71377028

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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 MOHD ABDUL QUDDUS 71377028


Father's Name MOHD ABDUL AZIZ

Mother's Name FAREESA TAHERA BANO

Gender MALE Community BC-E

Date of Birth 15-07-2003 Age as on 01-07-2022 18 years 11 months 18 days

Aadhaar Number 574967427219 SSC Roll No 1922115382


mohdabdulquddus1427@g
Mobile Number 9959871427 E-mail Id
mail.com
Identification Mark 1 MOLE ON LEFT HAND

Identification Mark 2 MOLE ON LEFT SHOLDER

State (Local Candidature) TELANGANA


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

District Preference for appearance in Tests / Exams - I HYDERABAD

District Preference for appearance in Tests / Exams - II SURYAPET


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 MOHD ABDUL QUDDUS
C/o mr medical
H. No. & Colony 17-03-526 , shoukat jung devdi , yakutpura
Village / Town / City hyderabad Mandal Charminar
District HYDERABAD Pin Code 500023

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

17/5/2022 08:52:40 Application Submission Date&Time: 17-05-2022 08:52:31 AM

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