ANDHRA PRADESH STATE ROAD TRANSPORT CORPORATION

APPLICATION FOR THE POST OF Traffic Supervisor Trainee

NOTIFICATION NO. : R2/684(17)/2010-HRD

Reference Id : 216886
1. Name : SARIMALLA J PRAVEEN
2. Father's/Husband`s name : RAJA RAO
3. Date of birth : 4/9/1984
4. Gender : Male
5. Address for communication : S J PRAVEEN
S/O S RAJA RAO
HNO 12-262/1 LADHAK BAZAR MADHIRA
5a. District : KHAMMAM
5b. Mandal : Madhira
5c. Pincode : 507203
6. Community you belong : SC
7. Ex-Servicemen : No
8. e-Mail : praveensarimalla@gmail.com
*216886*
9. Mobile : 9032944924
10. Do you belong to Andhra Pradesh State : Yes
11. Are you a Citizen of India : Yes
12. Employment Exchange Regd.No :
13. Employment Status : No
14. Examination Centre : KHAMMAM Centre Code : 18
15. Post Applying For : Traffic Supervisor Trainee
Qualification details for Traffic Supervisor Trainee :
15a. Qualification : B.A.
15b. University : Nagarjuna University, Guntur
15c. Date of acquiring qualification : 30/04/2008
16. Do you fulfill Medical Standards as prescribed in Y
the candidates instructions book let :
17. Type of study : Regular
Education Details
4th class 5th class 6th class 7th class 8th class 9th class 10th class
studied/Resided studied/Resided studied/Resided studied/Resided studied/Resided studied/Resided studied/Resided
District District District District District District District
KHAMMAM KHAMMAM KHAMMAM KHAMMAM KHAMMAM KHAMMAM KHAMMAM
--- --- --- --- --- --- ---
Payment Details
Fee Amount Journal Number Payment Date
175 052B20E0F020 10/11/2010
I hereby declare that all the entries/statements made in this application are true, complete and correct to the best
of my knowledge and belief. I have not convicted /involved in criminal cases. In the event of any information being
found false or incorrect or ineligibility being detected before or after the examination, APSRTC can take action
against me as per rules. In case it is detected that I have misled APSRTC on any issue then I will be solely
responsible for all penal consequences thereof. I am willing to work wherever I am posted.
Sd/-
SARIMALLA J PRAVEEN