District Recruitment Bureau - 2023

ERODE

(01-2023) Assistant in Primary Cooperative Institutions

Registration Number / gÂÎ v© : 06100702

Name of the Applicant / t¨©z¥gjhuu¨‹ bga® : S SUBRAMANIAN
Personal Details / Ra étu§fŸ :
Date of Birth / g¨wªj njj¨ : 25-07-1993
Father`s Name / jªija¨‹ bga® : A SENGODAN
Mother`s Name / jhah® bga® : S PALANIYAMML
Guardian`s Name / fh¥ghs® bga® : -
Gender / ghy¨d« : Male
Marital Status / j¨Ukz« Mdtuh? : Unmarried
Spouce Name / fzt® bga®/kidt¨ bga® : -
Applicant`s Place of Birth / t¨©z¥gjhu® g¨wªj Ïl« : ANTHIYUR
Native State /brhªj khãy« : Tamil Nadu
Native District / brhªj kht£l« : Erode
Mother Tongue/jhŒ bkhê : TAMIL
Nationality / njÁa Ïd« : Indian
Religion / kj« : Hindu
Certificate Details / rh‹¿jœfë‹ étu§fŸ :
Communal Category / tF¥ò : Most Backward Class(MBC)
Name of the Sub-Caste /rhj¨ c£g¨u¨t¨‹ bga® : Padayachi
Certification Number / rh‹¿jœ v© : 5190840
Date of Issue / tH§f¥g£l njj¨ : 20-06-2023
Issuing Authority / rh‹¿jœ tH§f¨a mj¨fhu¨ : ZONAL DEPUTY TAHSILDAR
Taluk / t£l« : Anthiyur
District / kht£l« : Erode
Are you a Destitute widow ? / No
Mjut‰w t¨jitah ? :

Are you Differently Abled Person ? / No

kh‰W¤ j¨wdhs¨ah? :

Are you an Ex-Serviceman ? / No

K‹dhŸ ÏuhQt¤Âduh? :

Have you been debarred or disqualified by the Public Service Commission or any other recruiting agency from appearing examinations
and selections for specific period or permanently ? / nj®thiza« mšyJ ntW vªj gâ e¨akd Kifikædhnyh nj®ÎfŸ k‰W« bjçÎfëš
fyªJ bfhŸS« cçikæèUªJ j§fis ãuªjukhfnth mšyJ xU F¿¥Ã£l fhy¤Â‰nfh éy¡f¨ it¤njh mšyJ jFj¨a¨‹iknah brŒa¥g£LŸsjh ? : No

Are you Employed ? / No

gâ étu«? :

Co-Operative Training Qualifications Particulars / Tl¦LwÎ¥ gæ‰Á jF F¿j¦j t¨tu§fŸ :

Are you currently undergoing Diploma in cooperative training by regular or correspondence course in Institute of cooperative management? No

Have you Passed any one of the courses mentioned below ? :

Diploma in Cooperative Management of the Tamil Nadu Cooperative Union, obtained through the Cooperative Training Institutes run by the Tamil Nadu Cooperative Union, Chennai-TNCU

Name of the Cooperative Training Institute Or College / University : ERODE ICM ERODE

Certificate Number / Registration Number /Bonafied Number : 77077

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Applied Date : 2023-11-23 11:22 am
 District Recruitment Bureau - 2023
ERODE

Education Qualification Particulars / fšé¤ jF F¿j¦j t¨tu§fŸ :

S.S.L.C. Register S.S.L.C. Certification
Month & Year Of Passing Medium of Instruction S.S.L.C. Education Board
Number Number

289659 Mar 2009 Tamil STATE BOARD 6709863

H.S.C OR Diploma Month & Year Of Passing Medium of Instruction H.S.C board H.S.C Certificate Number

HSC Mar 2011 Tamil STATE BOARD 5770579

Month & Year Of Medium of

Qualification Name Of Degree Major Subject Name of the Board/ University Certification Number
Passing Instruction

Degree 02 PHYSICS Apr 2014 English B004 47215

Integrated 5 year PG - - - - - -

Do you want to claim reservation against Persons Studied the prescribed qualification(s) in Tamil Medium(PSTM) : NO

Communication Details / bjhlu¦ò F¿j¦j t¨tu§fŸ :

Address of Correspondence / bjhlu¦ò Kftu¨ : Permanent Address / e¨ue¦ju Kftu¨ :

332 CHINNATHANDAMPALAYAM 332 CHINNATHANDAMPALAYAM

OTTAPALAYAM PO OTTAPALAYAM PO

ANTHIYUR TK ANTHIYUR TK

District / khtl¦lk¦¦ : Erode District / khtl¦lk¦¦ : Erode

State / khãyk¦ : Tamil Nadu State / khãyk¦ : Tamil Nadu

Pin / mŠrš Fw¨pL : 638314 Pin / mŠrš Fw¨pL : 638314

Email Id / k¨‹dŠrš Kftu¨ : subramanians25071993@gmail.com Mobile Number / if¥ngÁ v© : 8838527494

Application Fee Paid Details/ é©z¥g f£lz« brY¤j¥g£l étu§fŸ :

Transaction Id : ZIC51554592606 Date of Fee Paid / f£lz« brY¤Âa ehŸ : 2023-11-23 Amount Paid / brY¤Âa bjhif : Rs. 500

Declaration / cWÂ bkhê :

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,my selection by the
District Recruitment Bureau,is liable for cancellation . / Ï›é©z¥g¤Âš F¿¥Ã£LŸs étu§fsid¤J« v‹ m¿é‰F v£oatiu c©ik.Ï›é©z¥g¤ij
bghW¤jtiu vJΫ kiw¡f¥gléšiy. nju¦é‰F K‹ngh mšyJ Ãwnfh Ï›étu§fŸ jtW mšyJ c©ik¡F¥ òw«ghdJ mšyJ jFÂæ‹ik vd m¿Í«g£r¤Âš khtl¦l
MŸnru¦¥ò e¨iya¤jhš eh‹ nj®ªbjL¡f¥g£lJ K‹ mw¨é¥g¨‹w¨ Ïu¤J brŒa¥gLtj‰Fu¨ajhF «.

I accept the above declaration / nk‰Tw¨a cWÂbkhêia V‰W¡ bfhŸ»‹nw‹

Please retain your Application Number and Password emailed to you carefully for further reference. Signature of Applicant

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Applied Date : 2023-11-23 11:22 am