APPLICATION FORM FOR THE POST OF MANAGEMENT TRAINEE

(Adv: HRD/RECTT./ADVT./2011-12/07 )

BarCode: (M01037585RAGH290589) Registration No:

M01037585

1. Discipline applied: (B.Tech) Information Technology/Computer Science (6)

2. Test Centre for written Test: (34) SECUNDERABAD

3.

Category you belong to:

General

Type of disability

Percentage of disability 4. Sex: Male

Photograph

5. Name MR/MS.

Last Name

First Name

Middle Name MR. 6. Father's Name N V Bhaskar Reddy N R V RAGHAVENDRA REDDY

7. Mother's Name N Ramadevi

8. Mailing Address (Do not write your Name here TADIPATRI ANANTAPUR (DT), A.P PinCode:515411 9. Permanent Address TADIPATRI -515411 ANANTAPUR (DT), A.P 10. Email ID(To be valid for atleast 1 year) raghava.namala@gmail.com 11. Mobile No. & Phone Number with STD Code 12. Date of Birth(DD/MM/YYYY) 8019942209 15/651, PANCHAVATI ROAD, 15/651, PANCHAVATI ROAD,

29/05/1989

Adv: HRD/RECTT./ADVT./2011-12/07 Registration No: M01037585 13. Educational Qualification: (Do not enclose certificates at this stage)

Name of relevant Qualifying Exam. Passed / Appearing

Month & Year of passing*/Appearing (MM/YYYY)

University / Institution

Aggregate %age or CGPA/CPI with scale till last result declared

Course Duration (in yrs.) (B.Tech) Information Technology/Computer Science 04/2010 KAKINADA 67 % AGE 4 JNTU

Other Academic Qualifications Starting from High School onwards

Qualification

Year Board/ University/ Institute /

Aggregate %age or CGPA/CPI with scale Duration X XII 2004 BOARD OF SECONDARY EDUCATION 2006 BOARD OF INTERMEDIATE EDUCATION 87 1 95 2

Probable date of result awaited

** Please round off percentage of the marks to lower whole number e.g. For 74.9 , write 74

14. Project Work pursued as a part of Degree Requirement >Web Crawler Tool: A tool used for a refined, much localised and optimised web search using the concept of Webspiders or Crawlers and also help in finding any invalid links on the websites. 15. Practical Training/Experience

Organization / Period / From /To /

Training/Experience Details / TATA CONSULTANCY SERVICES(TCS) 07/02/2011 07/09/2011 Working as Asst.Software Engineer in TCS and have seven months of

experience as of 07/09/2011

16. All Papers cleared till last result declared: Yes 17.

Institutions approved by AICTE: Yes 18.

Universities recognized by UGC: Yes

19.

( ././.(.) ?

Passed the qualifying examination (i.e. B.E./B.Tech/B.Sc(Engg.)) in the minimum period required Yes

20. Child/Family Member of candidate killed in 1984 riots: No

Details of Demand Draft

Demand Draft No:452002 Bank Name:ANDHRA BANK Date:06/09/2011

Amount:Rs. 300

I declare that the information given above is true to the best of my knowledge. I am aware that any false or incorrect information by me may result in disqualification from the selection process or termination of services, in case selected.

Date:7/9/2011 Signature:___________________________

Registration No: M01037585 (Adv No: HRD/RECTT./ADVT./2011-12/07)

Enclosures: Candidates should enclose the following documents with application:-

1. Attested copy of Scheduled Caste/Scheduled Tribe/OBC/PD certificate (if applicable)

2. Demand Draft