AYUSH
     *   Indicates mandatory fields
Personal Details
 1.Post Name : *
 2.Zone :(Provide order of Preference 1 to 6) *
Zone I II III IV V VI
Priority
 3.Name of the Applicant: *
 4.Father's / Husband Name: *
 5.Date of Birth *  6.Sex : * Male Female
 7.Nationality *  8.Social Status: *
 9.Physically disabled : * Yes No
Education Details
10.Details of education from Class IV to X
(For Determination of local status in accordance with the AP Public Employment Order,1975) *
S.No Class of
Study 		Year of
Passing 		Name of the School District Postal Address of School
1     
Click() here to copy IVth class data up to X
2
3
4
5
6
7
11(a).Applicant Local status * 11(b).Applicant Local District/Area *
Communication Details
12(a).Address for Communication : *
 (a)(1).House No.  (a)(2).Post No/Locality/Village
 (a)(3).Town  (a)(4).District
 (a)(5).Mandal
 (a)(6).Pin Code
 12(b).Permanent Address * Same as above
 (b)(1).House No.  (b)(2).Post No /Locality/Village
 (b)(3).Town  (b)(4).District
 (b)(5).Mandal
 (b)(5).Pin Code
 13(a). Phone No.(Land Line) : *
 Ex. 91 8416 255143 		91  13(b).Mobile No : *
 Ex. 919866771234 		91
 13(c). Email Id :
 Ex : saibaba123@gmail.com , sai_baba@yahoo.com
Qualification Details
 14(a).Qualifying Examination *
 14(b).Year of Passing of qualifying examination *
 14(c).Examination Type *    Semester-Wise                Year-Wise
Semester-Wise 1/12 2/12 3/12 4/12 5/12 6/12 7/12 8/12 9/12 10/12 11/12 12/12 Total
Year-Wise 1/6 2/6 3/6 4/6 5/6 6/6 Total
 15.Date of completion of Internship : *
Details of permanent registration with concerned board
 Select Region*                Telangana                Andhra
 16(a).Registration No. *
 16(b).Date of Registration *
 16(c).Date of Expiry *
Bank details
 17(a).DD Amount (in Rs)  17(b).DD No : *
 17(c).DD Date : *
 17(d).Name of Bank *  17(e).Branch Name *
Password Details
 Enter Password *  Confirm Password *
List of Enclosures Submit the printed copy of application with enclosures in order as mentioned in notification
  1. Xth Class certificate (for proof in support of date of birth).
  2. Final Degree/Provisional (BAMS/BHMS/BUMS/BNYS/Diploma in case of Naturopathy) Certificate.
  3. School study certificate (from 4 th to 10 th standard only).
  4. Copies of marks statement (BAMS/BHMS/BUMS/BNYS/Diploma in case of Naturopathy) - I to final year - University examinations only.
  5. Certificate of completion of Internship.
  6. Certificate of registration from concerned Board.