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District : KURNOOL Mandal : Kurnool Pincode : 518001 Community you belong : OC e-Mail : ABBU.FAROOQE@GMAIL.COM Mobile : 9963037762 Do you belong to Andhra Pradesh State : Yes Are you working with APGENCO : No Are you a Land Loser/ Displaced person : No Are you a PH-Person : No
*750709*
PH Details
Visually Handicapped : Visually Handicapped Percentage : Hearing Handicapped : Hearing Handicapped Percentage : Orthopedically Handicapped : Orthopedically Handicapped Percentage : No 0% No 0% No 0%
13.
Identification Marks
1 : A MOLE ON THE FORE HEAD 2 : A MOLE ON THE LEFT COLLER BONE
17. a. b. c. 18. 1.
Verification Details
Have you ever been convicted : No Have you ever been involved in Criminal cases : No Have you approached the Court : No
Name of two responsible persons from whom antecedents can be verified together with their addresses
Name : S UMAR BASHA Designation : POLICE DEPT Address : H NO 86/456 FCI COLONY PHASE2 B CAMP LAST KURNOOL DIST Pincode : 518001 Name : SUBBA REDDY Designation : FCI RETIRED EMPLOYEE Address : H NO 86/459 FCI COLONY PHASE 2 B CAMP LAST KURNOOL DIST Pincode : 518001 Type of study : Private Education Details District Zone you belong : MAHABUBNAGAR 6th/Residence 7th/Residence 8th/Residence 3rd yr 4th yr 5th yr
MAHABUBNAGAR MAHABUBNAGAR MAHABUBNAGAR
2.
19.
4th/Residence 1st yr
MAHABUBNAGAR
5th/Residence 2nd yr
MAHABUBNAGAR
9th/Residence 6th yr
MAHABUBNAGAR
SSC/DEGREE
MAHABUBNAGAR
20.
21.
Examination Centre : SLBHES/Srsailam Project Preferences Project Preference 1 : MAHABUBNAGAR-SRISAILAM LEFT BANK HYDRO ELECTRIC SCHEME Project Preference 2 : MAHABUBNAGAR-PRIYADARSHINI JURALA HYDRO ELECTRIC SCHEME Project Preference 3 : NALGONDA-NAGARJUNASAGAR HYDRO ELECTRIC SCHEME-MAIN DAM Project Preference 4 : NALGONDA-PULICHINTALA HYDRO ELECTRIC SCHEME Project Preference 5 : KHAMMAM-KOTHAGUDEM THERMAL POWER STATION(O&M); Project Preference 6 : KHAMMAM-KOTHAGUDEM THERMAL POWER STATIONV&VI STAGES Project Preference 7 : KHAMMAM-LOWER SILERU HYDRO ELECTRIC SCHEME. Project Preference 8 : KARIMNAGAR-RAMAGUNDAM THERMAL POWER STATION Project Preference 9 : NIZAMABAD-POCHAMPAD/NIZAM SAGAR Project Preference 10 : KARIMNAGAR-MHS/PEDDAPALLI Project Preference 11 : KRISHNA-DR.NTTPS Project Preference 12 : GUNTUR-NAGARJUNASAGAR TAIL POND DAM Project Preference 13 : KADAPA-RAYALSEEMA THERMAL POWER PROJECT Project Preference 14 : VIZIANAGARAM-UPPER SILERU HYDRO ELECTRIC SCHEME Project Preference 15 : WARANGAL-KAKATIYA THERMAL POWER PROJECT Fee Amount
150
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Payment Date
28/01/2011
I hereby declare that all the entries/statements made in this application are true, complete and correct to the best of my knowledge and belief. I have not convicted /involved in criminal cases. In the event of any information being found false or incorrect or ineligibility being detected before or after the examination, APGENCO can take action against me as per rules. In case it is detected that I have misled APGENCO on any issue then I will be solely responsible for all penal consequences thereof. I am willing to work wherever I am posted.