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Check List

This document is a notification from the Andhra Pradesh Public Service Commission regarding a recruitment notification for the position of Technical Assistant (Geo Physics) in the A.P. Ground Water Sub Service. It provides a checklist for candidates to fill out with their personal details like name, father's name, date of birth, qualifications, community, address and employment details. The checklist also requires candidates to provide details if they are claiming any age relaxation or local preference. Sections of the checklist are to be filled by officials for admitting candidates provisionally or finally or rejecting their application.

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108 views3 pages

Check List

This document is a notification from the Andhra Pradesh Public Service Commission regarding a recruitment notification for the position of Technical Assistant (Geo Physics) in the A.P. Ground Water Sub Service. It provides a checklist for candidates to fill out with their personal details like name, father's name, date of birth, qualifications, community, address and employment details. The checklist also requires candidates to provide details if they are claiming any age relaxation or local preference. Sections of the checklist are to be filled by officials for admitting candidates provisionally or finally or rejecting their application.

Uploaded by

paparao
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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ANDHRA PRADESH PUBLIC SERVICE COMMISSION:: VIJAYAWADA

TECHNICAL ASSISTANT (GEO PHYSICS) IN A.P.GROUND WATER SUB SERVICE


(P.C No.03)
NOTIFICATION NO: 11/2022 DATED: 26/09/2022.

(GENERAL RECRUITMENT / LIMITED RECRUITMENT)


CHECK LIST
(To be filled by the candidate)

DATE OF VERIFICATION :
PHOTO OF THE
REGISTER No : CANDIDATE
(Hall Ticket No)

APPLICATION REFERENCE No :

Name of the Candidate


01. (as per SSC/Xth class)
Father’s Name
02. (In capital)
Mother’s Name
03.
( In capital)
04. Gender ( appropriate) Male Female Transgender
D D M M Y Y Y Y
Date of Birth
05.
( as per SSC)

Years Months Days


Age
06.
(as on 01/07/2022)

If age relaxation is claimed, specify. Whether relevant


1) Retrenched Census Employee Certificate
2) A.P. State Govt. Employee Years Produced
3) Ex-Service Men / NCC instructor
07.
4) PH (OH/HH/VH) persons YES NO
5) BC/SC/ST (No. of years claimed for
6) EWS relaxation)

Date of Mode of Study


Qualification
a) Qualification (As on Subject acquiring Regular/
08. Notification dt:26-09- qualification Distance
2022

Community
(Community Certificate OC SC ST BC EWS Ex-Ser.
09. Competent authority / A B C D E
M.R.O for SC/ST/BC)
and EWS.
BC Candidates claiming
reservation should YES NO
Whether non-creamy layer
submit Non Creamy
certificate produced
10. Layer certificate issued
(If claiming reservation
by M.R.O. as per G.O.Ms.
under B.C. category.)
No:3 of 2006 & G.O.Ms.
No: 26 of 2013.
Zone
Local Zone

Indicate the evidence Class Year Zone State


(Original Study IV
Certificate to be V
11. produced OR
VI
Residence certificate for
7 yrs. Prior to SSC if VII
private Study OR VIII
Migration certificates IX
who migrated from
Telangana to A.P. State X
after bifurcation).
PH (Disability %) for PH
12.
candidates only VH……………% HH……………% OH…………%
Details of employment if
13. any, if employed, please
produce relevant certificate
if State
Two Govt. Employed
Attestation forms duly
14.
filled YES / NO

1. All the above columns are filled in by me, for consideration to final admission and
subsequent selection.
2. The original certificates produced by me have been verified and returned
to me.
3. If any lapse is detected during the scrutiny, the candidature will be rejected at
any stage of recruitment process or even at a later stage.

15. Permanent Address:- Correspondence Address:-


…………………………………………………. ………………………………………………….
…………………………………………………. ……………………………………………….…
………………………………………………….. …………………………………………………
………………………………………………….. ……..………………………………………….
Mobile No…………………………………… e-mail ID……………………………………

Place:
Date: Signature of the candidate.

TO BE USED FOR ADMISSION (OFFICIALUSE)

The candidate may be admitted finally, as may be eligible as per the Notification.

A.S.O. SECTION OFFICER ASST. SECRETARY

TO BE USED FOR PROVISIONAL ADMISSION

The candidate may be admitted provisionally as may be eligible as per the Notification. as
he/she has to submit the following documents / Receipt of prescribed deformity under P.H.
Category from the Medical Board.

A. S.S.C. (D.O.B)
B. Original Degree Certificate /certificates
C. Study /Residence Certificate for Zone/ Local
status Certificate who migrated from
Telangana State to A.P. State.
D. Community Certificate
E. Non-Creamy Layer Certificate
F. Recognization of University and Equivalency

Signature of the candidate.

A.S.O. SECTION OFFICER ASST. SECRETARY


TO BE USED FOR REJECTION

A.S.O. SECTION OFFICER ASST. SECRETARY DY.SECRETARY

JOINT SECRETARY ADDITIONAL SECREATARY SECRETARY

Place: Vijayawada, Sd/-


Date: 08/12/2023. SECRETARY

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