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APPLICATION NO : CCLA-448683

GOVERNMENT OF ANDHRA PRADESH Chief Commissioner Of Land Administration (CCLA)


APPLICATION FOR THE POST OF VILLAGE REVENUE OFFICERS Circular No.2, Dated 30.11.2011 1. 2. 3. 4. 5. 6. 7. 8. 9. Reference Id : 301210014868303071990
Name : VANKADARI GOPI District : PRAKASAM Mandal : ZARUGUMILLI Village : KAME PALLI Father's/Husband`s name : NARAYANA Date of birth : 3/7/1990 Gender : Male Address for communication : KAMEPALLI ZARUGUMALLI MANDAL PRAKASAM

9a. 9b. 9c. 10. 11. 12. 13. 14. 15.

District : PRAKASAM Mandal : ZARUGUMILLI


*301210014868303071990*

Pincode : 523271 Community you belong : BC-A e-Mail : gopi.v1214@gmail.com Mobile : 9642024433 Do you belong to Andhra Pradesh State : Yes Are you an Ex-Service Man : No Are you a PH-Person : No

PH Details
Visually Handicapped : Visually Handicapped Percentage : Hearing Handicapped : Hearing Handicapped Percentage : Orthopedically Handicapped : Orthopedically Handicapped Percentage : No 0% No 0% No 0%

16. 17. 17a.


Fee Amount
200

Post Name : VILLAGE REVENUE OFFICERS Qualification Details


Qualification : Intermediate or Equivalent Qualification

Payment Details
Journal Number
EKDKR0923921

Payment Date
12/12/2011

I hereby declare that all information furnished by me in this application is true and correct I undertake to produce the original documents at any moment, failing which my candidature may be cancelled. I am fully aware that furnishing false information will lead to a criminal case against me, apart from cancelling my candidature as it amounts to cheating. I am aloneresponsible if any wrong entries are made by me in the application form.

Sd/VANKADARI GOPI Generated for CCLA'S Recruitment Processing: http://ccla.cgg.gov.in/ POWERED BY Governance Centre for Good

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