APPLICATION NO: GRP1-1136520

ANDHRA PRADESH PUBLIC SERVICE COMMISSION :: HYDERABAD

GROUP-I SERVICES -2011 (GENERAL RECRUITMENT) NOTIFICATION NO. 18/2011, Dated: 28/11/2011 1 2 3 4 5 6 6.a 6.b 7 8 9 10 11 12 13 14 Reference Id : 516523308621031990 Name : MATTA JYOTHSNA Father's/Husband`s name : MATTA SUBBA RAO
Date of birth : 21/3/1990 Gender : Female Address for communication : PATHALA DHARMA RAO ,49-4-7,

SUBBARAO PETA, NEAR ARTS COLLEGE RAJAHMUNDRY

Mandal : Rajahmundry (Urban) District : EAST GODAVARI Pincode : 533103 e-Mail : mattaphd@gmail.com Mobile : 9494552601 Community you belong : SC Do you come under Creamy layer : No Are you a PH-Person : No Visually Handicapped : No Visually Handicapped Percentage : 0 % Hearing Handicapped : No Hearing Handicapped Percentage : 0 % Orthopedically Handicapped : No
*516523308621031990*

15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38

Orthopedically Handicapped Percentage : 0 % Are you an Ex-Service men : No Length of Service as Ex-Service men : 0 Worked as instructor in NCC : No Length of Service in NCC: 0 Employment status : UnEmployee Length of Service in A.P. State Govt: 0 Are you retrenched temporary employee in State Census No department : Length of Service in Census Dept: 0 Are you a white card holder : No Total Fee : 100 BANK DETAILS: Journal Number : 017635710 Date of Payment: 03/01/2012 EDUCATION DETAILS & ZONE DETAILS Type of Study : Regular Study 4th Class District/Resided District 1st yr: WEST GODAVARI 5th Class District/Resided District 2nd yr: WEST GODAVARI 6th Class District/Resided District 3rd yr: WEST GODAVARI 7th Class District/Resided District 4th yr: WEST GODAVARI 8th Class District/Resided District 5th yr: WEST GODAVARI 9th Class District/Resided District 6th yr: WEST GODAVARI SSC/DEGREE : WEST GODAVARI ZONE YOU BELONG TO Under 6Z System : ZONE 2 MULTI ZONE YOU BELONG (MultiZone I & MultiZone II ) : MULTI ZONE I 1 st Preference: MULTI ZONE I 2nd Preference: MULTI ZONE II MULTI ZONE YOU BELONG (MultiZone I & MultiZone II & MULTI ZONE I MultiZone III ): 1 st Preference: MULTI ZONE I 2nd Preference: MULTI ZONE II 3rd Preference: MULTI ZONE III

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Qualification Details

Qualification : B Sc Other Equivalent Qualification : 0 University : Andhra University Others : 0 Date of acquiring Qualification: 31/03/2010 For P.C. Nos. Yes 01,02,03,05,06,07,08,10,11,12,13,14,15, 16,17,18 & 19 Do You Possess Bachelor's Degree: For P.C. Nos. 09 Do You Possess No Qualification.: Do You Possess Degree in Sociology No or Social Work for Post Codes 13 As per Notification: Do You Possess Physical Yes Requirements for PC - 03:

40 Examination Details Preferred Centre of Screening KAKINADA Test : Preferred Centre of Main VISAKHAPATNAM Examination : 41 Post Preferences Post Preference 1 : Lay Secretary / Administrative Officer in Medical and Health Post Preference 2 : Deputy Collectors in A.P. Civil Service (Executive Branch) Post Preference 3 : Deputy Supdt. of Police (Civil) Cat-2 in A.P. Police Service Post Preference 4 : District Registrar in A.P. Registration and Stamps Service Post Preference 5 : District Employment Officer in Employment Service Post Preference 6 : Deputy Registrar in A.P. Cooperative Service Post Preference 7 : District Panchayat Raj Officers in Panchayat Raj Service Post Preference 8: Regional Transport Officers in A.P. Transport Service Post Preference 9 : District Social Welfare Officer in A.P. Social Welfare Service Post Preference 10 : District B.C. Welfare Officer in B.C. Welfare Service Post Preference 11 : Municipal Commissioner Grade-II in A.P. Municipal Administration Service Post Preference 12 : Mandal Parishad Development Officer in in A.P. Panchayat Raj and Rural Development Service Post Preference 13 : Assistant Prohibition & Excise Superintendent in A.P. Prohibition & Excise Service Post Preference 14 : Assistant Audit Officer in A.P. Local Fund Audit Service Post Preference 15 : District Tribal Welfare Officer in A.P. Tribal Welfare Service Post Preference 16 : Commercial Tax Officers in A.P. Commercial Taxes Service

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 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 APPSC on any issue then I will be solely responsible for all penal consequences thereof. sd/MATTA JYOTHSNA GENERATED BY APPSC'S WEBSITE www.apspsc.gov.in POWERED BY CGG's RECRUITMENT PROCESSING SYSTEM