11/14/2015

TNPSC

TamilNaduPublicServiceCommission

c

c

POST SINCL UDE DINCOMB INE DCIVIL SE RVICE

Name o f th e P o st Ap p l yi n g fo r / 2  2
: E XAMINAT IONII(NONINT E RVIE WPOST S)(GROUPIIA

SE RVICE S)
No ti fi c ati o n No . /  2 : 1 7 / 2 0 1 5
Ap p l i c ati o n No . / 2  2 : 5 1 7 1 4 2 9 5 9
Reg i strati o n Date :/  : 2 2 1 0 2 0 1 5 1 8 :2 3 :3 1

Name o f th e Can d i d ate/ 2  P
:

In i ti al s

Name

 

NAVE E NKUMAR

Gen d er/ 2 : MAL E

Date o f Bi rth / K : 1 3 0 6 1 9 9 3

Fath er' s Name/ K :

Mo th er' s Name/ :

In i ti al s

Name

 

GANE SAN

In i ti al s

Name

 

B HARANI

Mari tal S tatu s/ 2 ? UNMARRIE D

Can d i d ate' s P l ac e o f Bi rth / 2  K 2 : ANANT HAPURAM
Nati ve Di stri c t/ K  2 : VIL L UPURAM
Fath er' s P l ac e o f Bi rth / K K 2: VIL L UPURAM
Mo th er To n g u e/ : T AMIL
Nati o n al i ty/ 2 : INDIAN
Rel i g i o n / 2: HINDU

CertificateDetails / 2

2cRc
Co mmu n al Categ o ry/  : B ACKWARDCL ASS(B C)
Name o f th e S u b Caste/
 P
:

DE VANGAR

Certi fi c ate No /
2 :

5621220

Date o f Issu e/  :

1 9 0 6 2 0 0 6

Issu i n g Au th o ri ty/

P :

Z ONAL DE PUT Y
T AHSIL DAR

Di stri c t/  2 :

VIL L UPURAM

Tal u k/  2 :

VIL L UPURAM

Are yo u a Di fferen tl y Ab l ed P erso n /
? NO

Are yo u a Go vern men t E mp l o yee/  ? NO
Have yo u b een d eb arred o r d i sq u al i fi ed b y th e P u b l i c S ervi c e
Co mmi ssi o n o r an y o th er rec ru i ti n g ag en c y fro m ap p eari n g
exami n ati o n s an d sel ec ti o n s fo r sp ec i fi c p eri o d o r p erman en tl y? /
2  K

2 P  K  2P K

NO

K   

 
  ?

Are yo u an E xS ervi c emen /
 ? NO

Cri mi n al Case Reg i stered /
   ? NO
P arti c i p ati o n i n P o l i ti c al Ac ti vi ti es / 
? NO

CommunicationDetails /

cRc
Co rresp o n d en c e Ad d ress/ P

http://182.18.164.63/tnpscen172015/tfrmAcknowledgement.aspx

P erman en t Ad d ress/ K P

1/3

11/14/2015

TNPSC
1 / 1 1 6 ,PE RUMAL KOIL
ST RE E T ,

Ad d ress Li n e 1 / P 1 : 1 / 1 1 6 ,PE RUMAL KOIL ST RE E T ,

Ad d ress Li n e 1 / P 1 :

Ad d ress Li n e 2 / P 2 : PANAMAL AI&POST ,

Ad d ress Li n e 2 / P 2 : PANAMAL AI&POST ,

Ad d ress Li n e 3 / P 3 : ANANT HAPURAMVIA

Ad d ress Li n e 3 / P 3 : ANANT HAPURAMVIA

S tate/ 2: T AMIL NADU

S tate/ 2: T AMIL NADU

Di stri c t/  2 : VIL L UPURAM

Di stri c t/  2: VIL L UPURAM

P i n c o d e/

: 6 0 5 2 0 1

P i n c o d e/

: 6 0 5 2 0 1

E mai l ID/

 P : na v eenkuma r1 3 6 9 3 @g ma i l .co m

Mo b i l e No / 2 : 9 7 9 1 2 5 9 9 0 8

EducationalQualificationParticulars / c

cRc
S S LC
Date o f Resu l t P u b l i sh ed /  :

3 0 0 5 2 0 0 8

Med i u m o f In stru c ti o n /
:

T AMIL

Name o f th e Bo ard / Un i versi ty /  2/  2 :

ST AT E B OARD

Certi fi c ate Nu mb er/
2 :

5822680

Wh eth er stu d i ed Tami l as o n e o f th e su b jec t/


?

