Application Form
1. (a) Category Registration No. :
: School Assistant (Social Studies)
of the Post # TR202310147313
(b) Medium
: Telugu
of Post #
2. (a) Applicant
Name (With : GAIKAMBLE SAINATH
Surname)#
(b) Father
: GAIKAMBLE MADHAV
Name
(c) Mother
: GAIKAMBLE PADMINI BAI
Name
(d) Date of
Birth (as per
: 22-02-1991
SSC or
Equivalent)#
(e) Gender : Male
(f) Mother
: Marathi
Tongue
(g)
: SC
Community #
(h) Do you
have Caste : Yes
Certificate?
(i) Caste
Certificate : CND021502209555
Number
(j) Caste
Certificate : 14-08-2015
Issue Date
3. (a) Do you
have any
Physical
: Yes
Disability with
40 % & above?
#
(b) If Yes,
SADAREM
: 19241080070105077
Certificate
Number
(c) Disability
: Orthopaedically Challenged
Type
(d) Disability
: Above 70
Percentage
4. Do you Need
: Yes
a Scribe ?
5. (a) Do you
: No
Claim EWS? #
6. (a) Are you
Ex-Service : No
Man? #
7. (a) Are you
Telangana State
: No
Government
Employee? #
8. (a) Are you
involved in any : No
Criminal Cases?
9. (a) Are you
Claiming Sports : No
Reservation?
School Details
NOTE 1: If you are claiming local candidatures based on residence (Other than regular student candidates) Valid
residence certificates from competent authority has to be submitted at the time of verification.
NOTE 2: Candidates with regular school study have to submit study certificates from respective schools at the
time of verification.
Academic
Class District Study Type School/Village
Year
With Regular School
Class - I ADILABAD UPS GUDIHATHNOOR 1996 - 1997
Study
With Regular School
Class - II ADILABAD UPS GUDIHATHNOOR 1997 - 1998
Study
With Regular School
Class - III ADILABAD UPS GUDIHATHNOOR 1998 - 1999
Study
With Regular School
Class - IV ADILABAD UPS GUDIHATHNOOR 1999 - 2000
Study
With Regular School
Class - V ADILABAD UPS GUDIHATHNOOR 2000 - 2001
Study
With Regular School
Class - VI ADILABAD UPS GUDIHATHNOOR 2001 - 2002
Study
With Regular School
Class - VII ADILABAD UPS GUDIHATHNOOR 2002 - 2003
Study
Local District ADILABAD
Post Applied
ADILABAD
District#
10th Standard Details
Name of the Board / BOARD OF SECONDARY EDUCATION
Place of Study GUDIHATHNOOR
University ANDHRA PRADESH
Hall Ticket No. 0476062 Date of Pass 04-07-2007
Marks 298
10 + 2 Details
BOARD OF
Name of the Board /
Group HEC INTERMEDIATE
University
EDUCATION AP
Place of Study GUDIHATHNOOR Hall Ticket No. 1013320587
Date of Pass 28-06-2010 Maximum Marks 1000
Percentage of Marks
Marks Secured 381 38.10
(%)
Graduation
Name of the
Group/Branch B.A Kakatiya University
University
Optional/Major Optional/Major Sociology and
Political Science or Politics and Allied
Subject-1 Subject-2 Allied
Optional/Major
Economics and Allied Hall Ticket No. 363121011
Subject-3
College Name VIVEKANANDA DEGREE COLLEGE Place of Study ICHODA
Date of Pass 07-04-2015 Maximum Marks 1000
Percentage of Marks
Marks Secured 574 57.40
(%)
Post-Graduation No
B.Ed / Spl. B.Ed / D.Ed / Spl. D.Ed / Hindi Shikshan Parangat / DPEd. / BPEd. (Recognised by NCTE) / LPT /
HPT / LPU / LP Kannada / LP Tamil / LP Sanskrit / LP Marathi
Whether your course
Yes
is completed ?
Name of the KAKATIYA
Course Name B.Ed
University UNIVERSITY
College Name MUDUGANTI SURYAMMA B ED COLLEGE Methodology 1 Social Studies
Methodology 2 Telugu Methodology 3 Social Studies
Hall Ticket No. 16418E0033 Place of Study ASIFABAD
Date of Pass 20-10-2017 Maximum Marks 2200
Percentage of Marks
Marks Secured 1369 62.23
(%)
TS TET/APTET/CTET Details
TS
TET/APTET/CTET
Details (Note: For
TSTET Hall Ticket No. 88370119800501
AP TET, eligible up
to June 02, 2014
only)*
Qualified Subject in
Paper-II Date of Passing 01-07-2022
Paper II or I
Medium of TET II or Social Studies as
Telugu TET Paper II Option
I Optional
Total Marks in Paper Secured Marks in
150 69
II Paper II
Examination Test Centers #
Preference 1 Adilabad Preference 2 Karimnagar Preference 3 Khammam
Preference 4 Warangal Preference 5 Hyderabad Preference 6 Medak
Preference 7 Nizamabad Preference 8 Nalgonda Preference 9 Sangareddy
Preference 10 Ranga Reddy Preference 11 Mahabubnagar
10. (a) Address
: 7-13,
for
GUDIHATHNOOR,GUDIHATHNOOR,ADILABAD,TELANGANA,504308
Correspondence
(b) Mobile
: 8688286908
Number #
(c) EMail ID : sainathgk737@gmail.com
(d) Aadhaar
Card Number : xxxxxxxx1669
#
11. (a)
Identification : A MOLE ON THE LEFT FOOT
Marks 1
(b)
Identification : A MOLE ON THE RIGHT HAND
Marks 2
12. (a) Fee
particulars -
: NB
Payment
through:
(b) Payment
Reference : PTMIHS06105BD266EF2
Id:
(c) Amount
: 1000
(in Rs.):
NOTE: # - These Fields CANNOT be edited by the candidate, Remaining fields can be edited by the candidate
during the permitted period. For any clarification on the details contact at +91 - 9154114982 / +91 6309998812 (or)
eMail to helpdesktsdsc2023@gmail.com
Declaration:
I here by declare that, all the information furnished by me in this application is true and correct. I undertake to
produce the original documents at any point of time, falling which my candidature may be cancelled.
I here permit to capture my Aadhaar number (If provided) for this recruitment purpose and I understand that TS DSC
shall ensure security and confidentially of it.
I am responsible for the corrections of the above details filled by me and the TS DSC-2023 is not responsible in
anyway.
I have read all the provided qualifications for the applying post and eligible to apply.
Submitted Date & Time: 06-10-2023
Print Date & Time: 11-10-2023 12:14:12