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ON-LINE APPLICATION FOR TNPSC REGISTRATION

34024
Registration # : 5008795

Full Name :

C KAVERI

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 : Communal Category : Name of the SubCaste : Certificate No : Date Of Issue : Issuing Authority : Taluk : District : Address for Correspondence :

12283305 Group I NO NO NO --NO Indian

NO FEE 0.00

10/04/1990 FEMALE No Hindu TIRUPATTUR Vellore K CHINNATHAMBI Vellore Tamil C SARASWATHI Most Backward Class(MBC) VANNIYAR 3623665 13/07/2005 Zonal Deputy Tahsildar Vaniyampadi Vellore ANNA NAGAR & VILLAGE KURUSILAPATTU , POST VANIYAMBADI , T.K

District State : Pin : Permanent Address :

Vellore Tamil Nadu 635702 ANNA NAGAR & VILLAGE KURUSILAPATTU , POST VANIYAMBADI , T.K

District State :

Vellore Tamil Nadu

State : Pin : Contact Details : Email ID : Mobile No : EDUCATIONAL QUALIFICATION PARTICULARS : Exam Passed S.S.L.C : H.S.C : Degree : Others : Whether studied Tamil as one of the subject : 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 : Preferential Physical Standards for per notification : Name of the Examination Centre : Compulsory Subject : Do you claim Age Concession? : Do You Claim Fee Exemption? : Under What Category? : No of free Attempts : Year of Passing 2005 2007 2010 Medium of Instruction Tamil Tamil English

Tamil Nadu 635702

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sathyamcomputerstpt@gmail.com 9791404823

Degree N/A N/A science -degree

Major Subject N/A N/A ZOOLOGY

Any Degree -A 131833 2010 THIRUVALLUVAR UNIVERSITY Yes Yes Krishnagiri General Knowledge No Yes Most Backward Class/Denotified Community 0 1.Deputy Collector (Code No.1001) 2.Deputy Superintendent of Police (Category I) (Code No.1002) 3.Assistant Commissioner (CT) (Code No.1003) 4.District Registrar (Code No.1005) 5.District Employment Officer (Code No.1007) Not Applicable Not Applicable

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 Designation

From(mm/yyyy)

To(mm/yyyy)

Nature of Duty

Register No.

Year

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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.

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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: 2012-12-15 16:40:12

Signature of Applicant

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