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    Acharya N.G. Ranga Agricultural University

    Uploaded by

    Namaste Kadapa
    This document contains an application form for the position of Seed Certification Officer in the Andhra Pradesh State Seed Certification Authority. The 14-question form requests information such as the applicant's name, date of birth, educational qualifications, experience, contact details, employment registration number, and languages known. The applicant must also provide documentation including age and community proofs, qualification certificates, service certificates (for experienced applicants), passport photos, and crossed demand draft. Upon submission, the form will be reviewed and a hall ticket sent via self-addressed envelope for attending the application process.

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    © All Rights Reserved
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    Acharya N.G. Ranga Agricultural University

    Uploaded by

    Namaste Kadapa
    351 views3 pages
    This document contains an application form for the position of Seed Certification Officer in the Andhra Pradesh State Seed Certification Authority. The 14-question form requests information such as the applicant's name, date of birth, educational qualifications, experience, contact details, employment registration number, and languages known. The applicant must also provide documentation including age and community proofs, qualification certificates, service certificates (for experienced applicants), passport photos, and crossed demand draft. Upon submission, the form will be reviewed and a hall ticket sent via self-addressed envelope for attending the application process.

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    This document contains an application form for the position of Seed Certification Officer in the Andhra Pradesh State Seed Certification Authority. The 14-question form requests information such as the applicant's name, date of birth, educational qualifications, experience, contact details, employment registration number, and languages known. The applicant must also provide documentation including age and community proofs, qualification certificates, service certificates (for experienced applicants), passport photos, and crossed demand draft. Upon submission, the form will be reviewed and a hall ticket sent via self-addressed envelope for attending the application process.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    351 views3 pages

    Acharya N.G. Ranga Agricultural University

    Uploaded by

    Namaste Kadapa
    This document contains an application form for the position of Seed Certification Officer in the Andhra Pradesh State Seed Certification Authority. The 14-question form requests information such as the applicant's name, date of birth, educational qualifications, experience, contact details, employment registration number, and languages known. The applicant must also provide documentation including age and community proofs, qualification certificates, service certificates (for experienced applicants), passport photos, and crossed demand draft. Upon submission, the form will be reviewed and a hall ticket sent via self-addressed envelope for attending the application process.

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    ACHARYA N.G.

    RANGA AGRICULTURAL UNIVERSITY


    ADMN.CAMP OFFICE: VIJAYA DURGA TOWERS: M.G.INNER RING ROAD: GUNTUR-522 509: A.P.

    APPLICATION FORM FOR THE POST OF SEED CERTIFICATION OFFICER


    in
    ANDHRA PRADESH STATE SEED CERTIFICATION AUTHORITY

    For office use only No.


    Affix Passport size
    Photo

    To be filled by the applicant

    1. Full Name of the Applicant : Surname


    (IN BLOCK LETTERS
    as recorded in SSC /
    Name
    Matriculation Certificate)

    2. Fathers / Husbands Name


    :

    3. Gender : M F
    (Please put tick mark)

    4. Date of Birth :
    Date Month Year

    5. Age as on 01.04.2017 :
    Years Months Days

    6. Social Status : SC ST Differentially BC GEN


    ( Please put tick mark abled
    in appropriate box
    in case of reserved Community
    Candidate )

    7. Educational qualifications : Qualification Marks % of Marks


    secured
    S.S.C.
    Intermediate
    B.Sc.(Ag)
    M.Sc.(Ag)

    8. Experience (Duration of :
    Years Months Days
    Experience with APSSCA
    only)

    Contd.2.,
    :: 2 ::

    9. Languages known : Language Read Write Speak


    (Please put tick mark)
    Telugu
    English
    Hindi
    If any other

    10. Permanent Address H.No. / Flat No


    :
    Area / Locality
    Village / Town
    Mandal
    District
    State & Pin code

    11. Present address / Mailing : H.No. / Flat No


    Area / Locality
    Village / Town
    Mandal
    District
    State & Pin code

    12. Particulars of Fees paid : Name of the DD / BC No. Date Amount


    (Rs.)
    Bank

    13. Employment Registration No.:

    14. Phone No. : 1) Land line :


    2) Mobile :

    DECLARATION

    I here by declare that the particulars furnished above are true to the best of my knowledge and
    belief and for any false averment will found later disqualify me from holding above appointment, if
    selected and appointed.

    Place:
    Date: SIGNATURE OF THE APPLICANT

    Contd.3.,
    :: 3 ::

    CHECK LIST OF ENCLOSURES (FOR THE APPLICATION):

    1. Age proof (as recorded in SSC / Matriculation Certificate)


    2. Community Certificate in case of reserved candidates (given by Tahsildar of Mandal)
    3. Qualifications, Study Certificate and Marks Lists of SSC/ Matriculation/ Intermediate /
    B.Sc.(Ag), M.Sc.(Ag). A proof of proficiency in Telugu language ( suitable certificate must be
    enclosed ).
    4. Service Certificate in case of experienced candidates (given by The Director, APSSCA)
    5. Affix (3) Passport size Photos (one on Application Form, two for the original & duplicate Forms
    of Hall Tickets)

    6. Crossed D.D. for Rs.1000/- ( Rs.500/- in case of SC/ST/Differentially abled candidates) drawn
    in favor of The Comptroller, ANGRAU, Guntur.

    7. Self addressed envelope size 22 x 9 cms. Duly affixing Rs. 20/- Postal Stamps for sending Hall
    Ticket.

    -------------------

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