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Welcome to TNPSC - Application Form Print

ON-LINE APPLICATION FOR TNPSC REGISTRATION

39041
Registration # :

419412477

Notification. No. :

18/2014

Full Name :

A ANANDHAN

Do you have One Time Registration ID? :

YES

One Time ID :

12681566

Name of The Post Applying for :

Junior Assistant/Bill Collector/Field Surveyor/Draughtsman

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 date of Discharge :

--

Are you a Government Employee? :

NO

Nationality :

Indian

Application Fee / Intimation Charges details:

Payment Mode:

Net Banking

Amount :

75.00

Personal Details :
Date of Birth :

09/06/1988

Gender :

MALE

Marital Status :

UnMarried

Religion :

Hindu

Candidate's Place of Birth :

DHARMAPURI

Native District :

Dharmapuri

Father's Name :

V AZHAGESAN

Father's Place of Birth :

Dharmapuri

Mother Tongue :

Tamil

Mother's Name :

V VALLIYAMMAL

Communal Category :

Backward Class(BC)

Name of the SubCaste :

KonguVellalar incl. Vellala Gounder/Nattu Gounder/Narambukattil Gounder/Tirumudi

Vellalar/Thondu Vellalar/Pala Gounder/Poosari Gounder/Anuppu Vellala Gounder/Padaithalai
Gounder/Chendalai Gounder/Pavalankatti vellala Gounder/Pala Vellala Gounder/ Sangu Vellala
Gounder & Rathnagiri Gounder

Certificate No :

7048228

Date Of Issue :

31/07/2009

Issuing Authority :

Tahsildar

Taluk :

Pappireddipatti

District :

Dharmapuri

Address for Correspondence :

NO.ENJANOOR (VILLAGE)
RANIMOOKKANOOR (PO)
PAPPITEDDIPATTI (TK)

District

Dharmapuri

State :

Tamil Nadu

Pin :

635303

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Permanent Address :

NO.ENJANOOR (VILLAGE)
RANIMOOKKANOOR (PO)
PAPPITEDDIPATTI (TK)

District

Dharmapuri

State :

Tamil Nadu

Pin :

635303

Contact Details :
Email ID :

aanandhanbca@gmail.com

Mobile No :

8939202801

EDUCATIONAL QUALIFICATION PARTICULARS :

Exam Passed

Date of
Publication of
Results

Medium of
Instruction

Degree

Major Subject

Board /
University

S.S.L.C :

26/06/2004

Tamil

N/A

N/A

STATE BOARD

H.S.C or Equivalent
Qualification :

22/03/2006

Tamil

N/A

H.S.C

Others :

--

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

No

Are you trained person in Survey in ITI, Tamil Nadu?

(Eligible for Field Surveyor and Draughtsman post only)? :

No

STATE BOARD

Whether you are applying with the Educational Qualification as Prescribed in

Prescribed Qualification
the notification or with an equivalent qualification :
Details regarding the prescribed qualification :
Qualification Details :

SSLC

Certificate No :

1732496

Year of Passing :

2004

Name of the Authority/ University :

STATE BOARD OF TAMILNADU

Preferential qualification for per notification :

No
English

Type writing / Short hand Qualification

Cert. No. Issued by Dir.

Tamil
of Technical Education

Cert. No. Issued by

Dir. of Technical
Education

Type
Writing

--

--

--

--

Short
hand

--

--

--

--

Computer Qualification (for Typist and Steno-Typist, Grade III) ?

Do you possess Certificate Course in Computer on Office Automation
awarded by the Technical Education Department? :

No

Physical Standards as per notification :

No

Name of the Examination Centre District:

Dharmapuri

Name of the Examination Centre :

Harur

Optional Subject :

General Studies with General Tamil (S.S.L.C Standard)

Do you claim Age Concession? :

No

Do You Claim Fee Exemption? :

No

Criminal Case (Registered/Pending/Punishment awarded) :

Not Applicable

Participation in Political Activities (In agitation/As a Member of Political

Organisation/Candidature in Election) :

Not Applicable

Experience Details :
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 or

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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.

7. I Certify that I have not been debarred / disqualified by the TNPSC or any other recruiting agency.

8. I am not a dismissed Government Employee.

I accept the above declaration

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Place:

Date: 2014-11-12 16:27:37

Signature of Applicant

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

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