APPLICATION NO : CCLA-531869

GOVERNMENT OF ANDHRA PRADESH Chief Commissioner Of Land Administration (CCLA)

APPLICATION FOR THE POST OF VILLAGE REVENUE OFFICERS Circular No.2, Dated 30.11.2011 1. 2. 3. 4. 5. 6. 7. 8. 9. Reference Id : 301210023189007021989
Name : BOPPANI SHRAVAN KUMAR District : NALGONDA Mandal : THIPPARTHI Village : SURARAM Father's/Husband`s name : NAGAIAH Date of birth : 7/2/1989 Gender : Male Address for communication : 7-9-40/B SRI RAM NAGER COLONY PANAGAL ROAD NALGONDA
*301210023189007021989*

9a. 9b. 9c. 10. 11. 12. 13. 14. 15.

District : NALGONDA Mandal : THIPPARTHI Pincode : 508001 Community you belong : SC e-Mail : shravan.boppani@gmail.com Mobile : 9966778990 Do you belong to Andhra Pradesh State : Yes Are you an Ex-Service Man : No Are you a PH-Person : No

PH Details
Visually Handicapped : Visually Handicapped Percentage : Hearing Handicapped : Hearing Handicapped Percentage : Orthopedically Handicapped : Orthopedically Handicapped Percentage : No 0% No 0% No 0%

16. 17. 17a.

Fee Amount
100

Post Name : VILLAGE REVENUE OFFICERS Qualification Details

Qualification : Intermediate or Equivalent Qualification

Payment Details
Journal Number
ACB2864351A5

Payment Date
11/12/2011

I hereby declare that all information furnished by me in this application is true and correct I undertake to produce the original documents at any moment, failing which my candidature may be cancelled. I am fully aware that furnishing false information will lead to a criminal case against me, apart from cancelling my candidature as it amounts to cheating. I am aloneresponsible if any wrong entries are made by me in the application form.

Sd/BOPPANI SHRAVAN KUMAR Generated for CCLA'S Recruitment Processing: http://ccla.cgg.gov.in/ POWERED BY Governance Centre for Good