APPLICATION FORM
I. PERSONAL PROFILE
1. Name of the Candidate: (Capital letters)
Surname
Name
2. Fathers / Spouse name:
3. Social Status
: SC ST BC-A B C D E OC Min
4. Date of Birth
: DD MM Year
5. Nationality
6. Marital Status
: Married Unmarried
7. Native District 8. Native state
: : AP Other specify the state 10. Address for communication
9. Permanent address
Pin code :
Pin code :
11. Cell No.
12. E-Mail ID
II ACADEMIC DETAILS
(Start from First Degree / Graduation onwards)
S.No Group Subject Course type (Regular / Correspondent) Board / University Year of passing % of marks
Technical qualification: S.No. Subject Board / University Year of passing
Computer skills: 1. Knowledge of Hardware 2. Knowledge of Networking 3. Knowledge of Computer Programming 4. Practical knowledge of MS Office 5. Knowledge and usage of Internet : : : : : Good Good Good Good Good / / / / / Fair Fair Fair Fair Fair / / / / / None None None None None
III WORK EXPERIENCE INFORMATION: Details of function handled (Service matters, Agrl., Dairy, Banking etc.,) Duration Place From To
S. No.
Designation
Department / Institute / Organisation name
a. Last pay drawn (Enclose with salary certificate and one year bank statement of salary a/c)
: Rs.
b. Industrial knowledge (Agrl., Dairy, Banking, Financial, Rural development, etc., )
c. Functional area
d. Achievement and projects
e. Key skills
f. Publication of Books if any S.No. Title of the Book
: Year of published
g. Publication of papers if any S.No. Topic
: Year of published
h. Appreciations / Rewards received if any
IV. PURPOSE OF JOINING IN SERP :
1. Unit in which he/she is interested to work: (Land / Dairy / Education / NPM etc.)
2. Reasons for choosing SERP to work in General and particular unit specifically: (not more than 200 words)
SIGNATURE OF THE APPLICANT