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Application

The document appears to be a fees challan form from the Karnataka Urban Water Supply & Drainage Board for a candidate named Shivakumara B K who is applying for the post of First Division Accounts Assistant with a post ID of 16. The form provides details of the candidate such as name, date of birth, address, education details, reservation category, and contact information. It also lists the application fee amount of Rs. 400. The candidate has signed the form, which is to be submitted at the post office along with the application fee payment. The post office official will also sign after receiving the fees.

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BasavarajBusnur
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369 views

Application

The document appears to be a fees challan form from the Karnataka Urban Water Supply & Drainage Board for a candidate named Shivakumara B K who is applying for the post of First Division Accounts Assistant with a post ID of 16. The form provides details of the candidate such as name, date of birth, address, education details, reservation category, and contact information. It also lists the application fee amount of Rs. 400. The candidate has signed the form, which is to be submitted at the post office along with the application fee payment. The post office official will also sign after receiving the fees.

Uploaded by

BasavarajBusnur
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 4

KARNATAKA URBAN WATER SUPPLY &

DRAINAGE BOARD

KARNATAKA URBAN WATER SUPPLY &


DRAINAGE BOARD

KARNATAKA URBAN WATER SUPPLY &


DRAINAGE BOARD

FEES CHALLAN

FEES CHALLAN

FEES CHALLAN

E Payment Biller Id

WATER_DRAINAGE BOARD.
DATE

: 30-Dec-2015

APPLICATION ID

106586

CANDIDATE NAME
SHIVAKUMARA B K
MOBILE NO

: 8884161277

POST APPLIED

POST ID : 16

AMOUNT (Rs.)

400.00

POST :

First Division Accounts


Assistant
Total

400.00

In words :

Four Hundred rupees Only


Candidate Signature:

E Payment Biller Id

WATER_DRAINAGE BOARD.
DATE

: 30-Dec-2015

APPLICATION ID

106586

CANDIDATE NAME
SHIVAKUMARA B K
MOBILE NO

: 8884161277

POST APPLIED

POST ID : 16

AMOUNT (Rs.)

400.00

POST :

First Division Accounts


Assistant
Total

400.00

In words :

*1065860400SHIVAKU*

PlP Ug g ggd v
MZgAr Aq.

*1065860400SHIVAKU*

PlP Ug g ggd v
MZgAr Aq.

*1065860400SHIVAKU*

PlP Ug g ggd v
MZgAr Aq.

POST OFFICE USE

DATE

: 30-Dec-2015

APPLICATION ID

CANDIDATE NAME
SHIVAKUMARA B K
MOBILE NO

First Division Accounts


Assistant
Total

400.00

In words :

Candidate Signature:
POST OFFICE USE
Recieved Date :

Reference No :

Reference No :

Reference No :

Seal :

Seal :

Seal :

KUWSDB COPY

400.00

POST :

Recieved Date :

CANDIDATE COPY

AMOUNT (Rs.)

POST ID : 16

POST OFFICE USE

Confirm your e payment at www.karnatakapost.gov.in


after 2 days of payment.

: 8884161277

POST APPLIED

Recieved Date :

Confirm your e payment at www.karnatakapost.gov.in


after 2 days of payment.

106586

Four Hundred rupees Only

Four Hundred rupees Only


Candidate Signature:

E Payment Biller Id

WATER_DRAINAGE BOARD.

Confirm your e payment at www.karnatakapost.gov.in


after 2 days of payment.

POST OFFICE COPY

PlP Ug g ggd v MZgAr Aq


KARNATAKA URBAN WATER SUPPLY & DRAINAGE BOARD
APPLICATION ID / Cf

AS :

106586

POST ID / AS

16

POST / z

First Division Accounts Assistant

Are you applying this application for Residual Cadre or Local Cadre (H-K) ?
: Residual Cadre

F CfAi AzzrAi Cx Ai Az (-P)


zrAi wg ?
CANDIDATE INFORMATION / CsyAi

gU

Name of the Candidate / CsyAi g

SHIVAKUMARA B K

Date Of Birth / nz AP

01-Apr-1993

Age / Ai

22 Years 9 Months 6 days

Place Of Birth / nz

BAGENAL

Sex / AU

Male

RESERVATION CLAIMED /

Pjg w

Age Ralaxation / Aiw rP

No

Age Relaxation Type / Aiw rP zs

--

No of Years of Service / g U

--

Reservation Claimed / Pjz w

GM

Caste / ew

LINGAYATH

SubCaste / G ew

LINGAYATH

CANDIDATE OTHER INFORMATION / CsyAi

Marital Status / vg

UnMarried

vAzAi / UAq g

KALLESHAPPA R

Job / Occupation / w / GzU

--

20000

Name of the Mother / vAi g

VANAJAKSHAMMA

Religion / zs

HINDU

Mobile No / AS

8884161277

Email-ID / E-

[email protected]

Evg iw

Name of the Father /Husband

Annual Income of family /

PlAz P gi

ADDRESS /

PRESENT ADDRESS / v

BAGENAL

HUNASEKATTE POST

CHITRADURGA

Post / CAZ

HUNASEKATTE

Taluk / vP

CHITRADURGA

Address /

Page 2 of 3

District / f

Chitradurga

State / gd

Karnataka

BAGENAL

HUNASEKATTE POST

CHITRADURGA

Post / CAZ

HUNASEKATTE

Taluk / vP

CHITRADURGA

District / f

Chitradurga

State / gd

Karnataka

Pincode / Pq

: 577517

Pincode / Pq

: 577517

PERMANENT ADDRESS / SAiA

Address /

EDUCATIONAL QUALIFICATION / PtP zsv

Prescribed Qualifiation / Uv zsv

: B.Com

Name of the University / zAiz g

: DAVANGERE UNIVERSITY

Total Aggregate / Pqg gj

: 74.39%
HORIZONTAL RESERVATION / v

Women reservation / w

: No

Rural Candidate / Ut Csy

: Yes

Physically Handicapped / CAUP

: No

Physically Handicapped Type / CAUPvAi zs

: --

Ex MP Reservation / if P w

: No

Kannada Medium Candidate / Pq izs Csy

: Yes

Have you studied Kannada Language in SSLC / Equivalent Exam as

: Yes

first/second or third language / J J J / vvi jPAi

Pq sAi x/wAi Cx vwAi sAiiV Ngg ?


Project Displaced / Aid gv
Are you employed in Govt/Govt undertaking ?

: No

/ Pj Cx

Pj z GzVAi ?
NOC Obtained / gPt itv qgg
Physical Identification Mark / jjP Ugv

: No

: No
: MOLE IN LEFT HAND MIDDLE FINGURE

Application Fee / Cf

400.00

CfAi rg J iwU Cj v APAiAv v t v PVgvz.


AiU v ZU Ul Nz,CU U iqv. CfAi rg
iwU CvAz wz Az Cx CvAi DAiAi Cx Avg PAq Az CfAi
wgjz v Aq PU P PP zVgv.

I hereby declare that all the contents entered in this application are true, complete and correct to the best of
my knowledge and belief. I have read the rules and understand that in the event of any information being
found false or ineligibility being detected before or after the selection, my application is liable to be rejected
and legal action taken by the disciplinary board.
30-Dec-2015

Application Submission Date / Cf z AP

Application Submission Place / Cf z

: CHITRADURGA

Candidate Signature

/ CsyAi

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