7/22/2019 BHABHA ATOMIC RESEARCH CENTRE

BHABHA ATOMIC RESEARCH CENTRE

Recruitment Section - II

Application No. : 120227025066

Date of Application : 12/06/2019

Advertisement No. : 1/2019(R-II)

Last date for Apply : 01/07/2019

Application For the Post of DR/01-WORK ASSISTANT/A

UI. आधर मांक Aadhar No [If available] : 321200979910

01. परू ा नाम Name In Full [as per SSC certificate] : Shri THAMARAISELVAN N

02. रा यता Nationality : INDIAN

03. धम Religion : Hindu

04. ज म त थ Date Of Birth : 03/04/1994

05. लंग Gender : Male
06. वैवा हक ि थ त Marital Status : Single
07. या आप अजा/अजजा/अ य पछड़े वग के ह ? Whether SC/ST/OBC ?
: SC , VALLUVAN

08. या आप ज मू क मीर के अ धवासी ह ? Are you domiciled in

Jammu & Kashmir during the period from 01/01/1980 to : NO
31/12/1989 ?
09. या आप 1984 के दं ग म मरने वाल के प रवार के सद य ह ? Are you a
: NO
family member of those who died in 1984 riots ?
10. या आप अ पसं यक समदु ाय के ह ? Whether belonging to : YES , VALLUVAN
minority community ?
11. या आप शार रक प से वकलांग ह ? Whether physically
: NO
handicapped ?
12. i) या आप भत
ू पव
ू सै नक ह ? Are you an Ex-service man ? : NO

ii) या आप के य/रा य सरकार के एक कमचार ह ? Are you an : NO

employee of Central/State Government ?
(If Yes, Please ensure that you have applied through proper channel and have to produce 'No Objection Certificate' at the time of Written
Exam/Interview)

13. प ाचार के लए पता Address for Correspondence थायी पता Permanent Address

12A, THIRUVALLUVAR NAGAR, PATTANAM POST 12A, THIRUVALLUVAR NAGAR, PATTANAM POST

शहर City : RASIPURAM शहर City : RASIPURAM

िजला District : NAMAKKAL िजला District : NAMAKKAL

रा य State : Tamil Nadu रा य State : Tamil Nadu

पनकोड Pin Code : 637408 पनकोड Pin Code : 637408

मोबाइल नं. Mobile : 7708957223 मोबाइल नं. Mobile : 7708957223

ई-मेल Email : ntsselvan95@gmail.com टे ल फोन Telephone : Not Available

14. यो यता Qualification

Name of University/ Board/ Year of Stream/ Maximum Marks % of Course Remarks

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7/22/2019 BHABHA ATOMIC RESEARCH CENTRE
Examination Institution passing/ Discipline/ Marks obtained marks Duration
appearing Subject in Years
With Maths &
SSC STATE BOARD 2009 500 302 60 1 PASS
Science
HSC STATE BOARD 2011 Science 1200 642 53 1 PASS

15. य द आवेदक वतमान म कोई पढाई कर रहे ह तो उसका ववरण द Indicate the course of study, if any, the applicant is continuing
presently.

No. of
University/ Board/ Full Time/ Part Duration of the
Course Name Semesters/Years % of marks
Institution Time course
Completed
Not Applicable

16. अनभ
ु व Experience (Particulars of all previous and present employment are to be furnished)

Period of Service Permanent Reasons

Employer Details
Post Held Nature of Duties in dd/MM/yyyy format or for
Type Name & Address From To Temporary Leaving
Not Applicable

17. उन संबधीय के ववरण द जो परमाणू उजा वभाग या इसक संघटक इकाईय मे पहले से ह कायरत ह Details of relatives already employed in
Department of Atomic Energy or its Constituent Units.

Name of relative Relationship Unit in which employed Post Held

Not Applicable

18. कोई अ य सच
ू ना Any Other additional information : Not Applicable

म एतद वारा घोषणा करता / करती हूं क ऊपर द गई सच ू ना मेर जानकार के अनस ु ार तथा मक प से सह है । मझ
ु े ये भी ात है क ऊपर द गई
कसी भी सच
ू ना के गलत होने पर म अयो य माना जाऊं गा / जाऊ ं गी । I hereby declare that the above information is factually correct to
the best of my knowledge. I also understand that I will be disqualified if any of the information furnished by me is found
to be incorrect

Place : RASIPURAM

Date : 12/06/2019 THAMARAISELVAN N

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