8/17/2019 Application_5322002104
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TELANGANA STATE PUBLIC SERVICE COMMISSION :: HYDERABAD
PROHIBITION & EXCISE CONSTABLES IN PROHIBITION & EXCISE DEPARTMENT
(GENERAL RECRUITMENT) NOTIFICATION NO.06/2016, Dated.30/04/2016
The details as available in OTR database as on 28/01/2016 03:33:54 PM Date& Time are used in this application form.
Copyright 2015. Telangana State Public Service Commission. All rights reserved.
1. Unique Identification Number (UID)/Aadhaar Number: 509051144263
2. TSPSC ID : TS2200135507 3. Reference Id : 53220021044. Candidate Name : INAPALA VINOD 5. Father's/Husband`s Name
:VENKATESWARLU
6. Mother's Name :VIJAYA
7. Date of Birth : 10/3/1995 8. Gender :MALE
9. Address for communication : 3-139,KOTHURU DHAMSALAPURAM,KHAMMAM TELANGANA
10. District/Mandal/Village : Khammam/Khammam Urban/DHAMSALAPURAM
11. Pincode : 507003, Mobile : 9014801182, E-mail : [email protected]
12. Community : BC-D Creamy Layer : No
13. Identification Marks as per SSC certificate : 1. A MOLE ON THE LEFT HAND 2. A MOLE ON THE LEFTHAND
14. Are you an Ex-Service man : No, Govt Employment Status : No
15. Are you retrenched temporary employee in State Census department : No
16. Worked as instructor in NCC : No 17. Are you a PH-Person : No
18. Post Applying for : PROHIBITION & EXCISE CONSTABLES IN PROHIBITION & EXCISE DEPARTMENT
19. Do you possess Physical Requirements as per Notification : Yes
20. Do you possess Additional requirements, if any as per the notification : Yes
21. Have you applied for the post of Constable in Transport Department vide Notifn. No. 05/2016 : No
21.a Qualification : Intermediate or its equivalent examination
21.b University : BOARD OF INTERMEDIATE EDUCATION,TS
22. Date of Acquiring Qualification: 22/MAR/2012 District you which belongs (Maximun Study Perid of 4th to 10thClass) : Khammam
23. Type of study :Regular Study Zone as indicated by candidate in OTR: Zone V
24. Education Details
4th/Residence 1styr
5th/Residence 2ndyr
6th/Residence 3rdyr
7th/Residence 4thyr
8th/Residence 5thyr
9th/Residence 6thyr
SSC/DEGREE
Khammam Khammam Khammam Khammam Khammam Khammam Khammam
25. Payment Details
Journal Number Payment Date Amount
0548172632641 04/05/2016 200.0
26.Examination Centers
Preference1 Preference2 Preference3 Preference4 Preference5 Preference6 Preference7 Preference8 Preference9 Preference 10
Khammam Hyderabad(including
HMDAJurisdiction)
Warangal Ranga Reddy Medak Mahabubnagar
Nizamabad Karimnagar Nalgonda Adilabad
Declaration
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 theevent of any information being found false or incorrect or ineligibility being detected before or after the examination, the Commission can take actionagainst me as per rule incase it is detected that I have misled Telangana State Public Service Commission on any issue then I will be solely responsiblefor all penal consequences thereof.
Sd/-
INAPALA VINOD(04-05-2016 05:24:15 PM)