Professional Documents
Culture Documents
Registration # : 245408
Please paste your recent
Asha Jyothi Bhadrach passport size photograph
Full Name : and sign across it.
alam
Category : OBC Please retain atleast 5
copies with you for
Person With Disability : No subsequent use.
Percentage of -
Type of Disability : -
Disability :
Do you intend to use the services of a scribe : No
Are you a candidate who had ordinarily been
domiciled in Kashmir Division of the state of No
J & K during the period 1-1-1980 to 31-12-1989:
Whether you belong to Religious Minority Community : No
Religion to which you belong : -
Are you Ex-Serviceman? : No
Date of Release/ Retirement from Service : -
Have you passed in Service (Departmental) Examination
which is recognized as equivalent to Civil Examination
-
not below the level
of Matriculation?:
Are you a disabled Ex-Serviceman (DISXS)? : No
Are you a dependent of an Ex-Service man (DXS)? : No
Whether children/family members of those
No
who died in 1984 riots?:
Are you seeking relaxation under window /
divorced women / women judicially Separated from their No
husbands and who are not re-married?:
Nationality : Indian
State / Union Territory for which you are applying : ANDHRA PRADESH State / UT code : 01
Centre of Examination : Visakhapatnam Centre code : 56
Application Fee/Postal Charges Details:
Transaction ID/ Scroll No. : 1044366
Branch Name : Kakinada Branch CBS Code : 28
Deposit Date : 30-06-2010 Amount : Rs.300
Personal Details:
Date of Birth : August,22 1989 Age as on 01.01.2010: 20
Gender : FEMALE
Husband's Name / Father's : Tirupathi Rao
Mother's Name : Pavani
Email ID : ashajyothibhadrachalam@gmail.com
Please retain your Registration No. and Password emailed to you carefully for further reference