Government of Andhra Pradesh

OFFICE OF THE COMMISSIONER FOR GOVERNMENT EXAMINATIONS APPLICATION FOR ADMISSION TO THE HINDI ENTRANCE EXAMINATION MONTH ..YEARREGD NO NOTE:-Fill the columns in (English) block letters 1. 2. 3. 4. 5. 6. Candidates Name Fathers Name Name of the Examination Centre Date of Birth Educational Qualification College/Institution in which admission Is sought into Hindi Pandits Training or Pracharak Training/Shikshak Full Postal Address Examination fee receipt-Specify (a) (d) Amount Paid (b) Challan No. (c) Date : : : : Male/Female SC/ST/BC-A/BC-B/BC-D/OC :

: :

7. 7.

Name of Treasury/Bank

Passport size photo of the candidate should be affixed Station : Date : Officer

Signature of the Candidate Marks of Identification: 1. .. 2. ..

Attested Signature of Gazetted With Designation and Address

Note:- The application form and the photo affixed shall be got attested by any Gazetted Officer of the State Government. ________________________________________________________________________________ ____

HINDI ENTRANCE EXAMINATION MONTH ..YEAR

Hall Ticket
Name of the Candidate Fathers Name Name of the Examination Centre Secretary CERTIFICATE OF IDENTITY Passport size photo of the candidate should be affixed Signature of the Candidate Marks of Identification : 1. .. 2. .. : : : Additional Joint Register No.

Station : Date : Officer

Attested Signature of Gazetted With Designation and Address

Note : All entries in the Hall Ticket except Roll No. and Centre should be filled by the candidate. Certificate of Date of Birth as required in G.O. Ms. No. 697, Education, Dated 13-7-76 by the Tahsildar follows. After due enquiry I certify that the Date of Birth of Master/Kumari ..S/o/D/o Sri is as follows.

Date of Birth in figures Date of Birth in words ..

Station : Date :

Tahsildar / Deputy Tahsildar / M.R.O. Concerned

List of Enclosures. (i) Attested copy of the General and Professional Qualification Certificates ( as mentioned in Co. No.5) (ii) Attested copy of T.C. from a recognised Institution in the State and in case the candidate has not studied as a regular student in any institution, a certificate from the Tahsildar concerned in the enclosed proforma. (iii) Two Self- addressed envelope of size 22 X 12 Cms.