7/23/2019 Recruitment for the post of Staff Assistant

The A.P. State Cooperative Bank Ltd., (APCOB), Vijayawada (2019-20) 320133
Recruitment for the post of Staff Assistant

Registration Number : 93011883

Full Name : GORIGE
VENKATALAKSHMI

Category : BC-B

Are you a person with benchmark disability of 40% and above : NO

Type of Disability : -

Are you suffering from cerebral palsy and your writing speed is : -
affected

If Yes, Do you need compensatory time at the time of examination? : -

Whether your dominant (Writing) hand is affected : -

If Yes, Do you need compensatory time at the time of examination? : -

Do you intend to use the services of a scribe : -

Whether the income is less than the income qualifying for Creamy : YES
layer

Religion to which you belong : Hindu

Whether you belong to Religious Minority Community : NO

Are you an Ex-Serviceman : NO

Are you a Disabled Ex-Serviceman (DISXS) : NO

Period of Service ( in months) : -

Have you joined a Government job on the civil side after availing of : -
the benefits given as an ex-serviceman?

Have you secured employment under the Central Government in : -

Group 'C' & D'
If Yes,Years of Experience : -
Please mention the date of retirement/discharge from the services : -

If the date of retirement/discharge is more than one year, pl. inform : -

the details of appointment if any, after the retirement/discharge
Name of the organization : -

Date of appointment : -
Details of post : -
Scale of pay : -

Are you seeking relaxation under widow /divorced women / women : NO

judicially Separated from their husband and who are not re-married
Are you an employee who has been in continuous service in any : NO
Cooperative/Commercial Banks and joined its service before attained
28 years (In-service candidates of Co-operative/Commercial bank)

If Yes,Years of Service : (in Months) : -

Are you a local candidate of Andhra Pradesh in tune with the spirit of : YES
Presidential Order 1975

If Yes, Andhra Pradesh District : Guntur

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7/23/2019 Recruitment for the post of Staff Assistant

Nationality / Citizenship : Indian

Centre of Examination : Guntur

Application Fee / Intimation charges

Payment In : ONLINE

Fees : 500.00
Tax : 45.00 (CGST) + 45.00
(SGST)
Amount : 590.00

Payment Status : PAID

Reference ID : QSM27789200057

Transaction Date : 23-07-2019

Personal Details

Date of Birth : 05-06-1992

Age completed as on 01.06.2019 : 26
Gender : FEMALE
Marital Status : Unmarried

Father's Name : GORIGE

VENKATESWARLU
Mother's Name : GORIGE VENKATA
RATHAMMA
Spouse's Name : -
Address for Correspondence : H NO 8 99 INDIRA
COLONY
Address 2 : KOTHAREDDY PALEM
Address 3 : CHEBROLU
District : GUNTUR
State : ANDHRA PRADESH

Pincode : 522212
Permanent address : H NO 8 99 INDIRA
COLONY

Address 2 : KOTHAREDDY PALEM

Address 3 : CHEBROLU
District : GUNTUR
State : ANDHRA PRADESH
Pincode : 522212

State for GST invoicing : Permanent Address

(ANDHRA PRADESH)

Contact Details

Mobile No : +91 9966088503

Alternative Number : -
(Mobile No/Landline No)
Email ID : gvlakshmi025@gmail.com

Educational Qualification (as on 01.06.2019)

Exam Passed Degree/ Subject / Stream Date of % of Marks Class / Grade

Passing

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7/23/2019 Recruitment for the post of Staff Assistant
Graduation Science 13-04-2013 65.00 First Class

Do you have operating knowledge of : YES

computers
Details of computer knowledge : MS OFFICE
Do you have Knowledge of English : YES

Do you have Proficiency in Telugu language : YES

Other Details :

Languages Known Read Write Speak

English YES YES YES

TELUGU YES YES YES

HINDI YES YES NO

Declaration:
I hereby declare that all the statements made in this application are True, Complete and Correct to the best of my knowledge and belief. I
understand that in the event of any information being found untrue or incorrect at any stage or I am not satisfying any of the eligibility criteria
stipulated, and also in case of creating influence/undue pressure regarding recruitment shall tantamount to cancellation of my candidature.

Date: 23-07-2019 Signature of Applicant

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