APPSC – DIRECT RECRUITMENT FOR THE POST OF PANCHAYAT

SECRETARIES, GRADE-IV – NOTIFICATION NO.13/2018

DATED: 21-12-2018 PROVISSIONALY SELECTED CANDIDATES
OPTION FORM
Name of the Candidate
Hall Ticket No.
Native Mandal
Native District

Address for communication

Email-ID
Mobile Number

I am exercising Three (3) Options in descending order of preference:

S.No Name of the Mandal Name of the Gram Panchayat
1
2
3

Note: 1. Provisionally Selected candidate should not opt Native Mandal.

2. Candidates can submit their option form through e-mail
(dpocttr@gmail.com) OR in person to the DPO Office, Chittoor on or
before 14-06-2020.

I declare that the above information furnished by me is true. I am liable for

disciplinary action if any information furnished above is found to be false at later date.

Date: Signature of the Candidate

Place:
(NAME IN BLOCK LETTERS)