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TELANGANA STATE LEVEL POLICE RECRUITMENT BOARD

PRELIMINARY APPLICATION FORM - 2022


PART- I
Notification Rc No. 41 / Rect. / Admn-1 / 2022 dated 25-04-2022
Post/s Applied for SCT PC CIVIL AND / OR EQUIVALENT

Medium of Written Examination


(Except Technical Papers, which ENGLISH Registration Number
will be in English only)

Name of the Candidate D VIJAYA NIRMALA 71107142


Father's Name DABHAGATLA BUTCHIRAMULU

Mother's Name DABHAGATLA SEETHA

Gender FEMALE Community ST

Date of Birth 15-06-1992 Age as on 01-07-2022 30 years 0 months 16 days

Aadhaar Number 210815019159 SSC Roll No 1013584


vijayanirmala6998@gmail.co
Mobile Number 9100655677 E-mail Id
m
Identification Mark 1 A MOLE ON THE RIGHT HAND

Identification Mark 2 A MOLE ON RIGHT SIDE UPPER LIP

State (Local Candidature) TELANGANA


Local Candidature as per study from 1st Class to 7th Class
KHAMMAM
(as per new Presidential Order,2018)
Educational Qualification as on 01-07-2022 GRADUATION

District Preference for appearance in Tests / Exams - I HYDERABAD

District Preference for appearance in Tests / Exams - II RANGAREDDY


Note:

1. Candidate will be allotted any town in the Districts selected or any nearby District depending upon the
availability of accommodation for appearance in the Tests / Examinations.
2. In case Candidate submits application for SCT SI (Technical) / SCT PC (Technical), Candidate will be allotted to
any center in Hyderabad city or nearby.

Address for Communication


Name D VIJAYA NIRMALA
C/o D BUTCHIRAMULU
H. No. & Colony 1-1
Village / Town / City NACHARAM Mandal Enkoor
District Khammam Pin Code 507168

DECLARATION

I hereby declare that I have read all the instructions mentioned in the Notification(s) carefully and I hereby undertake to
abide by them. I am responsible for the correctness of the above details filled in by me. I further declare that the information
furnished by me is true and correct to the best of my knowledge and is as per the Certificates / Relevant documents.

Signature

26/12/2023 02:34:21 Application Submission Date&Time: 08-05-2022 01:18:31 PM

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