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ON-LINE APPLICATION FOR TNPSC REGISTRATION

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

36032

Registration # : 341279190

Full Name : S BHARATHIKANNAN

One Time ID : --

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: Indian Bank

Amount : 50.00

Personal Details :

Date of Birth : 19/03/1990

Gender : MALE

Married : No

Religion : Hindu

Candidate's Place of Birth : THIRUCHIRAPALLI

Native District : Tiruchirappalli

Father's Name : A SELVAMANI

Father's Place of Birth : Tiruchirappalli

Mother Tongue : Tamil

Mother's Name : E JAGATHESWARI

Communal Category : Scheduled Caste (SC)

Name of the Sub Caste : Pallan

Certificate No : 4850632

Date Of Issue : 05/04/2007

Issuing Authority : Taluk Tahsildar

Taluk : Tambaram

District : Kancheepuram

Address for Correspondence : NO.7 T.N.E.B COLONY

ANAKAPUTHUR

CHENNAI

District Kancheepuram

State : Tamil Nadu

Pin : 600070

Permanent Address : NO.7 T.N.E.B COLONY

ANAKAPUTHUR

CHENNAI

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District Kancheepuram

State : Tamil Nadu

Pin : 600070

Contact Details :

Email ID : bharathikannan1990@gmail.com

Mobile No : 8939009793

EDUCATIONAL QUALIFICATION PARTICULARS :

Exam Passed Date of Publication of

Results

Medium of Instruction

Degree Major Subject Board / University

S.S.L.C : 04/06/2005 English N/A N/A MATRICULATION

H.S.C or EquivalentQualification :

14/05/2007English H.S.C

N/ASTATE BOARD

Degree : 01/06/2011 English B.E. ELECTRICAL ANNA UNIVERSITY

Others : --

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

Details regarding the prescribed qualification :

Qualification Details : Other Equivalent Qualification

Other Equivalent Qualification Details : B.E

Certificate No : L714198

Year of Passing : 2011

Name of the Authority/ University : ANNA UNIVERSITY

Do you have the preferential qualification as per notification? : No

Physical Standards as per notification : No

Type writingEnglish Tamil

Type Writing -- --

Name of the Examination Centre District: Chennai-South

Name of the Examination Centre : Saidapet

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

Do you claim Age Concession? : No

Do You Claim Fee Exemption? : No

Criminal Case (Registered/Pending/Punishment awarded) : Not ApplicableParticipation in Political Activities (In agitation/As a Member of PoliticalOrganisation/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 orincorrect 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 Commission s 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 hav e not been debarred / disqualified by the TNPSC or any other recr uiting agency.

8. I am not a dismissed G overnment Employee.

I accept the above declaration

Place:

Date: 2013-09-22 12:24:58 Signature of Applicant

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

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