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.
months days. If age relaxation is claimed, specify. 1) Retrenched Census Employee. 2) A.P. State Govt. Employee. 3) Ex-Service Man. 4) N.C.C. 5) PH persons.
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