welcome to tnpsc - application form print megu

7/11/13 Welcome to TNPSC - Application Form Print

tnpscexams.net/tnpsc_092013/registration_print.php?regno=MzkxMzc4NjIw&prnsrc=prn 1/3

ON-LINE APPLICATION FOR TNPSC REGISTRATION

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

39031

Registration # : 391378620

Full Name : M MEGANATHAN

One Time ID : --

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 : 125.00

Personal Details :

Date of Birth : 24/06/1990

Gender : MALE

Married : No

Religion : Hindu

Candidate's Place of Birth : PARANDUR

Native District : Kancheepuram

Father's Name : R MANI

Father's Place of Birth : Kancheepuram

Mother Tongue : Tamil

Mother's Name : M AMSHA

Communal Category : Backward Class(BC)

Name of the Sub‐Caste :Yadhava incl Idaiyar/Telugu speaking Idaiyar known as Vaduga Ayar or Vaduga Idaiyar or Golla andAsthanthra Golla

Certificate No : 6131284

Date Of Issue : 14/02/2005

Issuing Authority : Zonal Deputy Tahsildar

Taluk : Kancheepuram

District : Kancheepuram

Address for Correspondence : 35,PALLA STREET,

KARAIPETTAI ( VIA ),

PARANDUR VILLAGE & POST,

District Kancheepuram

State : Tamil Nadu

Pin : 631552

Permanent Address : 35,PALLA STREET,

KARAIPETTAI ( VIA ),

PARANDUR VILLAGE & POST,

District Kancheepuram

State : Tamil Nadu

Pin : 631552

Contact Details :

Email ID : [email protected]



Mobile No : 7708743344

EDUCATIONAL QUALIFICATION PARTICULARS :

Exam Passed Year ofPublication of

Result

Medium ofInstruction

Degree Major Subject Board /University

S.S.L.C : 2005 Tamil N/A N/A STATE BOARD

Others : --

Do you claim reservation for Persons Studied in Tamil Medium (PSTM)? : Yes

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 : 2632008

Year of Passing : 2005

Name of the Authority/ University : TN STATE BOARD

Preferential qualification for per notification : Yes

Type writing / Short hand Qualification

EnglishCert. No. Issued by Dir.of Technical Education

TamilCert. No. Issued by

Dir. of TechnicalEducation

TypeWriting

-- -- -- --

Shorthand

-- -- -- --

Computer Qualification (for Typist and Steno-Typist, Grade III) ? Do you possess Certificate Course in Computer on Office Automationawarded by the Technical Education Department? :

No

Preferential Physical Standards for per notification : Yes

Name of the Examination Centre District: Kanchipuram

Name of the Examination Centre : Kancheepuram

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 (Security) (Post Code 2400)2.Junior Assistant (Non-Security) (Post Code 2600) 3.Bill Collector, Grade-I (Post Code 2500) 4.Typist (Post Code 2200) 5.Steno-Typist, Grade III (Post Code 2300) 6.Field Surveyor (Post Code 2800) ,7.Draftsman (Post Code 2900)

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

Participation in Polit ical Activities (In agitation/As a Member of Polit icalOrganisation/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.

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: 2013-07-11 19:32:47 Signature of Applicant

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

welcome to tnpsc - application form print megu

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