TELANGANA STATE STUDY CIRCLE DISTRICT BRANCH
(Sponsored by Scheduled Castes Development Dept., Govt. of Telangana)

APPLICATION FOR ADMISSION INTO FREE MOCK INTERVIEW GUIDANCE PROGRAMME
FOR GROUP-I & II - 2017, FOR SC / ST / BC/ MINORITY

ONLINE REGISTRATION

  All fields are mandatory
# Indicates Optional
Personal Information
1. Name of the Candidate with Surname
2. Gender Male Female
3. Date of Birth      (DD-MM-YYYY)
4. Father's Name

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

(Please do not use any prefix such as Miss. or Mrs. or Prof. or Dr. etc.)
6. Coaching need for
7. Group-II Hall Ticket No
8. Aadhaar Number
9.Native District
10. Mobile Number
11.eMail ID
12. Marital Status
13. Is Physically Challenged ? Yes   No
14. Community with Sub caste   
15. Annual Income of Parent / Guardian (e.g., 600000 (INR))
16. Educational Qualification
17. Degree subject in Graduation
18. Percentage at the Graduation / Prof. Graduation
19. Whether any service got earlier ? Yes  No
20. Address for Communication
District Mandal
Village Street #
House/Door Number PIN Code
*All the scaned documents should be in *.jpg OR *.jpeg format and size not be more than 100KB
21. Passport size Photograph
22. Signature
23. Copy of Group-II Hallticket
24. Copy of Date of Birth Certificate (SSC)
25. Copy of Community Certificate issued by MRO (Caste Certificate)
26. Copy of Latest Income Certificate issued by MRO
27. Copy of Provisional / Consolidated Marks memo of Graduation / Prof. Graduation
28. Bonafide Certificates of Class IVth to Class X
 I certify that the facts mentioned above are true and correct and I shall forfeit candidature if any information furnished is found to be incorrect