ANDHRA PRADESH STUDY CIRCLE: HYDERABAD
APPLICATION FOR FREE COACHING FOR UPSC
CIVIL SERVICES PRELIMINARY EXAM – 2013
1. Name of the Candidate:
Affix recent
passport size
photograph
with Gazetted
Officer’s
attestation
2. Male / Female:
3. Father/Husband/Guardian’s Name:
4. Native Place, Mandal and District:
5. Date of Birth:
6. Highest Educational Qualification:
7. Caste :
8. Self & Parent’s Combined Annual Income:
9. School Education: Please Fill - (1) Up to 5th Class _______ (2) Up to 10th Class _______ (3) Intermediate
_______
(V = Village, M = Mandal, MC = Muncipal, C = Corporation)
10. Education: Please Fill them : Intermediate ________ Graduation ________ Post-Graduation ________
S = Science, SS = Social Science/Arts/Humanities
11. Address for Communication:
12. Phone No. for contact (Compulsory):
MARKS OBTAINED
SSC
Maximum
Marks
Marks
Obtained
Intermediate
%
Maximum
Marks
Marks
obtained
Degree
%
Maximum
Marks
Marks
obtained
Post Graduation
%
Maximum
Marks
Marks
obtained
DECLARATION
I swear that the facts mentioned above are true and correct and that I have not concealed anything.
If any information is later found to be incorrect, wrong or misleading, I shall abide by any penal action of the Management.
Signature of the Candidate.
%
PART – II
ANDHRA PRADESH STUDY CIRCLE: HYDERABAD
(1ST COPY)
HALL TICKET FOR ADMISSION TO THE SCREENING TEST OF APSC FOR FREE
COACHING FOR CIVIL SERVICES PRELIMINARY EXAM – 2012
1.
Name of the Candidate
:
2.
Father / Husband /
Guardian’s Name
:
Affix recent
passport size
photograph
with Gazetted
Officer’s
attestation
Signature of the Candidate
(To be filled in O/o. APSC)
Venue/Centre
:
Date
:
Time
:
Signature of the Convenor
PART – II
ANDHRA PRADESH STUDY CIRCLE: HYDERABAD
(2nd COPY)
HALL TICKET FOR ADMISSION TO THE SCREENING TEST OF APSC FOR FREE
COACHING FOR CIVIL SERVICES PRELIMINARY EXAM – 2012
1.
Name of the Candidate
:
2.
Father / Husband /
Guardian’s Name
:
Affix recent
passport size
photograph
with Gazetted
Officer’s
attestation
Signature of the Candidate
(To be filled in O/o. APSC)
Venue/Centre
:
Date
:
Time
:
Signature
Convener
of
the