Https Www.onlinesubmit.in M/lv;ha4 RegisteredUsers CompleteApplication

Ministry of Home Aairs,Govt. of India

Post Applied For : SECURITYASSISTANT/EXECUTIVE

Applicant's Registraon No :MHA401407949

Personal Informaon:

Applicant's Name: VIJAYA BHASKARA REDDY Your Photo

Father's /Mother's Name: R KRISHNAREDDY

Relaonship: FATHER Gender: MALE Date Of Birth: 25/8/1987

Category: GENERAL Religion: HINDU Others Religion:

Are you a Central Govt. Employee? : NO

Naonality: INDIAN State of Domicile: ANDHRA PRADESH

Are you an Ex-Serviceman? NO

Domicile of J&K during the period 01.01.1980 to 31.12.1989 : NOAre you a vicm of Gujarat riots 2002? : NO

Qualicaon Details:

Name of Educaonal Qualicaon: BTECH

Month & year of Passing: Month: MARCH Year: 2008 Duraon of the Course: Years: 4 Months: 0College/Instute Name JNTUName of University aliated: JNTURecognized by State/Central Govt.: STATEAddional Qualicaon (if any) : NO

Choice of Examinaon Center: VIJAYAWADA Local Language/Dialect : TELUGU :Read - YES, Write - YES, Speak - YES

Addional Informaon:

Contact No. (Only Digits): 919490689697 Alternate Mobile No. (if any): 91Email ID: vijaytvr12@gmail.com Alternate Email ID (oponal):Address Line 1: SANTHINAGARAddress Line 2: TIRUVURUAddress Line 3: TIRUVURU MANDALCity/Town: KRISHNA DIST PIN: 521235 State: ANDHRA PRADESH

Home State: ANDHRA PRADESHAre you prepared to serve anywhere in India? YES

Declaraon

I hereby declare that the the informaon given above is true and correct to the best of my knowledge and I fulll the eligibility condions forappearing in the recruitment test conducted by Ministry of Home Aairs(MHA) for the post of SA/Exe. I further declare that in case any of the aboveinformaon is found to be false/incorrect or any ineligibility being detected before, during or aer the test, my candidature for the post of SA/Exe isliable to be forfeited.

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(Applicant's Signature)

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