Prescribed application form for submitting Bio-data. FOR ... - AP Online

Prescribed application form for submitting Bio-data.FOR OFFICE USE ONLYSl. No.Date of Receipt:Whether all encls. Received:Yes/NoInitialsApplication form for appointment of “Agricultural Officers on regular basis” in theDepartment of Agriculture, Government of A.P., to be submitted on or before 07-10-2002Native Zone :Affix latestEmployment Registration No. and : Date1. Name of the applicantpassport size photoduly attested by aGazetted officer(In block letters)2. Father’s name:3. SEX : Male / Female4. Date of Birth:( as recorded in Xth class/Matriculation Certificate )5. Age as on 1.7.2002:6. Community:(1).S.C.-A., SC-B, S.C.-C., S.C.-D., (2).S.T., ( 3). B.C.-A., B.C.-B., B.C.-C.,B.C.- D., (4). O.C., 5.P.H.7. Physically Handicapped: YES/NO(If yes, disability certificate should be furnished):8. Present address for communication:9. Permanent address:10. Educational qualification:a) Date of passing of B.Sc.(Ag.)______________b) O.G.P.A. ____________(Marks transcripts should be enclosed)11. No. of Semesters /Trimester taken to complete the course.____________12. a) Duration of B.SC(Ag)Course: 3years / 4 yearsb) Normal No. of semesters/ Actual No. ofTrimesters prescribed in the:Semesters/trimestersB.Sc. (Ag) Degreetaken to complete theCourse.c) Whether appeared for re-examinations Yes/No.If so, No. of such courses appeared:

13. Places of Study from 6 th to 10 th :(Study certificate to be enclosed)14. Experience: (In Govt. /Public Sector Organization) :(Proof to be enclosed)15. Native District (with proof):16. Preference of Zones desired, Pref. No. Zone No.if not selected in their own zone. 1.2.3.I, _____________________S/o. D/o., W/o.__________________ _the applicant for thepost of Agricultural Officer on regular basis solemnly declare that the particularsfurnished above are true to the best of my knowledge and belief and any false avermentwill disqualify me from holding above appointment if selected and appointed.I have read the above terms and conditions assigned to the post and shall abide for thesame.Place:Date:Signature of the applicantAttested copies of following Certificate to be enclosed:Whether enclosed.1. Date of birth (S.S.C. certificate): YES/NO2. B.Sc.(Ag.) Marks transcript: YES/NO3. Local candidature (Study certificate): YES/NO(6 th to 10 th class)4. Nativity Certificate YES/NO5. Caste certificate: YES/NO6. Experience certificate: YES/NO7. Proof of P.H Certificate YES/NO/N.A.Applications filled in all respects along with required testimonials should reach theundersigned on or before 07-10-2002 by 5.00 P.M. The cover containing theapplication should be superscribed as "Application for the post of AgriculturalOfficer". Applications received late or with incomplete information/non enclosingcopies of certificates will be rejected summarily and no correspondence will beundertaken in this regard.Names of the Districts comes under each Zone:1. Zone- I: Srikakulam, Vizianagaram and Visakhapatnam.2. Zone. II: East Godavari, West Godavari and Krishna:3. Zone.III: Guntur; Prakasam and Nellore:4. Zone IV: Kurnool, Cuddapah, Anantapur, and Chittoor:5. Zone. V: Khammam, Warangal, Karimnagar and Adilabad.6. Zone VI: Mahaboobnagar, Nalgonda; Medak, Nizamabad, Rangareddy dists. andHyderabad