Payment Reference No.

: TGS118111318836
1. Mobile Number # : 9381727280 Preserve the Registration Number for
2. Date Of Birth(DD/MM/YYYY) : 07/09/1987 all future correspondence.
3. Candidate's Name # : JEEVANE BUDHARATHAN
4. Gender # : MALE
REGISTRATION NO : 11810291641
5. Father's Name : J RAMJI
6. Mother's Name : J SULOCHANA
7. Community # : SC-3
8. Caste Certificate : [Link]
9. Do you belong to EWS? # : NO
10. EWS Certificate Number : NA
11. EWS Certificate : NA
[Link] you Differently Abled? # : NO
[Link] Of PwD : NA
14. Percentage Of Disability : NA
15. Disability Certificate : NA
16. Sadaram Certificate Number : NA
17. Do you need a Scribe? : NA
18. Identification marks 1 : A MOLE ON THE THROUGHT
19. Identification marks 2 : NA

20. House No & Village : 7 79 BUDHANAGAR 21. Mandal/Town : INDRAVELLY

22. District/City : ADILABAD 23. State : TELANGANA

24. Pincode/ZIP : 504346 25. Country : INDIAN

26. Alternate Mobile No. : NA 27. Landline Number(with STD Code) : NA

28. Email Id : JEEVANEBUDHARATAN@[Link] 29. Aadhaar Number # : 982349777160

Educational Details/Apply for TG SET:

30. Post Graduate Course # : M.A. 31. Subject for TG SET - 2025 # : History

32. Post Graduate Specialization Course # : History 33. Medium Of Question Paper # : ENGLISH & TELUGU

34. PG Hallticket Number # : 00123067778 35. Have you passed or are you currently appearing PG? # : APPEARING

36. Date of Passed PG # : NA 37. Date of Appearing PG # : 13/12/2025

38. Does your Community Certificate issued by 39. Post Graduate University Name:(UGC Recognized DR BR AMBEDKAR OPEN
Government of Telangana? # : YES University) : UNIVERISTY
40. PG Maximum Marks # : NA 41. PG Obtained Marks # : NA

42. PG Percentage # : NA
Examination Centers :
Preference - 1 Preference - 2 Preference - 3 Preference - 4 Preference - 5
Adilabad Karimnagar Hyderabad Nizamabad Warangal
Preference - 6 Preference - 7 Preference - 8 Preference - 9 Preference - 10
Khammam Rangareddy Mahabubnagar Medak Nalgonda
Payment Details :
Payment Reference No. Payment Mode Amount Payment Date Time
CFDC291094AD5C184 DEBIT CARD 1000.00 10/29/2025 6:39:11 PM

Note : # - These Fields CANNOT be edited by candidate, remaining fields can be edited by the candidate during the permitted period. For any clarification details
contact at helpdesk numbers provided in the website.

Declaration : I hereby declare that all information furnished by me in this application is true and correct. I undertake to produce the original documents at any moment, failing
which my candidature may be cancelled. I am fully aware that furnishing false information will lead to a criminal case against me, apart from cancelling my
candidature as it amounts to cheating. I am alone responsible if any wrong entries are made by me in the application form.

Print Date : 10/29/2025 6:47:36 PM

Submit Date : 10/29/2025 6:47:34 PM

Candidate Signature