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    IB Form 2023

    Uploaded by

    Surya Deva
    The document contains eligibility details of a candidate named PITTA SANDEEP KUMAR for a Multi-Tasking Staff position. It includes personal details like name, date of birth, gender, religion, address, category, and disability status. It also lists the candidate's educational qualifications and preferred test cities. The candidate has applied from Andhra Pradesh, is an OBC with no disabilities or special status, and has 10th grade qualifications from 2014. Payment of 500 rupees was made online for the application.

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    © All Rights Reserved
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    IB Form 2023

    Uploaded by

    Surya Deva
    25 views4 pages
    The document contains eligibility details of a candidate named PITTA SANDEEP KUMAR for a Multi-Tasking Staff position. It includes personal details like name, date of birth, gender, religion, address, category, and disability status. It also lists the candidate's educational qualifications and preferred test cities. The candidate has applied from Andhra Pradesh, is an OBC with no disabilities or special status, and has 10th grade qualifications from 2014. Payment of 500 rupees was made online for the application.

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    The document contains eligibility details of a candidate named PITTA SANDEEP KUMAR for a Multi-Tasking Staff position. It includes personal details like name, date of birth, gender, religion, address, category, and disability status. It also lists the candidate's educational qualifications and preferred test cities. The candidate has applied from Andhra Pradesh, is an OBC with no disabilities or special status, and has 10th grade qualifications from 2014. Payment of 500 rupees was made online for the application.

    Copyright:

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

    IB Form 2023

    Uploaded by

    Surya Deva
    The document contains eligibility details of a candidate named PITTA SANDEEP KUMAR for a Multi-Tasking Staff position. It includes personal details like name, date of birth, gender, religion, address, category, and disability status. It also lists the candidate's educational qualifications and preferred test cities. The candidate has applied from Andhra Pradesh, is an OBC with no disabilities or special status, and has 10th grade qualifications from 2014. Payment of 500 rupees was made online for the application.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 4

    Eligibility Criteria

    Candidate Photo
    Application Status Application Number Candidate's Name
    PaymentSuccess IB230370114 PITTA SANDEEP KUM
    AR
    Date of Birth Age as on 13.11.2023 Gender
    24/Sep/1999 24 Years 1 Months 21 Male
    Days Marital Status
    Unmarried
    Religion Father's Name Mother's Name
    Hindu PITTA ATCHIBABU PITTA VENU KUMARI
    Email ID Mobile Number Alternate Mobile Nu
    sandeepkumaryadav 6302293784 mber
    [email protected] 9951678159

    Post Details

    Post Name Post Code


    Multi-Tasking Staff/Ge 02
    neral (MTS/Gen)

    Test City Preferences

    Preferred Test State Preferred Test City 1 Preferred Test State


    1 Visakhapatnam 2
    Andhra Pradesh Andhra Pradesh
    Preferred Test City 2 Preferred Test State Preferred Test City 3
    Vizianagaram 3 Vijayawada
    Andhra Pradesh Preferred Test State
    4
    Andhra Pradesh
    Preferred Test City 4 Preferred Test State Preferred Test City 5
    Rajahmundry 5 Kakinada
    Andhra Pradesh

    Candidate Domicile and Category Details

    Domicile State/Unio Subsidiary Intelligen Category


    n Territory ce Bureau/SIB applyi OBC(NCL)
    Andhra Pradesh ng to Nationality
    Vijayawada A citizen of India
    Do you have domicil
    e certificate for the
    SIB you are applying
    to?
    Yes

    Person with Benchmark Disability Details

    Are you a person wit


    h minimum 40% dis
    ability?
    No

    Ex Servicemen Details

    Are you an Ex Servic


    emen (ESM) ?
    No

    Other Details

    Are you a Dependen Are you a Dependen Are you a sportspers


    ts of victims of com t of victims of Anti-S on specified in Para
    munal riot of 2002 i ikh riots of 1984? 1 (a) of D.o.P. & A.R.,
    n Gujarat ? No O.M. No. 14015/1/76-
    No Estt.(D), dated 4.8.19
    80 ?
    No

    Departmental Employee Details

    Are you a governme


    nt servant (departm
    ental candidate)?
    No

    Correspondence Address

    Address Line 1 Address Line 2 Country


    23-104 PEDAGADILI India
    State City/District Pincode/Postal Code
    Andhra Pradesh Visakhapatnam 530040
    Is Permanent Addre
    ss Same as Correspo
    ndence address?
    Yes

    Permanent Address

    Address Line 1 Address Line 2 Country


    23-104 PEDAGADILI India
    State City/District Pincode/Postal Code
    Andhra Pradesh Visakhapatnam 530040
    Matriculation (10th) Details

    Name of the Board/ Institute Name Subject Combinatio


    Council Viswa vignan vidyalay n
    Board of secondary e am All general subjects
    ducation Andhra Prad Qualified Please select any of
    esh
    Pass the following
    CGPA
    CGPA obtained Total CGPA CGPA Multiplying Fa
    6.7 10 ctor
    9.5
    Calculated Percenta Month and Year of P
    ge from CGPA assing
    67 03/2015

    Other Details

    Do you have knowle Languages Known


    dge of foreign/local l Telugu, Hindi, English
    anguage except Engl
    ish and Hindi?
    Yes

    Experience Details

    Do you have any wor


    k experience?
    No
    Name of Pos Type of Start d End da Pay Scale/ Length of servic
    the Orga t he Organiz ate of s te of s CTC of the e rendered as w
    nisation ld ation ervice ervice post held ork experience

    Payment Details

    Amount Payment Mode Payment Status


    500 online Payment Success
    Payment Transactio
    n No.
    CPADGGUMN0

    Documents Upload

    Signature

    Document View / Download

    To view your copy of State Domicile Certificate: Click here.


    Declaration

    I hereby certify that the information given by me in this Application Form is t


    rue to the best of my knowledge. I certify that I fulfill the eligibility criteria sti
    pulated in the Employment Notification and undertake to produce original d
    ocuments whenever necessary and I will not demand any reschedule of exa
    m. I agree to abide by the declaration of the authorities regarding the eligibil
    ity of my application and understand that any misrepresentation or omissio
    n of facts in my application may justify cancellation of my candidature.

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