1/3

ON-LINE APPLICATION FOR TNPSC REGISTRATION

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

29031
Registration # : 10115399

Full Name :

V RAMU

One Time ID : Name of The Post Applying for : Are you a Destitute Widow? : Are you a Differently Abled Person? : Are you an Ex-Serviceman ? : PPO No : Date of Discharge / Probable Discharge / Date : Are you a Government Employee? : Nationality / Citizenship : Application Fee / Intimation Charges details: Payment Mode: Amount : Personal Details : Date of Birth : Gender : Married : Religion : Candidate's Place of Birth : Native District : Father's Name : Father's Place of Birth : Mother Tongue : Mother's Name : Spouse's Name : Communal Category : Name of the SubCaste : Certificate No : Date Of Issue : Issuing Authority : Taluk : District : Address for Correspondence :

-Group IV NA NO NO --NO Indian

Post Office 50.00

04/02/1987 MALE No Hindu Madurai Madurai s Veeramuthu Madurai Tamil v Nagamma -Backward Class(BC) vaniya cheetiyar 226522 13/02/1988 Deputy Tahsildar Madurai (North) Madurai 36,ramnagar Madurai

District State : Pin : Permanent Address :

Madurai Tamil Nadu 625010 36,ramnagar Madurai

District State :

Madurai Tamil Nadu

2/3
Pin : Contact Details : Email ID : Mobile No : EDUCATIONAL QUALIFICATION PARTICULARS : Exam Passed S.S.L.C : H.S.C : Degree : Others : Details regarding the prescribed qualification : Qualification Details : Other Equivalent Qualification Details : Certificate No : Year of Passing : Name of the Authority/ University : Preferential qualification for per notification : Other Equivalent Qualification B.E 21225 2009 Anna University Yes English Type writing / Short hand Qualification Type Writing Short hand Name of the Examination Centre District: Name of the Examination Centre : Compulsory Subject (apart from General Knowledge) : Do you claim Age Concession? : Do You Claim Fee Exemption? : Post Preference : Criminal Case (Registered/Pending/Punishment awarded) : Participation in Political Activities (In agitation/As a Member of Political Organisation/Candidature in Election) : Post Qualification work experience (Start from present Employer) : Name of the Organisation Previous appearance for Oral Test / Written Test Name of the Post Register No. Year Designation From(mm/yyyy) To(mm/yyyy) Nature of Duty Madurai Peraiyur General Knowledge with English No No -Not Applicable Not Applicable SG -Tamil --Year of Passing 2003 2005 2009 Medium of Instruction English English English -Whether studied Tamil as one of the subject Yes Yes No ramuu@gmail.com 9842407123 625010

---

---

---

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 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 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 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.

3/3
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: 2012-05-05 10:23:34

Signature of Applicant

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