Government of Andhra Pradesh OFFICE OF THE COMMISSIONER FOR GOVERNMENT EXAMINATIONS APPLICATION FOR ADMISSION TO THE HINDI ENTRANCE EXAMINATION MONTH ......YEAR.....REGD NO ....... NOTE:-Fill the columns in (English) block letters 1. Candidate's Name : 2. Father's Name : 3. Name of the Examination Centre : 4. Date of Birth : Male/Female SC/ST/BC-A/BC-B/BC-D/OC 5. Educational Qualification : 6. College/Institution in which admission Is sought into Hindi Pandits Training or Pracharak Training/Shikshak : 7. Full Postal Address : 7. Examination fee receipt-Specify (a) Amount Paid (b) Challan No. (c) Date (d) Name of Treasury/Bank Signature of the Candidate Passport size photo of the Marks of Identification: candidate should 1. ................ be affixed 2. ................ Station : Attested Date : Signature of Gazetted Officer 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 : Register No. Father's Name : Name of the Examination Centre : Additional Joint Secretary CERTIFICATE OF IDENTITY Signature of the Candidate Passport size photo Marks of Identification : of the candidate 1. ................should be affixed 2. ................ Station : Attested Date : Signature of Gazetted Officer 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 : Tahsildar / Deputy Tahsildar / Date : 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.
