Last Date for submission

13-12-2016

Centre for Educational Development of Minorities

Osmania University
(Sponsored by Minorities Welfare Department, Govt. of Telangana)

Nizam College Campus, Gunfoundary, Hyderabad - 500 001.

Phone / Fax: 040-23210316; http://cedm.tg.nic.in; email:
cedm_ou@yahoo.com
Civil Services Examination 2017
Free Coaching Programme Screening Test

APPLICATION FOR REGISTRATION

1.

Name of the Candidate

(In Block Letters)

: ________________________________________

2.

Fathers Name

: ________________________________________

3.

Date of Birth & Age

: ________________________________________

4.

Place of Birth

: ________________________________________

5.

Sex

: Male

6.

Religion & Caste

: ________________________________________

7.

Educational Qualifications

: ________________________________________

8.

Present assignment of the candidate : ________________________________________

9.

Fathers Occupation

: ________________________________________

10.

Fathers Income (per annum)

: ________________________________________

11.

Postal Address

: ________________________________________

/ Female

________________________________________________________________________
12.

Permanent Address

: ________________________________________

________________________________________________________________________
13.

Phone / Cell No.

: ________________________________________

14.

Aadhar No. (enclose copy)

: ________________________________________

15.

Email ID

: ________________________________________

16.

Have you attempted Civils (Pre) Exam previously, if yes, mention the year : __________

17.

Have you attended this coaching previously

at CEDM, if yes mention the year : ________________________________________

18.

Centre for Entrance Test

: ________________________________________

Date: _______________

Signature of the Candidate

(FOR OFFICE USE ONLY)

Registration No.: ____________

Date: __________________

PROGRAMME COORDINATOR

ORIGINAL

CENTRE FOR EDUCATIONAL DEVELOPMENT OF MINORITIES

Osmania University
(Sponsored by Department of Minorities Welfare, Govt. of Telangana)
Nizam College Campus, Hyderabad 500 001.

HALL TICKET

Passport
Size
Photograph

H. T. No.:
Entrance Test for Admission to Free Coaching for
UPSC Civil Services Examination 2017
1.

Name of the Candidate

: ________________________________________

2.

Fathers Name

: ________________________________________

3.

Marks of Identification

: 1. ______________________________________
2. ______________________________________

4.

Venue of Examination

: ________________________________________

5.

Date and Time

: 18th December 2016, Sunday; 11 AM to 1 PM

PROGRAMME COORDINATOR

DUPLICATE

CENTRE FOR EDUCATIONAL DEVELOPMENT OF MINORITIES

Osmania University
(Sponsored by Department of Minorities Welfare, Govt. of Telangana)
Nizam College Campus, Hyderabad 500 001.

HALL TICKET

Passport
Size
Photograph

H. T. No.:
Entrance Test for Admission to Free Coaching for
UPSC Civil Services Examination 2017
1.

Name of the Candidate

: ________________________________________

2.

Fathers Name

: ________________________________________

3.

Marks of Identification

: 1. ______________________________________
2. ______________________________________

4.

Venue of Examination

: ________________________________________

5.

Date and Time

: 18th December 2016, Sunday; 11 AM to 1 PM

PROGRAMME COORDINATOR