Professional Documents
Culture Documents
Q ua lifications:
Ed ucationa I Qua I ificati on - Grad uate/post Graduate ( 10 +2 + 3 pattern)
in any discipline.
The Secretary,
Tamilnadu State Child protection Society,
Department of Social Defence,
No.300, Purasawalkam High Road,
Kellys, Chennai - 600 010.
Phone: 044 - 26421358
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bISLU6DIT6TIIT, I
1 Name of the
Applicant x
(IN CAPITAL Recent
LETTERS) Pass-port size
Name of the Father / photograph of
Husba nd * the applicant to
3 Date of Birth * be affixed
4 Age as on
o1.05.2018x
6 Marital Status
7 Address for
communication *
(IN CAPITAL
LETTERS)
B Phone/ Mobile
Num ber*
9 E-mail ID*
9 Educational
Qualification (Enclose
the copy of
supporting
documents) *
10 Add itional
Qualification (if any)
11 Details of Working ExPerience
(Enclose the copy of the relevant exPerience certificates)*
SI.No Name of the I Designation Years of experience
organization I
From To No. of years &
( Date) (Date) months
Total
*Mandatory
Note: Incomplete apptication and application without relevant suppofting documents will be
summarily reiected without any prior information.
I_.--- hereby declare that the particulars furnished by me ln this, application
io*r at€1.* to th" b"st of my knowledge and belief. In case any information is found to be
incorrect, my candidature shall liable to be rejected.