Application for the Post of Estate Officer

Dr. Y. s. R. Horticultural University

Administrative office, p.B. no.7, Venkataramannagudem

West Godavari District-534 101, Andhra Pradesh

Application for the post of Estate Officer

1. / Name of the Candidate
(in block letters) / :
2. / Date of Birth / :
3. / Place of Birth
(including District) / :
4. / Nationality / :
5. / Do you belong to SC/ST/BC
If so, specify (Enclosed proof) / :
6. / Sex / : / Male / Female
7. / Mother tongue / :
8. / Languages known (Put P mark in the relevant column for ‘YES’ and X mark for ‘NO’
S.No. / Language known / Speak only / Read only / Read and Write
1.
2.
3.
4.
9. / Father’s name / :
10. / Address for correspondence / :
11. / Permanent Address / :
12. / Educational qualifications : (Graduation and above)
S.No. / Degree / Name of the College & University / Month & Year of passing / Max. marks / Marks obtained / Percentage
1.
2.
3.
4.
13. / Technical qualifications :
S.No. / Name of the Examination / Name of the Institution / Year of passing / Max. marks / Marks obtained / Percentage
1.
2.
3.
4.
5.
14. / Departmental Tests passed :
S.No. / Name of the Examination / Name of the Centre / Hall Ticket No. / Year of Passing
1.
2.
15. / Experience :
S.No. / Name of the Organization & Place / Post held / Scale of Pay / Service / Period
From / To / Y / M / D
1.
2.
3.
4.
5.
16. / Details of Registration Fee :
Name of the Bank Branch / DD No. / Date / Amount

Certified that no medical authority has declared me not eligible for Government Service earlier. I declare that the information furnished above is true and correct to the best of my knowledge and belief. If the above information is found to be false/incorrect, I may be terminated at any time without notice.

Date :

Place :

Signature of the applicant