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This Is Application

- The document is an application for the Engineering Services (Preliminary/Stage I) Examination - 2020 from a candidate with Registration ID 12000527952. - It provides details of the candidate such as name, date of birth, address, qualifications and the documents uploaded including photo, signature and photo identity card. - It also specifies the examination center selected as Vishakhapatnam and includes declarations signed by the candidate.
Copyright
© © All Rights Reserved
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0% found this document useful (0 votes)
75 views3 pages

This Is Application

- The document is an application for the Engineering Services (Preliminary/Stage I) Examination - 2020 from a candidate with Registration ID 12000527952. - It provides details of the candidate such as name, date of birth, address, qualifications and the documents uploaded including photo, signature and photo identity card. - It also specifies the examination center selected as Vishakhapatnam and includes declarations signed by the candidate.
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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9/28/2019 UPSC - Candidate's Application Details (Registration-Id: 12000527952)

Application details of Registration-Id: 12000527952 for Engineering Services (Preliminary / Stage I)


Examination - 2020
पंजीकरण सं ा 12000527952 के इं जीिनयरी सेवा ( ारं िभक / े ज I) परी ा - 2020 के िलए आवेदन िववरण

PART - I / भाग - I

Name / नाम : NAGA RAJA THOTA


Gender / िलंग : Male
Date of Birth
12-07-1993
/ ज ितिथ :
Father's Name
THOTA SATYANARAYANA
/ िपता का नाम :
Mother's
Name / माता का THOTA SATYAVATHI
नाम :
Nationality /
Indian
नाग रकता :
Marital Status
Unmarried
/ वैवािहक थित :
Candidates of
Persons with
Benchmark
Disability / No
बचमाक िद ांग
य यों ेणी के
उ ी ारों :
Community /
EWS
समुदाय :
Do you belong
to Minority /
ा आप No
अ सं क ह :
Fee Remission
Claimed / शु No
माफ :
Door no. 4-59 lakshminarayana
THIMMAPURAM
Address / पता
kakinada rural
: Kakinada
Andhra Pradesh - 533005
Mobile No. /
8247362719
मोबाइल नं :

e-mail / ई-मेल
[email protected]
:
Alternative e-
mail / वैक क [email protected]
ई-मेल :
Age
Relaxation
Claimed / आयु No
सीमा म छूट का
दावा :
Educational
Qualification / Already passed the requisite qualifiying Examination
शैि क यो ता :

Photo Identity PAN Card - XXXXXX155D


Card / फोटो Note: Please provide the photo identity card number in Online
Application Form and remember to carry the same at the time of Personality
पहचान प :
Test/Examination venue.
Selected
Branch / Electronics & Telecom Engineering
चयिनत ांच

Centre for Vishakhapatnam


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9/28/2019 UPSC - Candidate's Application Details (Registration-Id: 12000527952)
Engineering
Services
(Main / Stage
II)
Examination /
इं जीिनय रं ग सेवा
(मु / े ज II)
परी ा के िलए क
:

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9/28/2019 UPSC - Candidate's Application Details (Registration-Id: 12000527952)

PART - II / भाग - II
[Fee Payment Details,Photograph, Signature, Photo Identity Card Document & Examination Centre of Registration-Id:
12000527952]
[पंजीकरण सं ा :12000527952 का शु भुगतान िववरण, फोटो ाफ , ह ा र, फोटो पहचान प द ावेज़ और परी ा क ]

Fee Payment Details (Subject to verification) शु भुगतान िववरण (स ापन के अधीन)


Registration-Id / पंजीकरण सं ा: 12000527952

Transaction-Id / लेनदे न सं ा: IK0AGFOON8

Transaction Date / लेनदे न की ितिथ : 28-09-2019

Fee Paid (in Rs) / भुगतान िकया गया शु ( म) : 200

Agency Name / एजसी का नाम : State Bank of India


Mode of Payment / भुगतान का मा म: Internet Banking

Photo Identity Card Examination


Photograph / फोटो ाफ Signature / ह ा र Document / फोटो पहचान प center /
द ावेज़ परी ा क

Document Uploaded
(To View Click Here ) Vishakhapatnam

Declaration
1. I hereby declare that all 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, action can be taken against me by the Commission as per the provision given in
the notification.
म एत ारा घोिषत करता ं िक इस आवेदन म मेरे ारा िदए गए सभी कथन मेरी जानकारी और िव ास के अनुसार सही ह। यिद कोई सूचना गलत
अथवा अस पाई जाती है अथवा परी ा से पहले अथवा इसके बाद अपा ता सामने आने पर आयोग ारा अिधसूचना म िदए गए ावधान के अंतगत
मेरे िव कारवाई की जा सकती है ।

2. I have read the provisions in the rules and the notice of the Commission carefully and hereby undertake to
abide by them. I further declare that I fulfil all the conditions of eligibility regarding age limits, educational
qualifications etc. prescribed for admission to the examination.
मने िनयमों और आयोग के नोिटस म िदए गए ावधानों को ानपूवक पढ़ िलया है और एत ारा इनके अनुपालन का वचन दे ता ं । म यह भी घोिषत
करता ं िक म, परी ा म वेश हे तु िनधा रत आयु सीमा, शैि क यो यता आिद के संबंध म पा ता की सभी शत को पूरा करता ं ।

3. I have informed my Head of Office/Department in writing that I am applying for this examination.*
* Applicable for those who are already in government service/similar organizations or government owned
industrial undertakings whether in permanent or temporary capacity or as work charged employees other than
casual or daily rated employees or those serving under public enterprises.
मने अपने कायालय/ िवभाग के अ को िल खत म सूिचत कर िदया है िक म इस परी ा के िलए आवेदन कर रहा ं । *
* उन उ ीदवारों के मामले म लागू, जो पहले से ही सरकारी सेवा/समान संगठन अथवा सरकारी ािम ं वाले औ ोिगक उप मों म थायी अथवा
अ थायी प से अथवा अिनयिमत अथवा दै िनक भ े पर कायरत कमचा रयों की ेणी से इतर काय आधा रत भ े पर कायरत कमचारी ह अथवा
सावजिनक े ों के उ मों म कायरत कम ह।

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