5/17/2021 DFCCIL Form

Applicant Details

Personal Details

Application Sequence No
DFCCIL328167

Candidate's Name

PERAMALLA PRAKASH

Father's Name Mother's Name

SRINIVAS LAXMIKANTHAMMA
Marital Status Nationality

Unmarried Indian

Post Applied Details

Post Applied Post Code

Executive (Mechanical) 25

Center Choice 1 Center Choice 2

Hyderabad Vishakapatnam

Center Choice 3 Gender

Chennai Male

Date of Birth (DD-MM-YYYY) same as Matriculation/

Secondary Certificate

21/Sep/2000

Age as on 01.01.2021 Are you Physically Handicapped (PH) (degree of

disability 40% or above)?
20 Years 3 Months 11 Days
No

Are you an Ex-Service man? Are you regular DFCCIL Employee?

No No
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5/17/2021 DFCCIL Form

Category

SC

Contact Details

Mobile Number

9515361358 Email ID

peramallaprakash@gmail.com

Communication Address

Address Line 1

H.no.6-196,bommakal,VILLAGE ,vemulapally MANDAL

Country

India

State District

Telangana Nalgonda

Pin Code

508374

Permanent Address

Address Line 1

H.no.6-196,bommakal,VILLAGE ,vemulapally MANDAL

Country
India

State District

Telangana Nalgonda

Pin Code
508374

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Matriculation (10th) Details

Name of the Board/Council

BOARD OF SECONDARY EDUCATION

Year Of Passing Institute Name

2015 ZP HIGH SCHOOL NAMPALLY

Percentage of Marks

80

Essential Qualification Details

Qualification Name

Diploma (3 years)

Specialization Name of University

Mechanical SBTET

Institute Name Year Of Passing

ST MARYS ENGINEERING COLLEGE 2018

Percentage of Marks

76.4

Payment Details

Amount

Candidate Documents/Images Upload Details

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Photo

Signature

Declaration

I hereby, solemnly declare that information provided by me in the form is true to the best of my
knowledge and belief. I understand that my candidature is subject to the conditions laid down in
the advertisement brochure. I further declare that I am not involved in any criminal case and/or no
such case is pending against me in any court of law.

Version 14.01.01

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