tnpsc092013_390922254.pdf

7/29/2019 TNPSC092013_390922254.pdf

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ON-LINE APPLICATION FOR TNPSC REGISTRATION

This online application is provisional subject to payment of application fees/ intimation charges

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Registration # : 390922254

Full Name : S RAJESH

One Time ID : 10124098

Name of The Post Applying for : Group-IV Services

Are you a Destitute Widow? : NA

Are you a Differently Abled Person? : NO

Are you an Ex-Serviceman ? : NO

PPO No : --

Date of Discharge / Probable Discharge / Date : --Are you a Government Employee? : NO

Nationality / Citizenship : Indian

Application Fee / Intimation Charges details:

Payment Mode: Post Office

Amount : 75.00

Personal Details :

Date of Birth : 03/02/1987

Gender : MALE

Married : No

Religion : Hindu

Candidate's Place of Birth : KUMBAKONAM

Native District : Tiruvarur

Father's Name : V SUBRAMANIAN

Father's Place of Birth : Tiruvarur

Mother Tongue : Tamil

Mother's Name : S JAHATHAMBAL

Communal Category : Backward Class(BC)

Name of the Sub‐Caste : Velar

Certificate No : 29563710

Date Of Issue : 20/06/2004

Issuing Authority : Zonal Deputy Tahsildar

Taluk : Valangaiman

District : Tiruvarur

Address for Correspondence : 1/33 EAST STREET

GOVINDAKUDI(PO)

VALANGIMAN(TK)

District Tiruvarur

State : Tamil Nadu

Pin : 612704

Permanent Address : 1/33 EAST STREET

GOVINDAKUDI(PO)

VALANGIMAN(TK)

District Tiruvarur

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State : Tamil Nadu

Pin : 612704

Contact Details :

Email ID : [email protected]

Mobile No : 7373958209

EDUCATIONAL QUALIFICATION PARTICULARS :

Exam Passed Year of

Publication of

Result

Medium of

Instruction

Degree Major Subject Board / University

S.S.L.C : 2004 Tamil N/A N/A Sateboard

H.S.C : 2006 Tamil N/A N/A Sateboard

Others : --

Do you claim reservation for Persons Studied in Tamil Medium (PSTM)? : No

Are you trained person in Survey in ITI, Tamil Nadu?

(Eligible for Field Surveyor and Draughtsman post only)? :No

Details regarding the prescribed qualification :

Qualification Details : SSLC

Other Equivalent Qualification Details : --

Certificate No : 1415027

Year of Passing : 2004

Name of the Authority/ University : Sateboard

Preferential qualification for per notification : No

Type writing / Short hand Qualification

EnglishCert. No. Issued by Dir. of

Technical EducationTamil

Cert. No. Issued by Dir.

of Technical Education

Type

Writing-- -- -- --

Short

hand-- -- -- --

Computer Qualification (for Typist and Steno-Typist, Grade III) ?

Do you possess Certificate Course in Computer on Office Automation

awarded by the Technical Education Department? :

No

Preferential Physical Standards for per notification : Yes

Do you claim reservation for Persons Studied in Tamil Medium (PSTM)? : No

Name of the Examination Centre District: Thiruvarur

Name of the Examination Centre : Valangaiman

Optional Subject (As per Notification) : General Studies with General Tamil (S.S.L.C Standard)

Do you claim Age Concession? : No

Do You Claim Fee Exemption? : No

Post Preference :

1.Junior Assistant (Non-Security) (Post Code 2600)

2.Junior Assistant (Security) (Post Code 2400)

3.Bill Collector, Grade-I (Post Code 2500)

4.Field Surveyor (Post Code 2800)

5.Draftsman (Post Code 2900)

Criminal Case (Registered/Pending/Punishment awarded) : Not Appl icable

Participation in Political Activities (In agitation/As a Member of Political

Organisation/Candidature in Election) : Not Applicable

Post Qualification work experience (Start from present Employer) :

Name of the Organisation Designation From(mm/yyyy) To(mm/yyyy) Nature of Duty

Previous appearance for Oral Test / Written Test

Name of the Post Register No. Year

VAO 2674513 2013

-- -- --

DECLARATION:

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1. I hereby dec lare that all the particulars furnished in this application are true, cor rect and c omplete to the best of my knowledge and belief. In the event of any information being found false or

incorrect or ineligibility being detected before or after the examination, action can be taken against me by the TNPSC.

2. I hereby declare that I will not be a party to any kind of canvassing on my behalf.

3. I further declare that I fulfil all the eligibility conditions presc ribed for admission to the examination.

4. I have informed my employer in wr iting that I am applying for this Examination.

5. I have gone through the Instruc tions etc. to candidates and the Commissions notification for this Recruitment before filling up the application form.

6. I declare that I possess the medical standards prescribed for the post(s) which I am now applying.

7. I certify that I have not been debarred by the TNPSC or any other recruiting agency.

8. I am not a dismissed G overnment Employee.

I accept the above declaration

Place:

Date: 2013-07-03 12:20:11 Signature of Applican

Please retain your Registration No. and Password emailed to you carefully for further reference

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tnpsc092013_390922254.pdf

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