School Assistant Teachers, PET Model Check list Form for AP DSC 2015
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1 Name of the Candidate with full name ( in capital letters) :
2 Date of Birth (DD/MM/YYYY)
3 Hall Ticket No. :
4 Application on-line ID No
5 TET CUM TRT 2014 Marks
6 Rank in Merit list :
7 Address for correspondence :
8 Category of Post (SA /PET ) :
9 Medium :
11 Male/Female :
12 Qualifications: i) Academic :
ii) Professional :
iii) If any other :
13 STUDY PARTICULARS :
i) IV & V classes :
ii) VI to X class :
iii) Whether the candidate belongs to Local/ Non-local :
14 Whether the candidate belongs to PHC . If yes mention particulars :
15 Whether the candidates belongs to Ex- Service Man to produce Pension payment order. :
16 Contact Phone No. :
I,…………………………………………………… do hereby solemnly and sincerely affirm and stated that above mentioned information is best of my knowledge, if any false information found in this regard I am whole responsible and abide rules and regulations in force.and opted the management of ……………………………..
Station:
Date:
I declare that the above mentioned information verified with Original Certificates of the applicant is found correct.
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