Exam Panchayat Sec

APPLICATION NO: PSRES-9 45914 ANDHRA PRADES H PUBLIC SERVI CE COMMISSION :: HYDERABAD PANCHAYAT SECRETARY (GRADE - IV) IN A.P. PANCHAYAT RAJ SUBORDINATE SERVICE 08/2013, Dt:- 30.12.2013 (General Recruitment) 1. CandidateId : 5109105982 2. Name : PRASHANT KUMAR PANDA 3. Father name : PRAKASH CHNADRA PANDA 4. Date of birth : 2/9/1988 5. Gender : MALE 6. Address for communication : F-4 SAI RESIDENCY BEHIND AYYAPPASWANY TEMPLE GOLLAPUDI 7. District : KRISHNA 8. Mandal : Vijayawada Rural 9. Pincode : 0 10. e-Mail : - 11. Mobile : 9550100309 12. Community you belong : OC 13. Do you belong to Andhra Pradesh State : Yes 14. Are you a white card holder : No 15. Fee Paid : 100 16. Do you possess eligibility as per Notification 08/2013 : Yes 17. Type of study : Regular Study 18. Are you an Ex-Service man : No Ex-Service man Service : 0 Years 19. Employment Status : UNEMPLOYED Govt. Employee Service : 0 Years 0 Months 20. Are you retrenched temporary employee in State Census department : No Length of Service in Census Dept : 0 Months 21. Worked as instructor in NCC : No Length of Service in NCC : 0 Years 22. Nationality : INDIAN 23. Are you a PH-Person : No 24. Identification Marks1: A MOLE ON LEFT SIDE OF THE STOMACH Identification Marks2: A MOLE ON THE LEFT HAND GENERATED BY APPSC S WEBSITE www.apspsc.go v.in POWERED BY CGG s RECRUITMENT PROCESSING SYSTEM

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APPLICATION NO:PSRESS-945914

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/-

PRASHANT KUMAR PANDA

25.a Qualification : Degree from any University Name of the Degree : BTECH

25.b University : Jawaharlal Nehru Technological University University Others :

26. Education Details

4th/Residence 1styr

5th/Residence2nd yr

6th/Residence3rd yr

7th/Residence4th yr

8th/Residence5th yr

9th/Residence6th yr

SSC/DEGREE

KRISHNA KRISHNA KRISHNA KRISHNA KRISHNA KRISHNA KRISHNA

27. Local District Details

Local District :KRISHNA

28.District PreferencesPreference1 Preference2 Preference3 Preference4 Preference5 Preference6 Preference7 Preference8 Preference9 Preference10 Preference11 Preference12

PRAKASAM KRISHNA GUNTUR SRIKAKULAM WESTGODAVARI

ANANTHAPUR VISAKHAPATNAM

VIZIANAGARAM

MEDAK HYDERABAD KURNOOL KADAPA

Preference13 Preference14 Preference15 Preference16 Preference17 Preference18 Preference19 Preference20 Preference21 Preference22 Preference23

POTTISREERAMULUNELLORE

MAHABUBNAGAR

NIZAMABAD WARANGAL NALGONDA KHAMMAM ADILABAD CHITTOOR KARIMNAGAR EASTGODAVARI

RANGAREDDY

29. Payment Details

Journal Number Payment Date

A09105982 24/01/2014