Central Tribal University of Andhra Pradesh Generated On: 2023-06-04 03:21:18

APPLICATION FORM

Application No. Post Organizational Unit Advertisement No.

CTN1005 Lower Division Clerk University Campus CTUAP/Advt-NT/2022/140

Details of Fee
Order ID Transaction ID Mode of Payment Amount Date
10000566 202231010207025 Online Mode 1000 2022-11-06 13:11:45

Candidate Details
Candidate’s Name pothumahanthi vinay kumar
Email ID rrr25march@gmail.com
Father's Name MURALI MOHANA RAO
Mother's Name SUDHA RANI
Date of Birth 12-08-1994
Age (as on 2022-11-10) 28 years, 02 months, 29 days
Gender Male
Category Unreserved(UR)
Marital Status Single
Nationality Indian
Whether a person with disability Not Applicable
PAN/Passport/DL AP03020200037358
Phone No
Mobile No 8179089853
Ex Serviceman No
Employee of this University/Institution No
Are you an employee of Govt. of India No
Address for Correspondence Permanent Address
MIG 46 APHB COLONY MIG 46 APHB COLONY
NEAR SANTHOSHIMATHA TEMPLE NEAR SANTHOSHIMATHA TEMPLE
SRIKAKULAM ,Andhra Pradesh SRIKAKULAM ,Andhra Pradesh
532001 ,India 532001 ,India

Present Employment Details

Not Filled
Educational Qualification
Schooling Details
Year of Grade/Ma Percentage
Examination Main Subject School/College Board/University
Passing rks /Grade
10th/SSC/Ma AP SECONDARY
2009 MATHS Percentage 75.5 MAHARSHI VIDYALAYAM
tric EDUCATION
12th/Diplom MATHS PHYSICS SRI CHAITANYA JR AP INTERMEDIATE
2011 Percentage 87.6
a CHEMISTRY KALASALA EDUCATION

Graduation Details
# Degree Name Main Subject Grade/Mark Percentage/Grade Year University/Institution State/Union Country
s Territory

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Central Tribal University of Andhra Pradesh Generated On: 2023-06-04 03:21:18

Post-Graduation Details
# Degree Name Main Subject Grade/Marks Percentage/Grade Year University/Institution State/Union Country
Territory

M.Phil. Details
# Degree Name Main Subject Grade/Marks Percentage/Grade Year University/Institution State Country

Ph.D. Details
# Status Date Thesis Title University/Institution

Other Qualifications
# Title Date Description University/Institution

Relevant Work Experience

# Type Name of Organization Designation Pay Band and Pay Level(as Type of From To Experience
Grade Pay(6th per 7th employment
CPC)/Equivalent CPC)/Equivalent

Research Papers / Review Articles / Conference Proceedings (In Related Areas Only)

# Publication Type Title of the Paper Journal ISSN/ ISBN No. Refereed Author Year
Name/Page
Numbers

Research Publications - Books,Chapters, Edited work, Articles etc. (In Related Areas Only)

# Publication Type Title ISSN/ ISBN No. Refereed Author/Co-Author Publisher (city/country) Year

Research Projects

# Title Major/Minor Period Total Name of Outcome of the

(Months) Grant/Funding Sponsoring/ Project
received(Rs.) Funding Agency

Miscellaneous Information
Time required for joining (in days) ? 30
Do you have Computer Proficiency Certificate? Yes
Kindly describe your contribution to institutions where you have worked (in about 500 words) NA
What makes you suitable for the post you have applied? (500 words max.) NA
Honours and awards (if any) NA

Have you been debarred or punished for adopting

unfair means in any Examination by the No Description: NA
Institution/Board/University?
Have you ever been involved in any administrative
No Description: NA
malpractice?
Have you ever been involved in any financial
No Description: NA
irregularity?
Were you ever discharged or dismissed from any
No Description: NA
previous employment?
Is there any pending or contemplated disciplinary
No Description: NA
proceedings against you?

Two Referees familiar with your profile and professional contribution

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Central Tribal University of Andhra Pradesh Generated On: 2023-06-04 03:21:18

S Full Institutional Mobile / Phone

No. Name Affiliation Designation Address No. Email

1 MURALI SISTAM CASHEIER MIG 46 APHB COLONY 8374317183 mandellasri@gmail.com

SRIKAKULAM

2 ravi geethanjali school teacher rajeev gruhakalpalm 8179669532 rrr25march@gmail.com

srikakulam

5.2 Languages Known

# Language Known Speak Read write

No Objection Certificate
I shall produce the No Objection Certificate before/at the time of Interview.

Declaration

I declare that the statements made in this Application Form are correct and true and also complete to the best of my knowledge
and belief. I am aware that if at any stage it is found that the statements made are not true or are incomplete/misleading, my
candidature is liable to be cancelled

Date: 2022-11-06 13:11:45

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