tnpsc142013_341107537 application
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8/10/2019 TNPSC142013_341107537 APPLICATION
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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 # : 341107537
Full Name : P GAUTHAM
One Time ID : 13106316
Name of The Post Applying for :Combined Civil Services Exam - II
(Group II) - (Interview - Posts)
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 date of Discharge : --
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 : 24/04/1991
Gender : MALE
Married : No
Religion : Hindu
Candidate's Place of Birth : VRIDDHACHALAM
Native District : Perambalur
Father's Name : T PANDIYAN
Father's Place of Birth : Perambalur
Mother Tongue : Tamil
Mother's Name : P AMUDHA
Communal Category : Backward Class(BC)
Name of the SubCaste :Kammalar or Viswakarma/Viswakarmala incl. Thattar / Porkollar / Kannar / Karumar /
Kollar / Thachar / Kalthachar / Kamsala & Viswabrahmin
Certificate No : 6912861
Date Of Issue : 13/05/2008
Issuing Authority : Deputy Tahsildar (Certificates)
Taluk : Perambalur
District : Perambalur
Address for Correspondence : 5A/68 A7 BHARATHIDASAN STREET
7TH CROSS
PERAMBALUR
District Perambalur
State : Tamil Nadu
Pin : 621212
Permanent Address : 5A/68 A7 BHARATHIDASAN STREET
7TH CROSS
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PERAMBALUR
District Perambalur
State : Tamil Nadu
Pin : 621212
Contact Details :
Email ID : [email protected]
Mobile No : 7598335265
EDUCATIONAL QUALIFICATION PARTICULARS :
Exam Passed Date of
Publication of
Results
Medium of
Instruction
Degree Major Subject Board / University
S.S.L.C : 05/06/2006 English N/A N/A MATRICULATION
H.S.C or Equivalent
Qualification :
09/05/2008English H.S.C
N/ASTATE BOARD
Degree : 01/08/2012 English B.E. AERONAUTICAL ANNA UNIVERSITY
Others : --
Do you claim reservation for Persons Studied in Tami l Medium (PSTM)? : No
Details regarding the prescribed qualification :
Qualification Details : Any Degree
Other Equivalent Qualification Details : --
Certificate No : CBEA000130
Year of Passing : 2012
Name of the Authority/ University : ANNA UNIVERSITY
Do you have the preferential qualification as per notification? : No
Physical Standards as per notification : Yes
Type writing English Tamil
Type Writing -- --
Name of the Examination Centre District: Perambalur
Name of the Examination Centre : Perambalur
Optional Subject (As per Notification) : General Studies (Degree Standard) with General English (S.S.L.C Standard)
Do you claim Age Concession? : No
Do You Claim Fee Exemption? : No
Criminal Case (Registered/Pending/Punishment awarded) : Not Applicable
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
-- -- --
-- -- --
DECLARATION:
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.
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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 / disqualified by the TNPSC or any other recruiting agency.
8. I am not a dismissed G overnment Employee.
I accept the above declaration
Place:
Date: 2013-09-12 17:16:55 Signature of Applican
Please retain your Registration No. and Password emailed to you carefully for further reference
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