APPLICATION NO : CCLA-2812179
GOVERNMENT OF ANDHRA PRADESH
Chief Commissioner Of Land Administration (CCLA)
APPLICATION FOR THE POST OF VILLAGE REVENUE OFFICERS
CCLA`s Ref. No. A2 /2059/2013, dated: 26.12.2013.
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Reference Id : 4012100812180
Name : SHASI BHARGAV GODAVARTHI
District : KRISHNA
Mandal : NANDIGAMA
Village : NANDIGAMA (U)(P)
Father's/Husband`s name : MOHANRAO GODAVARTHI
Date of birth : 6/3/1988
Gender : Male
Address for communication : DO NO 39 329 3
DVR COLONY
NANDIGAMA PO MD
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District : KRISHNA
Mandal : NANDIGAMA
Pincode : 521185
Community you belong : SC
e-Mail : SHASI.GODAVARTHI@GMAIL.COM
Mobile : 9642870386
Do you belong to Andhra Pradesh State : Yes
Are you an Ex-Service Man : No
Are you an A.P.State Govt. Employee : No
Are you a retrenched temporary employee in No
State Census Department :
Aadhaar No. 489932196417
Reference Number of VILLAGE REVENUE ASSISTANTS
Are you a PH-Person : No
Post Name : VILLAGE REVENUE OFFICERS
Qualification Details
Qualification : Intermediate or Equivalent Qualification
Written Examination Language
Choosen Written Examination language: ENGLISH/TELUGU
Payment Details
Fee Amount
Journal Number
Payment Date
150
E06FK540001946
08/01/2014
I hereby declare that all information furnished by me in this application is true and correct I undertake to produce
the original documents at any moment, failing which my candidature may be cancelled. I am fully aware that
furnishing false information will lead to a criminal case against me, apart from cancelling my candidature as it
amounts to cheating. I am aloneresponsible if any wrong entries are made by me in the application form.
Sd/SHASI BHARGAV GODAVARTHI
( 08-Jan-2014 11:39:09 PM )
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