LPCET
*
-- Mandatory Fields.
APPLICATION DETAILS
1 a.
Applicant Name
*
b.
Applicant Surname
*
3.
Mother's Name
*
4.
Father's Name
*
5.
Date of Birth
*
6.
Gender
*
Male
Female
7.
Residential Address in Andhra Pradesh
*
7a.
Urban Area/Rural Area
*
SELECT
URBAN
RURAL
7b.
District
*
--Select--
VIZIANAGARAM
7c.
Mandal/Municipality
*
SELECT
7d.
Gram Panchayat/Municipality
*
SELECT
List of Panchayats/Municipalities having vacancies visible in dropdown.
7e.
Pincode
*
8.
Mobile
*
9.
Aadhar Number
*
10.
Community
*
---Select---
OC
BC-A
BC-B
BC-C
BC-D
BC-E
SC
ST
Community Certificate
11.
If Differently Abled(PH)
*
Yes
No
ONLY FOR PHYSICALLY HANDICAPPED(PH) CANDIDATES
11a.
Type of Handicap
*
VISUALLY HANDICAPPED(VH)
VH Percentage:
-Select-
40-45
46-50
51-55
56-60
61-65
66-70
Above 70
HEARING IMPAIRED(HI)
HI Percentage:
-Select-
40-45
46-50
51-55
56-60
61-65
66-70
Above 70
ORTHOPEDICALLY HANDICAPPED(OH)
OH Percentage:
-Select-
40-45
46-50
51-55
56-60
61-65
66-70
Above 70
11b.
Whether Scribe required
*
Yes
No
EDUCATIONAL QUALIFICATIONS
1. SSC or its Equivalent Qualificaton :
Select Board :
*
---Select---
BOARD OF SECONDARY EDUCATION, ANDHRA PRADESH
CBSE
ANDHRA PRADESH OPEN SCHOOLS SOCIETY
NATIONAL OPEN SCHOOLS
ICSE
OTHER STATE BOARD
Select Medium :
*
---Select---
TELUGU
URDU
HINDI
Others
Select Language
Select 1st Language :
*
---Select---
TELUGU
URDU
HINDI
Others
Date of Passing :
*
HallTicket No :
*
Upload Certificate :
*
Photograph with Signature
Paste the Photo on any white paper and Sign below(
sign in BLACK INK only
). Ensure that the signature is within the box. Scan the required size containing photograph and signature. Please do not scan the complete page.
The entire image consisting of the photo along with the signature is required to be scanned and stored in *.jpg format on local machine. Ensure that the size of the scanned image is not more than 50kb.If the size of the file is more than 50kb, then adjust the settings of the scanner such as the dpi resolution, no. of colours etc., during the process of scanning.
Applications with no photo/ unclear photo/ inadequate size photograph will not be accepted. Hall-Ticket will not be issued to such candidates. Hence, after pressing the '
UPLOAD
' button below check if the photo is of required size, clear and is of the same candidate of whom the details are to be filled in the application. If the photo is smaller in size, not clear or does not belong to the candidate press '
BACK
' button below the photograph on the application form and restart with scanning of the photograph.
Complaints relating to mismatch of photograph and candidate details will not be accepted after submitting of application at any cost.
Example Photo :
Attach your latest Photograph :
*