9/4/2014 Online Application: KVS 2014

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Application Form for the post of
Lower Division Clerk
* Application No.

691570
Examination Centre
*
Examination Centre City
selected
Choice1: Bangalore
Choice2: Hyderabad
*
Language in which Question
Paper is required
English
* Post Applied for Lower Division Clerk
Personal Particulars
* Name B C ARUNA KUMARI
* Date of Birth 01-Jun-1983
* Gender Female
* Address for communication 27-774
AMBEDKAR NAGAR

* City ANANTAPUR * Pin Code 515001
* State Andhra Pradesh
* Email-ID b.c.venkatagiri@hotmail.com
Contact No. - * Mobile No. 8143293997
* Category SC
*
Are you a KVS permanent
employee?
NO *
Are you in Govt. Regular
Service?
NO
*
Are you Resident of State of J&K
(Domiciled during 01.01.1980 to
31.12.1989)?
NO
* Are you person with disabilities? NO
If yes, indicate the nature of
disability and Percentage of
disabilty
%
* Nationality INDIAN
* Whether Ex-Serviceman? NO
If Ex-Serviceman, No. of year of
service
*
Do you have working knowledge
of Hindi?
YES
*
Do you have knowledge of
Computer Applications
YES
* Typing Speed (wpm)
In Hindi:
In English45
..................................
Signature of Candidate
9/4/2014 Online Application: KVS 2014
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Application No.: 691570
Qualification Details
Qualification
Level
Name of the
Qualification
Main
Subject(s)/Specialization
Duration
(Year/Months)
Month
& Year
of
Passing
Name of the
University/Board
Marking
Scheme
Marks
Obtained
Maximum
Marks
Percentage
of Marks#
(Upto two
decimal
places)
10th SSC MATHS,GS,SOCIAL,HINDI 1 Year 1 Months
Mar-
2000
BOARD OF
SECONDARY
EDUCATION
Marks 236 600 39.33
12th INTERMEDIATEHISTORY,ECONOMICS,CIVICS2 Year 1 Months
Jun-
2006
BOARD OF
INTERMEDIATE
EDUCATION
Marks 379 1000 37.9
GRADUATION
DEGREE
BA HIS,PS,SOC 3 Year 1 Months
Nov-
2010
AMBEDKAR OPEN
UNIVERSITY
Marks 649 1600 40.56
Other
certificate
TYPEWRITING
EXAM
ENGLISH HIGHER 1 Year 1 Months
Jan-
2004
STATE BOARD OF
TECHNICAL
EDUCATION
Marks 124 200 62
#Note: In case the Marking Scheme is Grade, please enter the equivalent percentage.

Application No.: 691570
Experience Details, if any
Do you have Experience indicated as below:

Total Qualification Experience: Year(s) Month(s)
---------------------
Mode of Payment: --> Payment is not required for Candidates belonging to SC/ST/Person with Disability.
I hereby certify and declare that:
1. I am an Indian National.
2. I have read the provisions given in the Advertisement.
3. All statements made and information given by me in this application are true, complete and correct to the best of my knowledge and belief. In the event of
any information or part of it being found false or incorrect before or after the exam/interview or appointment, action can be taken against me by the KVS and
my candidature/appointment shall automatically stand cancelled/repatriated/terminated.
4. I further declare that I fulfill all the conditions of eligibility regarding age, educational, professional/technical qualifications, etc. prescribed for the post
applied. The essential qualifications prescribed are possessed by me, the proof of which has been enclosed.
5. I will not lay any claim for refund of non-refundable application fee from KVS under any circumstances.
Undertaking: I have gone through the advertisement and the General Conditions mentioned therein and fulfil all the conditions/requirements specified therein.
I hereby Accept and confirm the Undertaking.

Signature of the candidate
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