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Application of Job: NCO [AA] - 08/2017

Application No: AAR17801009142N Application Date: 09/12/2016

PRIORITY

1. NCO [AA] 08/2017

PERSONAL PARTICULARS

Name: PALAKURTHI KIRAN KUMAR


Father's Name: PALAKURTHI PRASAD
Guardian's Name:
Identication Mark 1: A MOLE ON THE FORE HEARD
Identication Mark 2: A MOLE ON THE RIGHT CHEEK
Nationality: INDIAN
Aadhaar No.: 758760348594
Date of Birth: 23/03/1998

EDUCATION PARTICULARS

Details of 12th Qualication

Subjects Total Marks Obtained Marks

Physics 150 113

Maths 300 264

Chemistry 150 124

12th Marks 1000 795

12th Percentage: 79.50%

Serial no. of
A128263
Marksheet:
State Conducted Board Conducted
TELANGANA State Board
Exam: Exam:

Details of 10th Qualication

State Conducted ANDHRA Board Conducted Serial no. of


State Board MM0658923
Exam: PRADESH Exam: Marksheet:

MILITARY RECORD

Have you ever been enrolled in Armed Forces before?: NO


Have you been discharged from Armed forces before?: NO
COMMUNICATION PARTICULARS

Details of Permanent Address

1-88 POGALLAPALLI VILLEGE AND


Address 1: Address 2: MULAKALAPALLI MANDAL
POST
State: ANDHRA PRADESH District: KHAMMAM Pincode: 507115
Domicile: TELANGANA Phone No.: --------- Mobile No.: 8501999312
Kirankumarsjgc@
Email id: kirankittu112233@gmail.com Alternate Email id:
gmail.com

Details of Correspondence Address

Same as Permanent Address


Alternate Mobile Number: 9505644125

A. I hereby declare that I am unmarried, governed by nationality condition as laid down by the Government of Indian and
have never been debarred from appearing at any examination. I have never been arrested/ prosecuted and convicted by a
criminal court or involved in any other case registered by the Police.
B. I hereby, solemnly declare that all the statements made in the above application are true and correct to the best of my
knowledge and belief.
C. I fully understand that in the event of my information being found false or incorrect, appropriate action can be taken
against me.
D. Eligibility criteria will be veried on reporting at the selection centres. I found ineligible, I understand that criminal
proceedings can be initiated against me for fraudulent entry and falsication of Government of Indian documents. I also
accept that no TA/ DA will be admissible to me in such cases.