ANDHRA PRADESH PUBLIC SERVICE COMMISSION:: HYDERABAD INTERVIEW CHECK LIST FOR THE POST OF LECTURERS IN GOVT.POLYTECHNIC COLLEGES (ENGINEERING & NON-ENGINEERING) IN A.P.TECHNICAL EDUCATION SERVICE

(GENERAL RECRUITMENT) NOTIFICATION NO.20/2011

DATE OF VERITIFCATION

:

/12/2012 at 8.30 AM

DATE OF INTERVIEW

:

/12/2012 at 10.30 AM

SUBJECT

:

HALLTICKET NO.

:

AFFIX PASSPORT SIZE PHOTO

Verification of Original Certificates in respect of the Applicant TO BE FILLED BY THE CANDIDATE 01.

Name of the Candidate (as per SSC Certificate)

02.

Father’s Name

03.

Gender

MALE

FEMALE

DD

Date of Birth (As per SSC Certificate)

MM

YYYY

04. Years

Age as on 01/07/2011

months

days

(Minimum 18 yrs & Maximum 36 yrs)

If age relaxation is claimed, specify.

05.

1)

Retrenched Census Employee

2)

A.P. State Govt. Employee

3)

Ex-Service Man

4)

N.C.C

5)

PH persons

6)

BC,SC,ST

Years

i) Qualification

Degree / PG certificate or equivalent

ii) Date of Qualification acquired

Marks list to be verified and the subjects in each year to be mentioned.

06.

07.

Months ( claimed for relaxation)

OC

Community.

SC

ST

Integrated Community Certificate(SC / ST / BC)

08.

BC Candidates should submit Non Creamy Layer certificate as per G.O.Ms.No:3 of 2006

09.

Local Zone to which belongs Original study certificate to be produced, if studied in School.

Residence Certificate for 7 years Prior to SSC / Matriculation if appeared as a Private Candidate.

A

BC B C D

Whether non-creamy layer certificate (As per G.O.Ms.No-3) produced.

Days

E

YES

ZONE Class IV V VI VII VIII IX X

Year

Residence certificates for the candidates who studied 10th class privately.

District

State

DISTRICT

NO

2 Certificate of discharge and service certificates issued by competent authority of Deference Dept. to be enclosed.

10.

Ex- Servicemen

11.

Zonal preferences including local zone. (six zones) Preferences are only indicative.

YES

NO

1st

2nd

3rd

4th

5th

6th

preference

preference

preference

preference

preference

preference

ZONE

ZONE

ZONE

ZONE

ZONE

ZONE

Details, if employed 12. Service Certificate for Govt. Employee 13.

Service certificate issued by the competent authority in the case of candidates serving in A.P. Government Service to claim age relaxation, if any

All the relevant columns are filled in by me, and they are true and correct. The original certificates produced by me have been verified and returned to me. Place : Date :

Signature of the Candidate

Postal Address. ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Mobile No--------------------------e-mail---------------------Signature of the Candidate ____________________________________________________________________________ TO BE USED FOR ADMISSION (OFFICIAL USE) The candidate may be admitted for Interview Finally / Provisionally.

Jr. ASST. / ASST.SECTION OFFICER

SECTION OFFICER

ASST.SECRETARY

TO BE USED FOR REJECTION (OFFICIAL USE)

SECTION OFFICER

ASST. SECRETARY

Copy to: D.S.(Confdl.)

2

DY.SECRETARY

SECRETARY

ANDHRA PRADESH PUBLIC SERVICE COMMISSION ...

ANDHRA PRADESH PUBLIC SERVICE COMMISSION:: HYDERABAD. INTERVIEW CHECK LIST FOR THE POST OF LECTURERS IN GOVT.POLYTECHNIC ...

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