Registered Online Application Form for 03-TECHNICAL OFFICER-C(DRILLING)

To
The Assistant Personnel Officer(Recruitment)
Atomic Minerals Directorate for Exploration & Research,
Department of Atomic Energy,Government of India,
1-10-153-156,AMD Complex, Begumpet
Hyd-500016,
Telangana.

With reference to your advertisement, I hereby submit my Application on : 2016-02-04 20:26:05

Advertisement No: 01/2016

03-TECHNICAL
Post Name: OFFICER-C
(DRILLING)

Application No

Category : SC(SC)

02786411

Examination Center
Preferred:
Qualification:

HYDERABAD
B.TECH-MECHANICAL ENGG

Personal Details
Name

: PATNALA SANKARA RAO

Father's Name

: PATNALA CHINNA RAO

: MALE

Gender

Marital Status

If Person with Disability

: NO

Date Of Birth

: Jun 19, 1989

Age as on 22-02-2016

Nationality

: Indian

Religion

ANDHRA PRADESH

State of Domicile :
Mother Tongue

: TELUGU

Mobile Number

: 9703720553

Departmental
Candidate

Nearest Hospital :

: 26 Yrs 08 Mths 04 Days

:

Hindu

Nearest Raliway Station :

DUVVADA

Languages Known

: ENGLISH AND TELUGU

Email Id
Ex-Seviceman

SINGLE

NO

SANKARARAO.PATNALA@GMAIL.
COM

NO

KGH

Are you a family member of those who died in 1984 RIOTS:

NO

Whether Ordinally domiciled (resided) in the State of Jammu & Kashmir between 01/01/1980 and 31/12/1989:

Address for Correspondence

NO

30-96-38,KANITHI COLONY,VADLAPUDI POST, VISAKHAPATNAM,ANDHRA

PRADESH,530046

Phone Number(With STD Code) :

Permanent Address

30-96-38,KANITHI COLONY,VADLAPUDI POST, VISAKHAPATNAM,ANDHRA

PRADESH,530046

Phone Number(With STD Code) :

Continued Page 2 ....

Primary Qualifications and Additional Qualifications :

% of Marks :

73.47%

Sno Name of Degree

College

University

Month Of Year Of
Passing Passing

Class
Secured

Marks Status

B.TECH

VIGNAN'S
INSTITUTE OF
INFROMATION
TECHNOLOGY

JNTU KAKINADA

MAY

2011

Distinction

73.47

Completed

SSC

ZILLA PARISHAD
HIGH SCHOOL

STATE BOARD OF
SSC,
ANDHRAPRADESH

JUN

2005

Distinction

78.66

Completed

INTERMEDIATE

STATE BOARD OF
SREE KRISHNA
INTERMEDIATE,
JUNIOR COLLEGE
ANDHRAPRADESH

APR

2007

Distinction

82.3

Completed

Continued Page3...

DECLARATION
1. I hereby declare that the above information is factually correct to the best of my
knowledge and belief.
2. I am aware that my application is liable to be rejected if the information given is
incomplete or found to be incorrect.
3. I understand that in the event of any information being found false or

incorrect at any

stage or not satisfying the eligibility conditions according to the requirements

mentioned in the advertisement, my candidature /appointment is liable to be cancelled/
terminated.
4. I undertake to abide by all the conditions specified in the advertisement.

NOTE:- Please keep this copy for future reference to be submitted at the time of Verfication/
Interview.

Place

Date

Signature of the Applicant