TELANGANA STATE LEVEL POLICE RECRUITMENT BOARD

ONLINE APPLICATION FORM - 2018

Application for the Post(s) of

Name of the Post Registration Number
SCT PC Civil and / or Equivalent 31043800
Basic Details

Aadhaar Number 420400037339

Medium of Written Examination Telugu

Candidate Surname UDARI

Name of the Candidate (as per SSC
UDARI GANESH
or Equivalent)
Father’s / Husband’s Name UDARI BHASHAIAH
Mother’s Name UDARI SUGUNAMMA
Gender Male
Date of Birth (as per SSC or
08/08/1997
Equivalent)
Age as on 01-07-2018 20 years 10 months 23 days
Community SC

SSC Roll No 1226108174

Identification Mark 1 A MOLE ON THE RIGHT CHEEK

Identification Mark 2 A MOLE ON THE RIGHT CHEEK

CP Rachakonda
Nearest CP / SP Office
District (Erstwhile) of Local District (New) of Local
NALGONDA Yadadri Bhongir
Candidature Candidature
Exam Centre Preference 1 NALGONDA Exam Centre Preference 2 HYDERABAD
Do you belong to State of Telangana ? Yes

Are you an Employee of Telangana State Government ? No

Have you worked as an Instructor in NCC ? No

Are you a Retrenched Temporary Employee in the State Census

No
Department during 1991?

Have you served as an employee in Army / Navy / Air Force ? No

Do you claim reservation under Ex-Servicemen Quota

No
(only for Army / Navy / Air Force Personnel)?

Study / Residence Details

Study Passed School Name / Residence
Class District (Erstwhile) District (New) Mandal (New)
Type Year Address

10th Class Regular 2012 SHANTHINIKETHAN HIGH SCHOOL NALGONDA YADADRI BHONGIR CHOUTUPPAL

1st Class Regular 2003 PRIMARY SCHOOL NALGONDA YADADRI BHONGIR CHOUTUPPAL

2nd Class Regular 2004 PRIMARY SCHOOL NALGONDA YADADRI BHONGIR CHOUTUPPAL

3rd Class Regular 2005 PRIMARY SCHOOL NALGONDA YADADRI BHONGIR CHOUTUPPAL
SRIKRISHNA DEVARAYA
4th Class Regular 2006 NALGONDA YADADRI BHONGIR CHOUTUPPAL
VIDYALAYAM
SRIKRISHNA DEVARAYA
5th Class Regular 2007 NALGONDA YADADRI BHONGIR CHOUTUPPAL
VIDYALAYAM
SRIKRISHNA DEVARAYA
6th Class Regular 2008 NALGONDA YADADRI BHONGIR CHOUTUPPAL
VIDYALAYAM

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 SRIKRISHNA DEVARAYA
7th Class Regular 2009 NALGONDA YADADRI BHONGIR CHOUTUPPAL
VIDYALAYAM
8th Class Regular 2010 SHANTHINIKETHAN HIGH SCHOOL NALGONDA YADADRI BHONGIR CHOUTUPPAL

9th Class Regular 2011 SHANTHINIKETHAN HIGH SCHOOL NALGONDA YADADRI BHONGIR CHOUTUPPAL

Post Preferences
Post
Post
Preference Post Name
Code
Order
SCT PC Civil and / or Equivalent

1 22 SCT Police Constable (AR) (Men and Women) in Police Department

Unit in order of Preference

1 Cyberabad / RR 2 Hyderabad

3 Nalgonda 4 Adilabad
5 Karimnagar 6 Warangal
7 Khammam 8 Mahabubnagar

9 Nizamabad 10 Medak

2 26 Firemen in Telangana State Disaster Response and Fire Services Department

Unit in order of Preference

1 Ranga Reddy 2 Hyderabad

3 Nalgonda 4 Karimnagar

5 Adilabad 6 Warangal

7 Khammam 8 Mahabubnagar

9 Nizamabad 10 Medak

3 21 SCT Police Constable (Civil) (Men and Women) in Police Department

Unit in order of Preference

1 Cyberabad / RR 2 Hyderabad

3 Nalgonda 4 Karimnagar

5 Nizamabad 6 Khammam

7 Warangal 8 Medak

9 Adilabad 10 Mahabubnagar

4 25 Constable (Men) in Special Protection Force (SPF) Department

5 23 SCT Police Constable (SAR CPL) (Men) in Police Department

6 24 SCT Police Constable (TSSP) (Men) in Police Department

7 27 Warders (Male) in Prisons & Correctional Services Department

Special Category Details

Do you claim Reservation under any of the Special Categories? No

Educational Qualification as on 01-07-2018

Post Code Post Qualification

21 SCT PC Civil and / or Equivalent Intermediate or its equivalent examination

Other Details
Do you possess Transport Driving license (Either LMV or HMV) ?
No
(for the posts of PC only)

Address for Communication

Name UDARI GANESH

C/o UDARI BHASHAIAH

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House No. / Colony H NO 1-102 LAKKARAM

Village CHOUTUPPAL Pincode 508252

District (Erstwhile) NALGONDA Mandal (Erstwhile) Choutuppal

District (New) Yadadri Bhongir Mandal (New) Choutuppal

Mobile Number 9666009098

Email Id ganeshudari7414@gmail.com

Uploaded Documents

Slno Document Name Upload Status

1 Community Certificate Yes

2 Driving License Yes

3 Driving License details issued by RTA Yes

4 SSC or Equivalent Certificate Yes

5 Educational Qualification Certificate for PC Civil Yes

6 Study / Bonafide / Residence Certificate 1 Yes

7 Study / Bonafide / Residence Certificate 2 Yes

Declaration by the Candidate

I hereby declare that I have read all the instructions issued in the Notification(s) carefully and hereby undertake to abide by them. I am
responsible for the correctness of the above details filled in by me. I further declare that I have not been debarred from appearing in any
examination.

I declare that I fulfill all the conditions of eligibility regarding Age limits, Education qualifications etc., prescribed in the said Notification(s).

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 to be false or incorrect or incomplete and that I have suppressed any information or
that I do not satisfy the eligibility criteria, my candidature is liable to be rejected or cancelled at any stage of selection and even after
appointment my services are liable to be terminated without any notice, besides initiating criminal action.
I declare that I am fully fit to compete in the PMT and PET and other Physical tests and my fitness is certified by the Medical Practitioner and I
applied for the Posts after going through about the physical requirement and other qualification and read the eligibility criteria. If any untoward
incident occurs during the course of PMT, PET or tests I shall be solely responsible and I declare that I am participating in all the above tests on
my own accord and on my own, without any coercion from anybody.

I further declare that, I will not involve in any malpractice or illegal activities in the recruitment tests. In case, it is found that I have furnished
any false information or involved in any malpractice or illegal activities, I am liable for punishment as per the existing rules / law.

UDARI GANESH
(Candidate Name)

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ation Number
1043800

Mandal (New)

HOUTUPPAL

HOUTUPPAL

HOUTUPPAL

HOUTUPPAL

HOUTUPPAL

HOUTUPPAL

HOUTUPPAL

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HOUTUPPAL

HOUTUPPAL

HOUTUPPAL

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d Status

Yes

Yes

Yes

Yes

Yes

Yes

Yes

ide by them. I am
om appearing in any

Notification(s).

ledge and belief. I

ed any information or
tion and even after

cal Practitioner and I

eria. If any untoward
ll the above tests on

hat I have furnished

law.

UDARI GANESH
(Candidate Name)

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