APMDC

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Applicant Details

Note: All uploads must be in PDF except Signature and Photo JPEG Format
Uploading Document size should be below 1MB.
Upload only Attested Copies by Gazetted Officer.
No age relaxation would be available to SC/ST/BC Candidates applying for unreserved vacancies.
The particulars furnished by the applicant in the application form will be taken as final. Candidates should, therefore, be very careful in filling the application.

Post applying for*

Mobile No*

Registration No*

Personal Details

Aadhaar No

Name (as per SSC)*

Gender*

Father's Name*

Post Category*

State*

Social Status*

Creamy Layer

Creamy Layer (PDF Format Only)

Date of Birth (DD/MM/YYYY)*

Age (As on 1st July 2023)* Age (As on 31st Jan 2024)*

Mobile No*

Alternative Mobile No

eMail ID*

Nationality*

Religion*

Native Place & District*

Person with Disability *

Disability Type *

Marital Status *

Languages Known *
Telugu English Hindi Other language

Applicant Photo (JPG/ JPEG Format Only)*

Applicant Signature (JPG/ JPEG Format Only)*

Aadhaar both sides (PDF Format Only)*

Permanent Address

H.No/Door No/Street - Full Address*

State*

Pin Code*

Correspondence Address:Same as Permanent address

Present Address

H.No/Door No/Street - Full Address*

State*

Pin Code*

Academic Qualifications

SSC (Select Mode of Study)*

Year of Passing*

SSC Board Name*

SSC (PDF Format Only)*

Intermediate*

Year of Passing*

Intermediate Board Name*

Intermediate (PDF Format Only)*

Polytechnic*

Year of Passing*

Diploma Issued Board Name*

Polytechnic (PDF Format Only)*

Graduation Degree * Graduation Degree

Year of Passing* Year of Passing

University* University

Degree (PDF Format Only)* Degree (PDF Format Only)

Post Graduation(PG)* Post Graduation(PG)

Year of Passing* Year of Passing

University* University

Service

Department Name*

Designation*

Work Location*

From Date*

To Date*

Service Certificate (PDF Format Only)*

Relavent Experience

Note: Please combine all No-Objection Certificates in same document and upload in case of multiple experience.
Will be considered from State/ Central and Private/ Public Sector Companies.

Department Name*

Designation*

Remarks*

From Date*

To Date*

Total Experience*

Exam Center

Exam Center*

Declaration

Declaration :-
I hereby declare that the information furnished above and all the statements made in this application are true and correct and complete to the best of my knowledge and belief. I further declare that I possess sound health.

Self Declaration

1. Have you ever been arrested by any enforcement agency? *

Details*

2. Have you ever been prosecuted under criminal or civil law?*

Details*

3. Is there any case pending against you in any court of law?*

Details*

4. Have you ever been fined by a court?*

Details*

5. Have you ever been convicted by any court for any offence?*

Details*

I give this information to the best of my knowledge and belief. I understand that in case any of the above information is not partially or completely true, my appointment in the Corporation would cease and I am liable for action under law.