YE S

HS C
Date o f Resu l t P u b l i sh ed /  :

1 4 0 5 2 0 1 0

Med i u m o f In stru c ti o n /
:

T AMIL

Name o f th e Bo ard / Un i versi ty /  2/  2 :

ST AT E B OARD

Certi fi c ate Nu mb er/
2 :

5130475

Wh eth er stu d i ed Tami l as o n e o f th e su b jec t/


?

YE S

U n d erGrad u ate
Date o f Resu l t P u b l i sh ed /  :

0 7 0 4 2 0 1 5

Name o f th e Deg ree /   
:

OT HE RT HANAB OVE DE GRE E S

S p ec i fy th e Deg ree wi th Majo r S u b jec t

B .E E E E

Name o f th e Bo ard / Un i versi ty /  2/  2 :

ANNAUNIVE RSIT Y

Certi fi c ate Nu mb er/
2 :

AUT CF1 1 2 8 9 3

Wh eth er stu d i ed Tami l as o n e o f th e su b jec t/


?

Med i u m o f In stru c ti o n /
:

NO
E NGL ISH

Do yo u h ave th e P h ysi c al S tan d ard s as p er n o ti fi c ati o n ? /

   


? :

YE S

*Have yo u p assed th e Certi fi c ate c o u rse i n Co mp u ter o n Offi c e

NO
Au to mati o n award ed b y th e Tec h n i c al E d u c ati o n Dep artmen t. /

ExaminationParticulars /
c2cRc
Name o f th e E xami n ati o n Cen tre/
: VIL UPURAM
S u b jec t( s) fo r E xami n ati o n /
2:

GE NE RAL ST UDIE S(DE GRE E ST ANDARD)ANDGE NE RAL

T AMIL (SSL CST ANDARD)

RegistrationFees
* P aymen t Mo d e

Declaration /
I h ereb y d ec l are th at al l th e p arti c u l ars fu rn i sh ed i n th i s ap p l i c ati o n are tru e, c o rrec t an d c o mp l ete to th e b est o f my kn o wl ed g e an d b el i ef.
In th e even t o f an y i n fo rmati o n b ei n g fo u n d fal se o r i n c o rrec t o r i n el i g i b i l i ty b ei n g d etec ted b efo re o r after th e exami n ati o n , ac ti o n c an b e
taken ag ai n st me b y th e TNP S C.
2    2

 2 , P
2 .


   2  2 
2 


 2
  2
.

I h ereb y d ec l are th at I wi l l n o t b e a p arty to an y ki n d o f c an vassi n g o n my b eh al f.

 K 2
K  
.

I fu rth er d ec l are th at I fu l fi l al l th e el i g i b i l i ty c o n d i ti o n s p resc ri b ed fo r ad mi ssi o n to th e exami n ati o n .

 2


.

I h ave g o n e th ro u g h th e i n stru c ti o n s to th e c an d i d ates an d th e Co mmi ssi o n ' s n o ti fi c ati o n fo r th i s Rec ru i tmen t b efo re fi l l i n g u p th e
ap p l i c ati o n fo rm.

http://182.18.164.63/tnpscen172015/tfrmAcknowledgement.aspx

2/3

11/14/2015

TNPSC

"2   "
2   2    2
K
2   
.

I d ec l are th at I p o ssess th e P h ysi c al stan d ard s p resc ri b ed fo r th e p o st( s) wh i c h I am n o w ap p l yi n g .

2  2  




.

I Certi fy th at I h ave n o t b een d eb arred / d i sq u al i fi ed b y th e TNP S C o r an y o th er rec ru i ti n g ag en c y.

 K
  
 2  


.

I am n o t a d i smi ssed Go vern men t E mp l o yee.

 

.

Print Logout

http://182.18.164.63/tnpscen172015/tfrmAcknowledgement.aspx

3/3