This document is a form for obtaining a challan for the Andhra Pradesh Public Service Commission Group-II Services general recruitment notification. It contains fields for the applicant to provide personal details like name, father's name, date of birth, gender, address, district, community, employment status, and identification marks. The form notifies that clicking "Next" and then "Submit" will complete and generate the challan.

2. ANDHRA PRADESH PUBLIC SERVICE
COMMISSION :: HYDERABAD
NOTIFICATION NO. : 39/2011
GROUP-II SERVICES.
(General Recruitment)
FORM FOR OBTAINING CHALLAN
This is only preview. To complete and generate challan
please click on Next button at the bottom of this page
and then click Submit
U --> Unemployee
G --> State Govt. Employee
O --> Other Employee
# --> Not Mentioned/Not Applicable
PERSONAL DETAILS
1. Name : NAGARJUNA
2. Fathers Name : SANKARRAO
3. Date of Birth : 17/07/1989
4. Gender : Male
Address for
5. VALAPRLA(PO)
Communication :
MARTUR(MD)
6. District : PRAKASAM
7. Mandal : Martur
8. Pincode : 523260
9. e-Mail : pandella.nagarjuna@gmail.com
10. Mobile : 9966134104
Community you
11. BC-D
Belong :
11.a Creamy Layer : NO
Do you belong to
12. Andhra Pradesh YES
State:
Are you an Ex-
13. NO
Service Man :
13.a. Length of Service : 0 years
Did you work as
14. NO
Instructor in NCC :
14.a Length of Service : 0 years
Employment
15. U
Status:
15.a Length of Service : 0 years 0 months
Are you a
retrenched
temporary
16. NO
employee in State
Census
Department :
16.a Length of Service : 0 years
Are you a A.P
17. State white card YES
holder :
Identification 1) A MOLE THE CHEST

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