Tamil Nadu Public Service Commission
SOY BIO s17e4 Usury CSteurencoor wid
POSTS INCLUDED IN COMBINED CIVIE.
Name ofthe Post Applying for siren iSAe ssidar oie SERVICES EXAMINATION-H (GROUP-I)
UNTERVIEW POSTS).
Notification No, / atgisians cow 1572018
Anplieaton No, / sien ww RISA6S722
Registration Date :/ Ba swe ete) 07-09-2018
Name of the ApsHeanl/ Baramusrvdes Quast ReMISUSb Sad SuUt
™ MAHARATAN
Gender | uncters
Date of ith / Snbs 868 092
s Name
Fathers Name shngurs cue: swatiouebe bed Sou
urn
Initials ame
Mother's Name /scur) ouse. BweUduwaRbes Cou
Marital Status Boson akerwsrs UNMARRIED
Applicant's Place of birth (Oisre / hararvarsxNeARL Nora by THIRUNELVELL
Navve (Origin) Distie/State/Gentiscursta) wraicL oreo THIRUNELVELT
Father's Pace of Birth / spain? Savbs gu. THIRUNELVELL
Mother Tongue ans: Gow) TAMIL
Navona / 058 gr INDIAN
Religion fn. MINDU
Centificate Details neil spaaflar Slain tivesct
Communal Category / aia BACKWARD CLASS(BC)
ame ofthe
Sibel) KAMMALAR OR
oe: prone stonging to Tami a an ta ay oe of he Carman 28 vena VISNAKARMA/VISWAKARMALA
ertncate
Sachword:Clasen/Oenotiieg commontien or eases Sra
[tesla even troup they may Seong te anyone of he Communities spcted in tne SO
he Date of
Siege * erga sauces, eauscga ied. emene apasuuce
Mvheateare’gaaere mgey satenmive soem, q6'prvaceauSa) SEB
Bbtesstec. cerdads, arse) suey aearduraors aoubssuute. 1seuing
(autor? ngewe Gguoeni esande aeldae ces coe iuoar sg AUtnortY
Mdutease istbguiet, moccecae esidcaucoder srBeutts oa EAD QUARTERS DEPUTY
Sndsaebanre Siwha, quis, ab Srege! mgusere wom an Bend Cycigy TAHSILDAR
BRIER oc “BERA TL aoe tcsh SON ar aces amet
Are you a Diferently Abled Person / nto Rmerrstur + NO
Are you a Government Employee sirstiuewuiracr + NO
+ Are you a temporary ar discharged state Government employee because of
reduction in establishment or for any other renson But not 98 ssciplnary
Measure? forge ae Re Uevlunad a genmihs errarorea SOB
Suse pazems Susnte cas wi0scg srdenamosraaas NO
nade dedamiut wor aunw ong aoa Um Sale
+ Howe you received the award from the President of Indi For an
outstanding Scout pine Sobs sHenBeersr SALesEONas sow NO
+ Have you been debortes of sisqualified by the Public Service Commission NO
Or anyother recruiting agency from appearing for examinations ang
selections fre specie period or permanently? epgnnenama See
chip Lael Pulsar wamoulond egoaad wpb dafacche sabeCandee efeadinbas sisi
srogBpe saan oagdat acne sebibermegu OauiunicGemer
‘re you an Ex-Servicemen / aitenns siormasfaryn? NO
Criminal Case Registered | po ncind apie UBUULOsewnt NO
Participation in Paltiel Activites (yuh
Communication Details Qn. iu Wie laurie
adress Line 2
Sans esa
MAGARAJANAGAR
State /enyoas TAMIL NADU
District vac TIRUNELVELI State wiih TAMIL NADU
pincoge secs wats 627011 District oraicio, THIRUNELVELL
Pincoge aise wuts: 627014
mall 19 / See clvitrsja92@pmailcom
Educational Qualification Particulars meals so AGalss, Sarriumdr
ssiciudral G08 aeou
Date of Pubieation of Result / Gens csi COTA GULL Sa 1-05-2007
Name of the Board {University / csadeuedudsmosepsd Tile GOVERNMENT OF TAMIL NADU
Certificate Number! ora ese 42209931
Whetner studied Tamil as ane of the subject puis ow onere Oke yes
ashen oubpeetyr
Medium of Instruction / too Sen ENGLISH
HSC OR EQUIVALENT QUAL
Date of Publication of Res
Name ofthe Board / University! exdeitesenos
uc a8
ICATIONGROPOOG UeteNd BAB AdEB MErUTEr HS HER
14-05-2009
Certificate Number! sie cose 4152596
Waetner studied Tamil as one ofthe subject suing om siLeraeOba yes
Gepem uppers
Medium of Instruction / utd Send ENGLISH
ANY DEGREE OTIER THAN LAW IE CLCUMCIY BeBGRBIE Ap arMlenerts UCL:
Date of Publication of Result antay ene) Cea stutL oa 0-06-2013
Name of the Degree! ut uusider aus Be.
