BHABHA ATOMIC RESEARCH CENTRE

Recruitment Section - II

Application No. : 120227088834

Date of Application : 24/06/2019

Advertisement No. : 1/2019(R-II)

Last date for Apply : 01/07/2019

Application For the Post of DR/01-WORK ASSISTANT/A

UI. आधर मांक Aadhar No [If available] : 586960403271

01. परू ा नाम Name In Full [as per SSC certificate] : Smt PODILAPU SRAVANI DEVI

02. रा यता Nationality : INDIAN

03. धम Religion : Hindu

04. ज म त थ Date Of Birth : 18/03/1995

05. लंग Gender : Female

06. वैवा हक ि थ त Marital Status : Married

07. या आप अजा/अजजा/अ य पछड़े वग के ह ? Whether SC/ST/OBC ?

: OBC , TURUPU KAPU

08. या आप ज मू क मीर के अ धवासी ह ? Are you domiciled in

Jammu & Kashmir during the period from 01/01/1980 to : NO
31/12/1989 ?
09. या आप 1984 के दं ग म मरने वाल के प रवार के सद य ह ? Are you a
: NO
family member of those who died in 1984 riots ?
10. या आप अ पसं यक समदु ाय के ह ? Whether belonging to : NO
minority community ?
11. या आप शार रक प से वकलांग ह ? Whether physically
: NO
handicapped ?
12. i) या आप भत
ू पव
ू सै नक ह ? Are you an Ex-service man ? : NO

ii) या आप के य/रा य सरकार के एक कमचार ह ? Are you an : NO

employee of Central/State Government ?
(If Yes, Please ensure that you have applied through proper channel and have to produce 'No Objection Certificate' at the time of Written
Exam/Interview)

13. प ाचार के लए पता Address for Correspondence थायी पता Permanent Address

D NUM:9-87, SC BC COLONY,CHINNAMUSIDIWADA D NUM:9-87, SC BC COLONY,CHINNAMUSIDIWADA

शहर City : VISAKHAPATNAM शहर City : VISAKHAPATNAM

िजला District : VISAKHAPATNAM िजला District : VISAKHAPATNAM

रा य State : Andhra Pradesh रा य State : Andhra Pradesh

पनकोड Pin Code : 530051 पनकोड Pin Code : 530051

मोबाइल नं. Mobile : 9642406647 मोबाइल नं. Mobile : 9642406647

ई-मेल Email : raparthisravanidevi@gmail.com टे ल फोन Telephone : Not Available

14. यो यता Qualification

Year of Stream/ Course

Name of University/ Board/ Maximum Marks % of
passing/ Discipline/ Duration Remarks
Examination Institution Marks obtained marks
appearing Subject in Years
With Maths &
SSC SSC,AP 2010 600 520 86 1 PASS
Science

15. य द आवेदक वतमान म कोई पढाई कर रहे ह तो उसका ववरण द Indicate the course of study, if any, the applicant is continuing
presently.

No. of
University/ Board/ Full Time/ Part Duration of the
Course Name Semesters/Years % of marks
Institution Time course
Completed
Not Applicable

16. अनभ
ु व Experience (Particulars of all previous and present employment are to be furnished)

Period of Service Permanent Reasons

Employer Details
Post Held Nature of Duties in dd/MM/yyyy format or for
Type Name & Address From To Temporary Leaving
Not Applicable
17. उन संबधीय के ववरण द जो परमाणू उजा वभाग या इसक संघटक इकाईय मे पहले से ह कायरत ह Details of relatives already employed in
Department of Atomic Energy or its Constituent Units.

Name of relative Relationship Unit in which employed Post Held

Not Applicable

18. कोई अ य सच
ू ना Any Other additional information : Not Applicable

म एतद वारा घोषणा करता / करती हूं क ऊपर द गई सच ू ना मेर जानकार के अनस
ु ार तथा मक प से सह है । मझ
ु े ये भी ात है क ऊपर द गई
कसी भी सच
ू ना के गलत होने पर म अयो य माना जाऊंगा / जाऊंगी । I hereby declare that the above information is factually correct to
the best of my knowledge. I also understand that I will be disqualified if any of the information furnished by me is found
to be incorrect

Place : VISAKHAPATNAM

Date : 24/06/2019 PODILAPU SRAVANI DEVI