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SSC Prep

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Staff Selection Commission

(Block No. 12, CGO-Complex, Lodhi Road, New Delhi


110003 )
Combined Graduate Level Examination-2017
Registration No: 63007677017

Application Status: Application provisionally submitted

Name of the Examination Centre Examination Centre Code


SR-Hyderabad(8601) 8601
SR-Nizamabad(8602) 8602
SR-Warangal(8603) 8603
Candidate's Full Name Father's Name Mother's Name Date of Birth
THANDRA SAIRAM T EASHWARAIAH T LAXMI 1995-11-10
Gender Nationality Fee Category
Male Indian Fee Exempted SC
Whether Ex-serviceman If,ExS,whether seeking Length of Service Date of Discharge
reservation?
No
Whether PH? If yes,indicate code Whether seeking Age If yes,indicate code Age as on (01.08.2017)
relaxation?
No No 21.8
Preference for Group of Are you applying for the Do you possess EQ for the Are you applying for the Do you possess EQ for the
Posts: Posts of Junior Statistical Posts of Junior Statistical Post of AAO? Posts of AAO?
Officer? Officer?
ACD No No No No
Whether belong to Minority If VH/Celebral Palsy/Locomotor If yes,indicate medium Mark of visible identification
Communities as per Govt. Orders? candidate,whether scribe is
required?
No No A MOLE ON THE RIGHT SIDE
CHEEK
Mode of Fee Payment Amount Transaction-ID Transaction Date

Educational Qualiication(Please note that possession of Graduate Qualification is a pre-requisite to apply for this examination,However you may
indicate your highest qualification) Indicate Code
B.Tech

Do you want to make available your personal information for accessing job opportunity in terms of Dop&T's O.M
No.39020/1/2016-Estt.(B) dated 21.06.2016?
No

Details of Work Experience/Govt. Service rendered


Name of the Organization Designation Nature of Duty(ies) Period of Service
-

Address Detail
Communication Address Permanent Address
H.NO 1-4-305 RAVINDRA NAGAR H.NO 1-4-276 SHANTHI NAGAR ADILABAD ADILABAD
ADILABAD TELANGANA 504001
City: ADILABAD State: Telangana
District: ADILABAD Pin Code: 504001
State: Telangana Mobile No.: 9177161968
Pin Code: 504001 Email Id: sairam.thandra95@gmail.com
Declaration
I hereby declare that all statements made in this application are true, complete and correct to the best of my knowledge
and belief. I understand that in the event of any information being found suppressed/false or incorrect or ineligibility
being detected before or after the examination, my candidature/appointment is liable to be cancelled

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