GOVERNMENT OF TELANGANA
BACKWAD CLASSES WELFARE DEPARTMENT

Free Coaching for UPSC Civil Prelims

ONLINE REGISTRATION

Note :
* All the scanned documents should be in*.jpg OR *.jpeg OR *.gif format and size not be more than 100 KB per document.
* Information provided must match with the certificate scanned which will be verified at the time of admission.
  # - Marked are Optional, Remaining All Fields are Mandatory
PERSONAL DETAILS
1. Name of the Candidate with Surname
2. Father's / Guardian's Name

(Please do not use any prefix such as Mr. or Shri. or Prof. or Dr. etc.)
3. Mother's Name #

(Please do not use any prefix such as Miss. or Shri. or Mrs etc.)
4. Date of Birth (As per SSC Memo)    (dd-mm-yyyy)
5. Gender Male Female
6. Caste with Category   
7. Educational Qualification
8. Annual Income of Parent / Guardian (e.g., 100000 (INR))
9. Is Physically Challenged? Yes No
10. Aadhaar Number
11. Mobile Number
12. eMail ID
13. Native District
14. ADDRESS FOR COMMUNICATION
District Mandal
Village Street #
House / Door Number PIN Code
15. ACADEMIC DETAILS
Name of the Examination Hall Ticket Number Max. Marks Obtained Marks Group Subjects Max. Marks Group Subjects Obtained Marks Grade Secured Year of Passing Institute Name Name of the Board/University
X Class - -
Intermediate - -
Graduation
PG #
16. Additional Educational Qualifications (if any) like MBA / PhD etc. #
17. Coaching availed earlier in any of the (10) TSBC Employability Skill Development
& Training Centres
DOCUMENTS
*All the scaned documents should be in *.jpg OR *.jpeg format and size not be more than 100KB
18. Photograph of the Applicant
19. Signature of the Applicant
20. SSC Memo
21. Degree Memo
22. Caste Certificate
23. Income Certificate
24. Nativity Certificate
25. Aadhar Card
 I swear that the facts mentioned above are true and correct. If any information is later found to be incorrect, wrong or misleading, I shall abide by any penal action by the Management.