: HYDERABAD

HOSTEL WELFARE OFFICERS GRADE-II IN A.P. SOCIAL WELFARE SUB SERVICE AND HOSTEL WELFARE OFFICERS GRADE-II IN A.P. TRIBAL WELFARE SUB SERVICE UNDER GROUP - IV SERVICE. (GENERAL RECRUITMENT) NOTIFICATION NO. : 55/2011, Dated:- 28/12/2011
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Reference Id : 5151122215
Name : Father's/Husband`s name : Date of birth : Gender : Address for communication : VENNU SARIKA BHADRINARAYANA 22/7/1990 FEMALE H.NO 4-3-58/2 OPP: MARWADI SATRAM MAHABUBABAD, 506101. WARANGAL Mahabubabad 506101 venumadhav.vennu@gmail.com 9640304000 BC-D No YES YES 1. A MOLE ON THE LEFT HAND 2. A MOLE ON THE FORE HEAD 100 YES Regular Study Ex-Service man Service : 0 y Govt. Employee Service : 0y 0m Length of Service in Census Dept : 0 m Length of Service in NCC : 0 y No

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District : Mandal : Pincode : e-Mail : Mobile : Community you belong : Creamy Layer : Do you belong to Andhra Pradesh State : Are you a white card holder : Identification Marks as per SSC certificate : Fee Paid : Do you possess eligibility as per Notification 55/2011 : Type of study : Are you an Ex-Service man : NO Employment Status : UNEMPLOYED Are you retrenched temporary employee in State Census department : NO Worked as instructor in NCC : NO Are you a PH-Person :

*5151122215*

GENERATED BY APPSC'S WEBSITE www.apspsc.gov.in POWERED BY CGG's RECRUITMENT PROCESSING SYSTEM

APPLICATION NO : GRPIV573978
24. 24.a 24.b 24.c 24.d 24.e 25. 25.a 25.b 25.c 25.d Applied Post Code 1 and Post Name Hostel Welfare Officers Grade-II in A.P. Social Welfare Sub Service Qualification : Graduation with B.Ed. Degree Qualification Others : University ( Graduation ):Kakatiya University University Others ( Graduation ): Date of Acquiring Qualification ( Graduation ):24/Aug/2010 University (B.Ed / B.T) Degree:Kakatiya University University Others (B.Ed / B.T) Degree: Date of Acquiring Qualification (B.Ed / B.T) Degree:20/Sep/2011 Applied Post Code 2 and Post Name Hostel Welfare Officers Grade-II in A.P. Tribal Welfare Sub Service Qualification : Graduation and Bachelor of Education Qualification Others : University ( Graduation ):Kakatiya University University Others ( Graduation ): Date of Acquiring Qualification ( Graduation ):24/Aug/2010 University (Diploma/Bachelor) of Education:Kakatiya University Others (Diploma/Bachelor) of Education: University 25.e Date of Acquiring Qualification (Diploma/Bachelor) of Education:20/Sep/2011 26. Post Preferences Post Preference 1 : Hostel Welfare Officers Grade-II in A.P. Social Welfare Sub Service Post Preference 2 : Hostel Welfare Officers Grade-II in A.P. Tribal Welfare Sub Service 27. Zone Preferences zone Preference 1 : ZONE 5 zone Preference 2 : ZONE 6 zone Preference 3 : ZONE 4 zone Preference 4 : ZONE 3 zone Preference 5 : ZONE 2 zone Preference 6 : ZONE 1 28. Education Details 4th/Residence 1st 5th/Residence 6th/Residence 7th/Residence 8th/Residence 9th/Residence SSC/DEGREE yr 2nd yr 3rd yr 4th yr 5th yr 6th yr
WARANGAL WARANGAL Zone :ZONE 5 WARANGAL WARANGAL 29. Zone Wise Details WARANGAL WARANGAL WARANGAL

District Zone :WARANGAL

30. Payment Details Journal Number

A51122215

Payment Date
20/06/2012 Hyderabad TELUGU

31. Examination Details Centre for Exam : Option for Question Paper version for Written Examination in :

I here by declare that all the entries/statements made in this application are true, complete and correct 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, the commission can take action against me as per rule incase it is detected that I have misled Andhra Pradesh Public Service Commission on any issue then I will be solely responsible for all penal consequences thereof. Sd/VENNU SARIKA GENERATED BY APPSC'S WEBSITE www.apspsc.gov.in POWERED BY CGG's RECRUITMENT PROCESSING SYSTEM