TELANGANA STATE SCHEDULED CASTES STUDY CIRCLE : HYDERABAD
(Scheduled Castes Development Dept., Govt. of Telangana)
ADMISSION INTO THE FREE PRE-EXAMINATION COACHING PROGRAMME FOR GROUPS FOR
SC ELIGIBLE YOUTH, DURING 2022
ONLINE REGISTRATION
Note :* A minimum of 21 years age is mandatory.
# Indicates Optional Fields
PERSONAL DETAILS
1. Full Name of the Candidate with Full Surname
2. Father's Name with Surname
(Please do not use any prefix such as Mr. or Shri. or Prof. or Dr. etc.)
3. Mother's Name with Surname
(Please do not use any prefix such as Mrs. or Shri. or Prof. or Dr. etc.)
4. Date of Birth and Age
(DD-MM-YYYY)
5. Gender
Male
Female
6. Caste and SubCaste
--Select Caste--
SC
--Select--
7. Native District
--Select--
ADILABAD
BHADRADRI KOTHAGUDEM
HYDERABAD
JAGTIAL
JANGOAN
JAYASHANKAR
JOGULAMBA GADWAL
KAMAREDDY
KARIMNAGAR
KHAMMAM
KUMURAM BHEEM
MAHABUBABAD
MAHABUBNAGAR
MANCHERIAL
MEDAK
MEDCHAL-MALKAJIGIRI
MULUGU
NAGARKURNOOL
NALGONDA
NARAYANPET
NIRMAL
NIZAMABAD
PEDDAPALLI
RAJANNA SIRCILLA
RANGAREDDY
SANGAREDDY
SIDDIPET
SURYAPET
VIKARABAD
WANAPARTHY
WARANGAL (RURAL)
WARANGAL (URBAN)
YADADRI BHUVANAGIRI
8. Coaching Preferred
--Select Coaching Preferred--
Groups
9. Is Physically Challenged?
Yes
No
10. Marital Status
--Select--
UnMarried
Married
Widow
Divorced
11. Annual Income of Parent / Guardian for the Financial Year (2021-22)
(e.g., 100000 (INR))
12. Educationonal Qualification
13. Aadhaar Number
14. Mobile Number
15. eMail ID
16. Address for Communication
District
--Select--
ADILABAD
BHADRADRI KOTHAGUDEM
HYDERABAD
JAGTIAL
JANGOAN
JAYASHANKAR
JOGULAMBA GADWAL
KAMAREDDY
KARIMNAGAR
KHAMMAM
KUMURAM BHEEM
MAHABUBABAD
MAHABUBNAGAR
MANCHERIAL
MEDAK
MEDCHAL-MALKAJIGIRI
MULUGU
NAGARKURNOOL
NALGONDA
NARAYANPET
NIRMAL
NIZAMABAD
PEDDAPALLI
RAJANNA SIRCILLA
RANGAREDDY
SANGAREDDY
SIDDIPET
SURYAPET
VIKARABAD
WANAPARTHY
WARANGAL (RURAL)
WARANGAL (URBAN)
YADADRI BHUVANAGIRI
Mandal
--Select--
Village
--Select--
Street Name
#
House/Door Number
PIN Code
17. Academic Details
Name of the Examination
Hall Ticket Number
Max Marks
Obtained Marks
Grade Secured
Percentage
Year of Passing
Name of the Institute
Institute Village/Town
Board/University
X Class
- Year -
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
Intermediate
- Year -
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
Degree
- Year -
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
PG
#
- Year -
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
18. Have you ever studied in any branch of TSSC Study Circles including Hyderabad. If so,mention the details
#
19. Caste Certificate Number
20. Income Certificate Number
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.