Kerala Public Service Commission-Online Application

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KERALA PUBLIC SERVICE COMMISSION

Barcode : S1000662

486/2011 Sub-Engineer - Electrical Scale of Pay: Rs.9285-15715/Category No : Name of post : Department / Company/ Corporation/Board/local Authority/Co-operative Institution :

Kerala State Electricity Board Gazette Date : 31/12/2011

1. Name with Initials ( IN BLOCK LETTERS) LINTO VARGHESE MELAPPURAM,NORTH CHALAKUDY THRISSUR,CHALAKUDY,680307 lintomvc@gmail.com Mobile: 8089512172 MELAPPURAM,NORTH CHALAKUDY THRISSUR,CHALAKUDY,680307 3/3/1989, Third March Nineteen Eighty Nine MALE No Christian OPEN COMPETITION,FORWARD CLASS btech in electrical and electronics from calicut university,(1,) working as a trainee in chalakudy sub station VARGHESE M.O,FATHER MALAYALAM Indian Kerala,THRISSUR,MUKUNDAPURAM THRISSUR N.A. No No No Weightage No priority No

2.(a) Address to which communications are to be sent (INBLOCKLETTERS) (b)PermanentAddress 3.(a)DateofBirth(InfiguresandWords) (b)Sex 4. Are you eligible for communal reservation? (Yes/No) 5.(a)Religion (b)Community/Caste/tribewithsub-caste 6.(a) Educational Qualifications (b)Experience,ifany 7. (a) Name of Mother/Father/Guardian (Specifyrelationship) (b)MotherTongue 8. (a) Nationality (b)State,DistrictandTaluktowhichyoubelong 9. (a) Native District 11.(a)District/Circletowhichyouapply (InthecaseofDistrictwiseselections) (b)Haveyouappliedforthepostinanyother districtasperthisnotification?(Yes/No) 12.Areyoueligibleforrelaxationofupperagelimit? ifsogivedetails 13.Areyouentitledtoweightage/PrioritybeingSportsman/Exserviceman/Physically Handicapped? Givedetails 14. Are you employed on a regular basis under State or Central Government? Givedetails 15.Areyoupresentlyineligibletoapplyforthepostonaccountof debarment by Public Service Commission, dismissal from service or conviction by a Court of Law? Give details

No

DECLARATION I hereby declare that all the particulars furnished above are correct and complete to the best of my knowledge and belief and that I am in possession of the documents in proof of the claims made in this application. Place:NORTH CHALAKUDY sd Date:10/01/2012 3:40:25 PM Signature

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1/10/2012