GOVERNMENT OF ANDHRA PRADESH
APPLICATION FOR LIMITED RECRUITMENT -  2018 OF SC/STs BACKLOG VACANCIES
IN WEST GODAVARI DISTRICT



Post Applied For
Name of the Applicant
(As Per SSC Certificate)
Father`s Name
Gender
Date Of Birth  (YYYY-MM-DD)
Aadhaar Number
Mobile No
email ID
Religion
Caste
Details of Educational Qualifications :
Qualification Name of the University Register
Number
Month &
Year of
Passing of
Examination
Marks
Obtained
(including
languages)
Total
Marks
(including
languages)
Percentage
Of Marks
%
Type Writing Skills (Please select atleast one Typing Skill, Otherwise your application will be rejected.)        
State Board of Technical Education and Training, A.P    
State Board of Technical Education and Training, A.P    
State Board of Technical Education and Training, A.P    
State Board of Technical Education and Training, A.P    
   
Other Details  
a) Has the applicant rendered war service or is serving
with the forces or been invalidated from the war
Service? Give the details with dates.(Authenticated extract of
the Discharge Certificate to be produced as evidence)
b) Has the applicant been continuously employed
temporarily under the A.P. Govt. Give details with dates? (Evidence to be produced)
c) Has the applicant been employed regularly under State
Government. Give details with dates (Evidence to be
produced)
Whether the applicant was demobilized from the Army
during 1950 - 51 on account of Governement of India`s
decision to reduce the size of the Army (Authenticated
extract of the discharge certificate to be produced as evidence).
How has the applicant been occupied since leaving School or College till the date of application? particulars of employment, If any, whether, in Government Service or not,
and dates or appointment to and relief from each post and reasons for leaving for leaving each post and emoluments in post should be stated.
Post Held Period of Employment Reasons for leaving
From To
       
Details of Local Candidature: Note: If Not Applicable.Please enter "0"
Sl.
No
Class Year of
passing
Name of the School District
1 I
2 II
3 III
4 IV
5 V
6 VI
7 VII
8 VIII
9 XI
10 X
Address for communication along with pin code:
District
Mandal
Village/Town
House No & Street
Pincode
Employment Exchange Registration number
and place of Registration of the applicant.
Upload Degree Consolidated Marks MEMO (JPG/JPEG Format ONLY)
(File Size must be less than 2MB Only)

                                I hereby declare that the information furnished above is true and correct to the best of my knowledge and belief. In case, any information given in this application proves to be false or incorrect or untrue or misleading or misrepresenting the facts, I shall be responsible and liable for the future consequences. I also declare that if any information provided by me is found false, my candidature may be rejected at any stage of recruitment without any prior notice.
   

Note : 1. Application once submitted cannot be modified / edited.