Checklist Certificate Verification DSC-2024

CHECK LIST Affix Passport
FOR CERTIFICATE VERIFICATION OF DSC-2024 CANDIDATE. Size Photograph

to be attested
POST NAME _____________________________________ by the DEO,
Concerned
Sl. Details Particulars to be Whether the Whether the Remarks

No filled by the Original Original
Candidate by Certificates Certificates
his/her own hand has been Found
writing Verified Correct or
(Yes/No) not
1 Local District of the
Candidate
2 Post Applied District
3
Registration TR Number
4 DSC-2024 Hall ticket
Number
5
Date of Examination
6
Examination Center
Name
7 Category of the Post
8
Medium of Post
9
Candidate Name (With
Surname)
10
Father Name
11
Mother Name
12 Date of Birth ( as per SSC

or Equivalent)
13 Gender
14 Community/Caste
Certificate Number with
date of issue
Whether the Whether the
Particulars to be
Original Original
filled by the
Sl. Certificates Certificates Remarks
Details Candidate by
No. has been Found
his/her own hand
Verified Correct or
writing
(Yes/No) not
15 Do You have any
Physical Disability with
40% & above?
If Yes, please provide
Sadaram Certificate
with date of issue
16 Do you Claim EWS? If
yes, please provide EWS
Certificate with date of
issue
17 Are you Ex- Service
Man? If yes, please
provide Ex-Servicemen
Certificate
18 Are you Telangana
State Government
Employee? Provide
details i,e., Department
name and also NOC
issued by department.
19 Are You involved in any
Criminal Case? If Yes
Status of the case with
full details.
20 Are You Claiming
Sports Reservation?
Details thereon
Study Particulars to be filled by the Candidates:
Class(es) District Name of the School with Address Academic
Year
a) Class-I
b) Class-II
c) Class-III
d) Class-IV
e) Class-V
f) Class-VI
g) Class-VII
Particulars to be
Original Original
filled by the
Sl. Certificates Certificates
10th Standard Details candidate by Remarks
No. has been found
his/her own hand
verified correct or
writing
(Yes/No) not
21 Name of the Board
22 Hall Ticket No.
23 Date of Pass
24 GPA/Marks

Particulars to be
Original Original
filled by the
Certificates Certificates
10 + 2 Details: candidate by Remarks
has been found
his/her own hand
verified correct or
writing
(Yes/No) not
25 Group
26 Name of the Board/
University
27 Hall ticket Number
28 Date of Pass
29 Maximum Marks
30 Marks Secured
31 Percentage of Marks (%)

Particulars to be
Original Original
filled by the
Graduation Details candidate by Remarks
has been found
his/her own hand
verified correct or
writing
(Yes/No) not
32 Group

University
34 Hall Ticket No.

Particulars to be
Original Original
filled by the
Graduation Details candidate by Remarks
has been found
his/her own hand
verified correct or
writing
(Yes/No) not
35 Date of Pass
36 Maximum Marks
37 Marks Secured
38 Percentage of Marks(%)
Post Graduation Details Particulars to be Whether the Whether the Remarks

filled by the Original Original
candidate by Certificates Certificates
his/her own hand has been found
writing verified correct or
(Yes/No) not
39 Group

University
41 Hall Ticket No.
42 Date of Pass
43 Maximum Marks
44 Marks Secured
Percentage of Marks(%)
Professional Particulars to be Whether the Whether the Remarks

Qualifications Details: filled by the Original Original
(Yes/No) not
46 Whether Your Course is
completed?
47 Course Name
48 Name of the University
49 College Name
Professional Particulars to be Whether the Whether the Remarks
Qualifications Details: filled by the Original Original
(Yes/No) not
50 METHODOLOGY 1
51 METHODOLOGY 2
52 METHODOLOGY 3
53 Hall Ticket No.
54 Place of Study
55 Date of Pass
56 Maximum Marks
57 Percentage of Marks (%)
58 Marks Secured
TS TET/APTET/CTET Particulars to be Whether the Whether the Remarks
Details : filled by the Original Original
(Yes/No) not
59 TS TET/APTET/CTET
Details (Note: For AP
TET, eligible Up to June
02.2014 only)*
60 Hall Ticket No.
61 Qualified Subject in
Paper II or I
62 Date of Passing
63 Medium of TET II of I
64 Total Marks in Paper I
65 Secured Marks in paper
Note: The Candidate should give his preference for selection in Government
or Local Body Schools in the District.
Management Preference
Government Schools
Local Body Schools

Address for Correspondence:
Mobile Number :
Email ID :
Aadhaar Card Number# :
Identification Mark 1 :
Identification Mark 2 :
I, hereby declare that the above information submitted by me is true, if

any false information furnished by me, the department can take disciplinary
action and Criminal Case against me at anytime without assigning any notice
thereof.
Date:
Place:
Signature of the Candidate
Encl: 1. All Educational Qualification Certificates

2. Community certificate, Aadhar, Hall ticket,
Rank card and Study certificates, PHC Certificate,
EWS, etc.
DATE OF VERIFICATION:
Sl.No. Name of the verification Designation Signature
Officer with date
1
(for official use only)

I hereby certified that the details furnished by the candidate are verified
with the relevant original certificate with above information and found
correct/incorrect. Therefore, I hereby recommended/not recommended the
candidate for further selection to the______________________________________
post.
Signature of the DEO with

Stamp

Checklist Certificate Verification DSC-2024

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CHECK LIST Affix Passport

FOR CERTIFICATE VERIFICATION OF DSC-2024 CANDIDATE. Size Photograph

Sl. Details Particulars to be Whether the Whether the Remarks

7 Category of the Post

12 Date of Birth ( as per SSC

22 Hall Ticket No.

Whether the Whether the

27 Hall ticket Number

31 Percentage of Marks (%)

Whether the Whether the

33 Name of the Board/

34 Hall Ticket No.

Post Graduation Details Particulars to be Whether the Whether the Remarks

40 Name of the Board/

41 Hall Ticket No.

Professional Particulars to be Whether the Whether the Remarks

48 Name of the University

64 Total Marks in Paper I

65 Secured Marks in paper

Local Body Schools

Aadhaar Card Number# :

I, hereby declare that the above information submitted by me is true, if

Encl: 1. All Educational Qualification Certificates

(for official use only)

Signature of the DEO with

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