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గమ క
మస లయం ప ల రు ఎం క బ న ఈ గువ సూ ం న సుల నుం రు ఇష ర కం ఒక సు ఎం క సు నుటకు ' Accepted ' ఆప ను ఎంచు గలరు. న సుల రుటకు
సకత వ కపరుసూ ' Relinquished ' ఆప ను ఎం క సు , ' Submit Details ' బట యగలరు.
OTPR ID VSWS50977765
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ACCEPTANCE FORM
Date:
Place:
To,
The District Collector,
KRISHNA District.
Sir,
I hereby submit my acceptance for the post of ANM/Ward Health Secretary (Grade-III) Which I have been offered vide Rc.No.4128/SPDT/2019 Dt
27-09-2019/DSC-2019/ ,Dated: /2019 issued by the District Selection Committee/District Collector District.
I hereby accept unconditionally, all the terms and conditions stated in the Appointment Letter issued vide Rc.No.4128/SPDT/2019 Dt 27-09-
2019/DSC-2019/ ,Dated: /2019 issued by the District Selection Committee /District Collector District.
I undertake that, I shall comply with all the terms and conditions relating to my appointment and state that I would serve to the best of my
knowledge and ability.
I undertake that, I shall be liable for any action that may be initiated against me, if any information or certificates furnished by me is found to be
false or incorrect or is misleading either in the antecedent verification form or otherwise, which are submitted for the purpose of securing my
employment.
SIGNATURE
(DANDE SAVITHRI)
Address :
Name :DANDE SAVITHRI ,
S/o / W/O / D/o :D VENKATASWAMY ,
1/A/6/35B,VINAYAKA TEMPLE MEKALAVARITHOTA,
ALLIPURAM,URBAN Nellore,
POTTI SREERAMULU NELLORE,524002
Mobile No : 9705066638
Hall Ticket No:190913002495
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