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    Basic Information Data

    Uploaded by

    Tirupathi Rao Tellaputta
    This document provides a checklist for candidates applying for Group II Services (General Recruitment) from the Telangana State Public Service Commission. It requests information such as the candidate's TSPSC ID, reference ID, hall ticket number, personal details, qualifications, community, claims for age or local zone relaxation, employment details, and a declaration of truthfulness. Candidates are informed that involvement in unfair means can result in debarment or prosecution. Spaces are also provided for admission or rejection of the candidate by TSPSC officials.

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    Basic Information Data

    Uploaded by

    Tirupathi Rao Tellaputta
    52 views4 pages
    This document provides a checklist for candidates applying for Group II Services (General Recruitment) from the Telangana State Public Service Commission. It requests information such as the candidate's TSPSC ID, reference ID, hall ticket number, personal details, qualifications, community, claims for age or local zone relaxation, employment details, and a declaration of truthfulness. Candidates are informed that involvement in unfair means can result in debarment or prosecution. Spaces are also provided for admission or rejection of the candidate by TSPSC officials.

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    This document provides a checklist for candidates applying for Group II Services (General Recruitment) from the Telangana State Public Service Commission. It requests information such as the candidate's TSPSC ID, reference ID, hall ticket number, personal details, qualifications, community, claims for age or local zone relaxation, employment details, and a declaration of truthfulness. Candidates are informed that involvement in unfair means can result in debarment or prosecution. Spaces are also provided for admission or rejection of the candidate by TSPSC officials.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    52 views4 pages

    Basic Information Data

    Uploaded by

    Tirupathi Rao Tellaputta
    This document provides a checklist for candidates applying for Group II Services (General Recruitment) from the Telangana State Public Service Commission. It requests information such as the candidate's TSPSC ID, reference ID, hall ticket number, personal details, qualifications, community, claims for age or local zone relaxation, employment details, and a declaration of truthfulness. Candidates are informed that involvement in unfair means can result in debarment or prosecution. Spaces are also provided for admission or rejection of the candidate by TSPSC officials.

    Copyright:

    © All Rights Reserved
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    of 4

    TELANGANA STATE PUBLIC SERVICE COMMISSION # HYDERABAD

    GROUP II SERVICES
    (GENERAL RECRUITMENT)
    NOTIFICATION NO: 17/2016 TO 20/2015
    BASIC INFORMATION DATA
    (CHECK LIST)

    (To be filled by the candidate)


    TSPSC ID :

    Ref ID : PHOTO OF THE


    CANDIDATE
    HALL TICKET NO :

    VENUE: : Stanley College of Engineering &


    Technology for Women, Chapel Road, Abids,Hyd.

    DATE OF VERIFICATION:

    Signature
    Name of the Candidate
    01
    ( as per SSC)

    02 Fathers Name

    03 Mothers Name

    04 Gender Male Female

    05 Religion

    Date of Birth D D M M Y Y Y Y
    06
    ( as per SSC)

    Years Months days


    (Age as on 01/07/2016)
    07

    If age relaxation is Put ( ) in (No. of years claimed for relaxation)


    claimed, specify appropriate box

    1) SC/ST and BC Years Months Days

    2) Retrenched
    Census Employee

    08 3) Telangana State Whether relevant Certificate Produced


    Govt. Employee
    YES NO
    4) N.C.C
    Official Use
    5) Ex-Service Men
    09 Qualification As per Qualifi Date of acquiring Name of the
    Notification cation qualification University

    (as on 30/12/2015 for the


    Notification No. 20/2015
    & 17/2016)

    (as on 01/09/2016 for the


    Notification No. 17/2016
    only)

    a) Are you eligible for the If yes write your optional


    post of Asst.Section YES NO Subjects in Degree level
    Officer in Finance Dept
    (Post Code No.12)
    b) Are you eligible for the YES NO If Yes, Degree in Law certificate
    post of Asst.Section must be produced
    Officer in Law Dept.
    (Post Code No.13)
    c)Are you eligible for the YES NO If yes, Physical requirements
    post of Prohibition required as per Notification
    &Excise Sub-Inspector
    (Post Code No.5)
    Official use :

    10 Community(integrated
    Community Certificate OC SC ST BC
    Issued by M.R.O for
    SC/ST/BC from A B C D E
    Telangana State Govt)

    Official use :

    11 BC Candidates should
    Submit Non Creamy Whether non-creamy layer
    Layer certificate as per certificate produced Yes No
    G.O.Ms.No:8 of 2014

    & Official use :

    MemoNo.3009/BCW/
    OP/2011, Dt:18-12-2015.
    12 PH Category VH HH OH

    Percentage of Disability

    13 Indicate the evidence Class Year District State


    (Original Study
    Certificate to be
    IV
    produced) OR
    Residence certificate for
    7 yrs. Prior to SSC if V
    private Study.
    VI

    VII

    VIII

    IX

    Local Zone to which


    14 5th Zone 6th Zone
    Belongs.

    15 Are you eligible for City


    Cadre Post
    YES NO
    (Asst. Labour Officer)

    16 Present Employment
    details
    (Government Employees
    should submit NOC)

    
    Declaration

    I hereby declare that

    i) All the columns filled in by me containing my biodata and other particulars, are true to the best of
    my Knowledge.

    ii) The certificates such as, my educational qualification, community certificate, date of birth (SSC),
    study/residence in support of my claim for local candidature is genuine.

    iii) I did not resort to any irregular or improper means in connection with my candidature for
    selection.

    iv) I am liable for permanent debarment from appearing for the recruitment to be conducted by
    TSPSC and other PSCs and also criminal prosecution, if I am found involved in any unfair means
    / malpractice.

    15
    v) I further declare that the information furnished by me is correct and my candidature shall be
    cancelled at any stage if it is found incorrect.

    Address.

    ..

    Mobile No

    Place:
    Date: Signature of the candidate.

    TO BE USED FOR ADMISSION (OFFICIAL USE)

    The Candidate Admitted for further process.

    Jr. ASST./A.S.O SECTION OFFICER ASST. SECRETARY/DY SECRETARY

    TO BE USED FOR REJECTION

    Jr. ASST./A.S.O SECTION OFFICER ASST. SECRETARY/DY.SECRETARY

    SECRETARY

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