TELANGANA STATE LEVEL POLICE RECRUITMENT BOARD

PRELIMINARY APPLICATION FORM - 2022

PART- I
Notification Rc No. 41 / Rect. / Admn-1 / 2022 dated 25-04-2022
Post/s Applied for SCT PC CIVIL AND / OR EQUIVALENT

Medium of Written Examination

(Except Technical Papers, which ENGLISH Registration Number
will be in English only)

Name of the Candidate KATTELA NANDINI 71361409

Father's Name KATTELA SHIVAKRISHNA

Mother's Name KATTELA INDIRA

Gender FEMALE Community BC-A

Date of Birth 03-07-2003 Age as on 01-07-2022 18 years 11 months 30 days

Aadhaar Number 722547759597 SSC Roll No 2017105278

nandinikattela81@gmail.co
Mobile Number 9014047916 E-mail Id
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Identification Mark 1 A MOLE ON THE RIGHT HAND MIDDILE FINGER

Identification Mark 2 A MOLE ON THE LEFT HAND

State (Local Candidature) TELANGANA

Local Candidature as per study from 1st Class to 7th Class
MEDAK
(as per new Presidential Order,2018)
Educational Qualification as on 01-07-2022 INTERMEDIATE

District Preference for appearance in Tests / Exams - I MEDAK

District Preference for appearance in Tests / Exams - II SIDDIPET

Note:

1. Candidate will be allotted any town in the Districts selected or any nearby District depending upon the
availability of accommodation for appearance in the Tests / Examinations.
2. In case Candidate submits application for SCT SI (Technical) / SCT PC (Technical), Candidate will be allotted to
any center in Hyderabad city or nearby.

Address for Communication

Name KATTELA NANDINI
C/o YELDURTHY
H. No. & Colony 5-38 GANGAPUTHRA COLONY
Village / Town / City YELDURTHY Mandal Yeldurthy
District Medak Pin Code 502255

DECLARATION

I hereby declare that I have read all the instructions mentioned in the Notification(s) carefully and I hereby undertake to
abide by them. I am responsible for the correctness of the above details filled in by me. I further declare that the information
furnished by me is true and correct to the best of my knowledge and is as per the Certificates / Relevant documents.

Signature

13/11/2022 09:15:35 Application Submission Date&Time: 16-05-2022 07:21:07 PM