Major Subject wasiena Uno orners
LABaes esos
Name ofthe Board f University / 2
ee Number
\Wnetner studied Tamil as one ofthe subject / vies oo
Gaoem unease
ANNA UNIVERSITY
cent TvLenses
Sap den ENGLISH
Higher/Senior Grade in Tar and English?
Do you have practic! experience in Socal Welfare Work? NO
De you have practical experience in Social Welfare work? /Possess 2 Diploma
in'Socal Service Inclucing experience in Social and moral hygiene and after
Are you a released Short Service Commissioned Officer / Emergency
Commissioned officer ather Exaervcement NO
ave you passed Government Technical Examination in Back Keoping by
Higher / Senior Grade” NO
SSLUL Ga ecgse8 Cubgeetmn. YES
Preliminary Examination Particulars Gaifafleir aleun tinea
‘subject(s) for Preliminary Examination | sensigarer ur.
(GENERAL STUDIES (DEGREE STANDARD) +APTITUDE AND MENTAL ABILITY TEST.
(SSLE STANDARD) + QURgi BID (SLC
STANDARD)
fice clean
Name of the Main Examination Centre cai mows Su6- THRUNELYELT
‘ssubjocts) for Main Examination | Gazsioarsr ruin) GENERAL STUDIES (DEGREE STANDARD)
Registration Fees,
shoyment Mote NO FEE
Fee Concession mi ame quem
tergegrr
INSTRUCTIONS FOR AVAILING EXAMINATION FEE CONCESSION
cxtee sivas copagaBdote tees Aipenbare abemoet
inating your apcnion tpetarner Goramsawereers YES
Scincitniaisue ne iasonucarydeeseene coats wo
scumaspienn danetan gigagiarm ueicGaBunine aoe
Siw) ap agiiaBes esa asip sgiaaact aun combsan,
Toeerds Cupp acme ream wenbee sbaucauner aLcore
egione Sars semis gro roema ih negating SAE
sup carleber nde SenuigagiyradsacuGa acters egoma carge
cieusBiw (aa gome) damaraun sat cdss doe bod ort
a@uBamiucarte7g veren soverdugertme ac Lens rasan Gare)
‘Squvspow eure cereosGeeus aBageEluGwaran
Declaration: 2 v6) Guo)
1 hereby declare that all the particulars furnishes in this application are true, correct ané complete to the best of my
knowledge and belie! Tn the event of any information being found false or incorrect or Inelgilty being Selected before OF
ter the examination of at any stage, any action canbe taken against he by the TNPSC Including rection of my application
Eidarmivsse duagen anamamponun Unugl covecae sa es apaee asia
Sarocrome, sfurome abel piemeureme tnidiag waar adem peer onus shanerabicar
Gictnrmacts ctggin sourame. sermone. unbuterme mang sebiieme cor agin esoa seme!
Borealis ru eure Sazanmoruih roees easin Rsaamame Reo ORS
"ereby declare tat wl act be a pry to ay kbd of canassng ony baton ny bea
1 further declare that fll ll the ely conditions prescribed for admission tothe examination
Baterde wgubins tamaune anodes sEbameus cogeceE te Be ouwene
LLhave gone through the Instructions to the Applicants and the Commisson's notification for this Recruitment before filing
te appietion form
Caleta agBa “een susions
ABalomedeoub vase adie
se Moyen’ wood giusdeare chaugUUZau.cOde
IU @sidlowon Luca WISE Sous aaate
I declare tht t possess the Physical standards presribed forthe post(s) which I am now applying.
Soworiduei ug undecass ismaure 2.9 pepews. suagmome tm ® Beer aso
1 catty thats have not been debarred / disqualified by the THPSC oF any other reeruting agency
Besetonmartgancnt stag tap tan vature) Osha seins yumcawiter wa GakBanas sing KeBIARS
1am not a dismissae Government Employee.
1 have verfed the correctness ofthe particulars furnished in the application and taken a print out ofthe aplication.
Sudiorortvsho eeu Bde Wapastachepus sTuNIay doworlL@s heaab se maABeame
1am fully aware that np inevidual communieation regarding the date and time of oral test, earifcate verfiestion and
Counseling (wherever appieabe) wilba sent tome. I'am ate amare thal the sehedale of ors tet/counselingfesrieate
‘erfieaton wl be ade fvaflable on the Commission's website and T have te know the above details on receipt of ema ress
Telease/SMs alerts from the Commission to ths efac,
Uhlwes cola se Se Dep sain Swen SObEILG duidpmasclO We UNBbEeE oe KonCuEID Bist
how toro webs seadae nebo schiuce camo nose gon aahdeaiue urtiny coune oe Doe
Sead dopo ge Centura Caiermanso opis Booch adap demoed aay seiermanss Co
Safad wan ashy Caren waua cago ego eBlwes tole aap so 95b Suricy mony sabsnces
Siperoubagare area ckmmron asfaremr giner Bese Ud oBxbH care cusss ewUNELD Pro
ye
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