ON-LINE APPLICATION FOR TNPSC REGISTRATION

22038Registration # : 2905060

Full Name : A SAHUL HAMEEDU

One Time ID : 11617155

Name of The Post Applying for : Village Administrative Officer

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: NO FEE

Amount : 0.00

Personal Details :

Date of Birth : 09/03/1979

Gender : MALE

Married : No

Religion : Muslim

Candidate's Place of Birth : Madurai

Native District : Madurai

Father's Name : M Abdul Rahiman

Father's Place of Birth : Madurai

Mother Tongue : Tamil

Mother's Name : A Maitheen Fathima

Communal Category : Backward Class-Muslim(BCM)

Name of the Sub‐Caste : Lebbai

Certificate No : 3752957

Date Of Issue : 21/09/2001

Issuing Authority : Head Quarters Deputy Tahsildar

Taluk : Madurai (South)

District : Madurai

Address for Correspondence : 22/11, Abdul Rahuman Street

Goripalayam

District Madurai

State : Tamil Nadu

Pin : 625002

Permanent Address : 22/11, Abdul Rahuman Street

Goripalayam

District Madurai

State : Tamil Nadu

Pin : 625002

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Contact Details :

Email ID : sahulhame1439@gmail.com

Mobile No : 9894254923

EDUCATIONAL QUALIFICATION PARTICULARS :

Exam Passed Year of Passing Medium of Instruction Degree Major Subject

S.S.L.C : 1994 Tamil N/A N/A

H.S.C : 1996 Tamil N/A N/A

Degree : 1999 English science Micro Biology

Post Graduate Degree : 2002 English science Micro Biology

Others : --

Whether studied Tamil as one of the subject : degree

Details regarding the prescribed qualification :

Qualification Details : SSLC

Other Equivalent Qualification Details : --

Certificate No : 2288918

Year of Passing : 1994

Name of the Authority/ University : State Board

Preferential qualification for per notification : Yes

Preferential Physical Standards for per notification : Yes

Type writing / Short hand Qualification

English Tamil

Type Writing -- --

Short hand -- --

Name of the Examination Centre District: Madurai

Name of the Examination Centre : Madurai South

Compulsory Subject : General Knowledge with Tamil

Do you claim Age Concession? : No

Do You Claim Fee Exemption? : Yes

Under What Category? : Backward Class/Backward Class (Muslims)

No of free Attempts : 3

Post Preference : 1.Village Administrative Officer (Post Code:2025)

Criminal Case (Registered/Pending/Punishment awarded) : Not Applicable

Participation 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 declare that all the particulars furnished in this application are true, correct and complete 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 prescribed for admission to the examination.

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

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5. I have gone through the Instructions 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 have not been debarred by the TNPSC or any other recruiting agency.

8. I am not a dismissed Government Employee.

I accept the above declaration

Place:

Date: 2012-07-14 10:48:12 Signature of Applicant

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

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