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APPLICATION FORM
Click here to print this form Close The Print
NOTE: Please Note Down Your Registration Number For Future Reference.Xerox
copies of *Caste Certificate, Original certificate of prescribed qualification or any other
certificate sent separately on a later date after submission of application will not be
accepted .
*Submission of any false or incorrect information or suppression of any factual information
at any stage by the candidate is liable for disqualification of his candidature.
1.Application registration No. : 61 / 0064905 ( E )
2. Notification No. 02 / 2015
3. Post applied for JUNIOR ASSISTANT GR-II
4. Name in full GABBETA RAMESH
5. Father's Name VENKATAIAH
6. Sex: MALE 7. DOB: 24-Jun-1985 8. Caste: SC
9. Mailing Address
H.No.: 25-9-109/2
Street.: KAZIPET
Vil&PO:/Mandal HANAMKONDA
District: WARANGAL PINCODE:
506003
State: TELANGANA
Tel:
Cell: 9059389141
DD NO:
DD DATE:
Local/NonLocal :LOCAL
Identification Proof: AADHAR
CARD
Identification No:
688187546657
Email ID:
ramesh.gabbeta@gmail.com
Native State: TELANGANA Native District: WARANGAL
10 .Educational Qualifications:
Exam Passed Qualification
One of the
optional/Main
course in
Degree/PG(Studied
for atleast 6
months)
University and
institution
%
marks
Pass
Year
Dura-
tion
Degree GRADUATION
COMPUTER
SCIENCE
JNTU,HYDERABAD 63.96 2006 4
COMPUTER DEGREE/DIPLOMA 0 0
11. Experience in years 0
12. Emp.Exc.Name&Reg.No. :
13. Working in and as
14. Hobbies : PLAYING CRICKET, LISYENING TO MUSIC
15. Any Other Information : QUALIFIED IN GATE EXAM 3-TIMES
16.Iam enclosing herewith copies of relevant certificates i) SSC (OR) equivalent certificate in proof of date of birth. ii)
Permanent /Provisional certificate in proof of qualifications iii) Marks memo all year wise/ consolidatedmarks. iv) Caste
certificate issuedby competent authority v) Self addressedstampedenvelope vi) Local candidature certificate. vii) One
passport size photograph pinnedto the left-topcorner of the application.
RollAroundAds
17. (For Claiming Local Candidature one shouldinvariably submit 4th to 10th study certificate before SSC. For further
details visit SCCL website)
18.Ideclare that all the information given above is true to the best of my knowledge. Iunderstandthat if any information
submittedby me is provedto be false at any stage, the decision of the management will be final andbinding on me. If
appointed, Iagree to abide by the rules andregulations of the organization.
Place:WARANGAL
Date: Signature of Applicant
RollAround

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Scclmines.com extrc 022015_ja_upload-ramesh

  • 1. APPLICATION FORM Click here to print this form Close The Print NOTE: Please Note Down Your Registration Number For Future Reference.Xerox copies of *Caste Certificate, Original certificate of prescribed qualification or any other certificate sent separately on a later date after submission of application will not be accepted . *Submission of any false or incorrect information or suppression of any factual information at any stage by the candidate is liable for disqualification of his candidature. 1.Application registration No. : 61 / 0064905 ( E ) 2. Notification No. 02 / 2015 3. Post applied for JUNIOR ASSISTANT GR-II 4. Name in full GABBETA RAMESH 5. Father's Name VENKATAIAH 6. Sex: MALE 7. DOB: 24-Jun-1985 8. Caste: SC 9. Mailing Address H.No.: 25-9-109/2 Street.: KAZIPET Vil&PO:/Mandal HANAMKONDA District: WARANGAL PINCODE: 506003 State: TELANGANA Tel: Cell: 9059389141 DD NO: DD DATE: Local/NonLocal :LOCAL Identification Proof: AADHAR CARD Identification No: 688187546657 Email ID: ramesh.gabbeta@gmail.com Native State: TELANGANA Native District: WARANGAL 10 .Educational Qualifications: Exam Passed Qualification One of the optional/Main course in Degree/PG(Studied for atleast 6 months) University and institution % marks Pass Year Dura- tion Degree GRADUATION COMPUTER SCIENCE JNTU,HYDERABAD 63.96 2006 4 COMPUTER DEGREE/DIPLOMA 0 0 11. Experience in years 0 12. Emp.Exc.Name&Reg.No. : 13. Working in and as 14. Hobbies : PLAYING CRICKET, LISYENING TO MUSIC 15. Any Other Information : QUALIFIED IN GATE EXAM 3-TIMES 16.Iam enclosing herewith copies of relevant certificates i) SSC (OR) equivalent certificate in proof of date of birth. ii) Permanent /Provisional certificate in proof of qualifications iii) Marks memo all year wise/ consolidatedmarks. iv) Caste certificate issuedby competent authority v) Self addressedstampedenvelope vi) Local candidature certificate. vii) One passport size photograph pinnedto the left-topcorner of the application. RollAroundAds
  • 2. 17. (For Claiming Local Candidature one shouldinvariably submit 4th to 10th study certificate before SSC. For further details visit SCCL website) 18.Ideclare that all the information given above is true to the best of my knowledge. Iunderstandthat if any information submittedby me is provedto be false at any stage, the decision of the management will be final andbinding on me. If appointed, Iagree to abide by the rules andregulations of the organization. Place:WARANGAL Date: Signature of Applicant RollAround