11/12/2019 PWD

DEPARTMENT OF PROSECUTION & GOVERNMENT LITIGATIONS,

BENGALURU
ಅ ೕಗ ಮ ಸ ಜ ಗಳ ಇ , ಂಗ .
<
Application for the Post of Assistant Public Prosecutor-cum-Assistant
Government Pleader
Application Id / ಅ APP103192
Applicant's Full Name(as in SSLC/10th/Equivalent Marks card) /ಅಭ ಯ ಣ
CHAITRAMALA M
ಸ (ಎ .ಎ .ಎ . /10 /ಸ ನ ಅಂಕಪ ಯ )
Mother's Name / ಯ ಸ MANJULAMMA
Father's Name(as in SSLC/10th/Equivalent Marks card) / ಯ ಸ
MUTHAPPA
(ಎ .ಎ .ಎ . /10 /ಸ ನ ಅಂಕಪ ಯ )
Gender/ ಂಗ Female/ ೕ
Reservation Category/ ೕಸ ಪ ವಗ SC/ಪ.
Date of Birth(as in SSLC/10th/Equivalent Marks card)/ಜನ ಂಕ
22/01/1982
(ಎ .ಎ .ಎ . /10 /ಸ ನ ಅಂಕಪ ಯ )
Occupation of Father/Husband / ಯ/ ಡನ ಉ ೕಗ NOT WORKING
Mother Tongue / KANNADA
Have You Passed SSLC or equivalent examination Kannada as First/Second
language? ೕ ಎ .ಎ .ಎ . ಅಥ ತತ ನ ಪ ೕ ಯ ಕನ ಡ ಯ Yes/
ಪ ಥಮ/ ೕಯ ಗ ಂ ವ ?
Are you able to speak, read, write and translate kannada with facility from the
written character into English and vice versa?/ ಕನ ಡವ ತ ಡ , ಓದ ,
Yes/
ಬ ಯ ಮ ಕನ ಡ ಮ ಆಂಗ ಯ ಪ ಕಮ ತಜ ಡ
ಬ ತದ ?
Marital Status / ಕ Unmarried/ಅ ತ
Nationality / ೕಯ Indian/ ರ ೕಯ
Family Annual Income/ ಂಬದ ಕಆ ಯ 40000
27 9TH CROSS
Address for communication/
CHOLURPARYA MAGADI
ಪ ವ ಸ
ROAD
Taluk/ BANGALORE
District / BENGALURU URBAN
State/ ಜ Karnataka
Pin code / ೕ 560023
27 9TH CROSS
Permanent Address/
CHOLURPARYA MAGADI
ಪ ವ ಸ
ROAD
Taluk/ BANGALORE
District / BENGALURU URBAN
State/ ಜ Karnataka
Pin code / ೕ 560023
Mobile No./ 9164515974
Land Line No. / ರ
Email Address /ಇ- ಸ m.chaithramala@gmail.com
Date of submission/ಸ ದ ಂಕ 11/06/2019
Educational information/ ಕ Three year law
Name of the University and Year of Passing/ ಶ ಲಯದ ಸ ಮ BANGALORE UNIVERSITY
ಗ ದ ವಷ 2007
Maximum Marks/ಗ ಷ ಅಂಕಗ 2900
Marks obtained/ಪ ದ ಒ ಅಂಕಗ 1557
Percentage/ ಕ 53.68970
Is the applicant compulsorily retired, removed or dismissed from service in
Government/ Statutory body / Local Authority. ಅಭ ದ ಸ
No/ಇಲ
/ ಸನಬದ /ಸ ೕಯ ಗಳ ಂದ ಕ ಯ ಂ ವ /
ಕಲ ಟ ವ /ವ ಂಡವ ?
Whether the applicant is/was a party to any criminal proceedings? ಅಭ
No/ಇಲ
ದ ನ ಕದ ಯ ಕ ರ /ಆ ೕ ತ ?.
Ever been dismissed from your services? ಂದ ಎಂ ದ ವ ಂ ೕ ? No/ಇಲ
Have you been debarred permanently from the examination conducted by Central
/ any State / Karnataka State Public Service commission? ಂದ ಅಥ
No/ಇಲ
ಜ ಅಥ ಕ ಟಕ ೕಕ ಆ ೕಗ ಂದ ನ ಸ ವ ಪ ೕ ಅಥ
ಮ ಪ ಂದ ಆ ?
Have you also applied for Hyderabad-Karnataka Reservation posts? ೕ
No/ಇಲ
ದ ಕ ಟಕದ ೕಸ ಗ ಡಅ ಸ ?
Other Reservation Claimed/ಇತರ ೕಸ ೕ
Rural Candidate/ ೕಣ ಅಭ
No/ಇಲ
Have you studied I to X standard in Kannada medium /ಒಂದ ತರಗ ಂದ ಹತ
ತರಗ ಯವ ಕನ ಡ ಧ ಮದ ಗ ?

nemaka.kar.nic.in/prosecution_recruit/Print_Application_AE.aspx 1/2
11/12/2019 PWD
No/ಇಲ
No. of Years of
service rendered
in Military/
Ex-Military person/ ಕ No/ಇಲ
ಯ ಸ ದ
ಯ ಅವ

Additional Information for Age Relaxation

No. of Years of service in NCC/
NCC Instructor/ಎ
No/ಇಲ ಎ ಯ ಸ ದ ಯ
ತರ ರ
ಅವ :
Enrollment Details
Enrollment No. and Date/ಸನ ೕಂದ ಮ ಂಕ KAR3000 2007 07/09/2007
Date of commencement of Practice//ವ ೕ ದ
10/09/2007
ಂಕ
Place of practice,Mention Taluk and District/ವ ೕ Taluk/ :BANGLAORE District/
ವ ಮ . :BANGLAORE
Nature of Practice/ವ ೕ ಸ ಪ Both
Fee Details
Fee Amount 400
Challan No. SL001666002157310851
Challan Date 07/11/2019
NOTE: Your Payment is confirmed
Is the applicant a practicing advocate?/ ಅಭ ರತ ವ ೕಲ ? Y
Is the applicant an employee of State / Central Government? ಅಭ ಜ/ ಂದ ಸ ರದ ಯತ
No/ಇಲ
ಒಳಪಟ ಕರ ?
Place of practice. ವ ೕ Nature of Practice. ವ ೕ From Date. To Date.
S.NO.
ವ ಸಳ ಸ ಪ dd/mm/yyyy dd/mm/yyyy
1 BANGALORE COURTS Both 10/09/2007 06/11/2019
2
3

ಅಭ ಯ ೕಷ : I hereby Declare that I have gone through this recruitment notification carefully and that to the best of my
knowledge and belief, the information furnished by me in the application from are true and correct. I Agree that if the information
furnished by me is found to be not true, I will not only be disqualified from further stages of recruitment but also lible for appropriate
legal action. / ಮ ಧಪಟ ಪ ಕಟ ಯ ಗಮನ ಓ ೕ ಮ ಈ ಅ ಯ ಒದ ವ ನನ
ವ ಯ ಅ ರ ಸತ ಮ ಸ ಇ ತ ಎಂ ಈ ಲಕ ೕ ೕ . ಈ ಅ ಯ ಒದ ವ ವರಗ
ಅಥ ತ ಂ ದ ಮ ಯ ಂ ನ ತಗ ಅನಹ ದರ ಕ ಕಮ
ಒಳಪ ಂ ಒ ೕ .
Print Home
Label

nemaka.kar.nic.in/prosecution_recruit/Print_Application_AE.aspx 2/2