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IB Form 2023

The document contains eligibility details of a candidate named PITTA SANDEEP KUMAR for a Multi-Tasking Staff position. It includes personal details like name, date of birth, gender, religion, address, category, and disability status. It also lists the candidate's educational qualifications and preferred test cities. The candidate has applied from Andhra Pradesh, is an OBC with no disabilities or special status, and has 10th grade qualifications from 2014. Payment of 500 rupees was made online for the application.

Uploaded by

Surya Deva
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© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
41 views

IB Form 2023

The document contains eligibility details of a candidate named PITTA SANDEEP KUMAR for a Multi-Tasking Staff position. It includes personal details like name, date of birth, gender, religion, address, category, and disability status. It also lists the candidate's educational qualifications and preferred test cities. The candidate has applied from Andhra Pradesh, is an OBC with no disabilities or special status, and has 10th grade qualifications from 2014. Payment of 500 rupees was made online for the application.

Uploaded by

Surya Deva
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Eligibility Criteria

Candidate Photo
Application Status Application Number Candidate's Name
PaymentSuccess IB230370114 PITTA SANDEEP KUM
AR
Date of Birth Age as on 13.11.2023 Gender
24/Sep/1999 24 Years 1 Months 21 Male
Days Marital Status
Unmarried
Religion Father's Name Mother's Name
Hindu PITTA ATCHIBABU PITTA VENU KUMARI
Email ID Mobile Number Alternate Mobile Nu
sandeepkumaryadav 6302293784 mber
[email protected] 9951678159

Post Details

Post Name Post Code


Multi-Tasking Staff/Ge 02
neral (MTS/Gen)

Test City Preferences

Preferred Test State Preferred Test City 1 Preferred Test State


1 Visakhapatnam 2
Andhra Pradesh Andhra Pradesh
Preferred Test City 2 Preferred Test State Preferred Test City 3
Vizianagaram 3 Vijayawada
Andhra Pradesh Preferred Test State
4
Andhra Pradesh
Preferred Test City 4 Preferred Test State Preferred Test City 5
Rajahmundry 5 Kakinada
Andhra Pradesh

Candidate Domicile and Category Details

Domicile State/Unio Subsidiary Intelligen Category


n Territory ce Bureau/SIB applyi OBC(NCL)
Andhra Pradesh ng to Nationality
Vijayawada A citizen of India
Do you have domicil
e certificate for the
SIB you are applying
to?
Yes

Person with Benchmark Disability Details

Are you a person wit


h minimum 40% dis
ability?
No

Ex Servicemen Details

Are you an Ex Servic


emen (ESM) ?
No

Other Details

Are you a Dependen Are you a Dependen Are you a sportspers


ts of victims of com t of victims of Anti-S on specified in Para
munal riot of 2002 i ikh riots of 1984? 1 (a) of D.o.P. & A.R.,
n Gujarat ? No O.M. No. 14015/1/76-
No Estt.(D), dated 4.8.19
80 ?
No

Departmental Employee Details

Are you a governme


nt servant (departm
ental candidate)?
No

Correspondence Address

Address Line 1 Address Line 2 Country


23-104 PEDAGADILI India
State City/District Pincode/Postal Code
Andhra Pradesh Visakhapatnam 530040
Is Permanent Addre
ss Same as Correspo
ndence address?
Yes

Permanent Address

Address Line 1 Address Line 2 Country


23-104 PEDAGADILI India
State City/District Pincode/Postal Code
Andhra Pradesh Visakhapatnam 530040
Matriculation (10th) Details

Name of the Board/ Institute Name Subject Combinatio


Council Viswa vignan vidyalay n
Board of secondary e am All general subjects
ducation Andhra Prad Qualified Please select any of
esh
Pass the following
CGPA
CGPA obtained Total CGPA CGPA Multiplying Fa
6.7 10 ctor
9.5
Calculated Percenta Month and Year of P
ge from CGPA assing
67 03/2015

Other Details

Do you have knowle Languages Known


dge of foreign/local l Telugu, Hindi, English
anguage except Engl
ish and Hindi?
Yes

Experience Details

Do you have any wor


k experience?
No
Name of Pos Type of Start d End da Pay Scale/ Length of servic
the Orga t he Organiz ate of s te of s CTC of the e rendered as w
nisation ld ation ervice ervice post held ork experience

Payment Details

Amount Payment Mode Payment Status


500 online Payment Success
Payment Transactio
n No.
CPADGGUMN0

Documents Upload

Signature

Document View / Download

To view your copy of State Domicile Certificate: Click here.


Declaration

I hereby certify that the information given by me in this Application Form is t


rue to the best of my knowledge. I certify that I fulfill the eligibility criteria sti
pulated in the Employment Notification and undertake to produce original d
ocuments whenever necessary and I will not demand any reschedule of exa
m. I agree to abide by the declaration of the authorities regarding the eligibil
ity of my application and understand that any misrepresentation or omissio
n of facts in my application may justify cancellation of my candidature.

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