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ON-LINE APPLICATION FOR TNPSC REGISTRATION

2903

Registration # : 2782424

Full Name : M PREM

One Time ID : 11907597

Name of The Post Applying for : Village Administrative Officer

Are you a Destitute Widow? : NA

Are you a Differently Abled Person? : NO

Are you an Ex-Serviceman ? : NO

PPO No : --

Date of Discharge / Probable Discharge / Date : --

Are you a Government Employee? : NO

Nationality / Citizenship : Indian

Application Fee / Intimation Charges details:

Payment Mode: NO FEE

Amount : 0.00

Personal Details :

Date of Birth : 15/06/1988

Gender : MALE

Married : No

Religion : Hindu

Candidate's Place of Birth : SIRUPAKKAM

Native District : Cuddalore

Father's Name : C MURUGESAN

Father's Place of Birth : Cuddalore

Mother Tongue : Tamil

Mother's Name : M KARUPPAYEE

Communal Category : Most Backward Class(MBC)

Name of the SubCaste : BOYAR

Certificate No : 1358340

Date Of Issue : 19/04/2004

Issuing Authority : Zonal Deputy Tahsildar

Taluk : Thittakudi

District : Cuddalore

Address for Correspondence : BOYAR STREET, SIRUPAKKAM POST

TITTAKUDI TALUK

CUDDALORE DISTRICT

District Cuddalore

State : Tamil Nadu

Pin : 606123

Permanent Address : BOYAR STREET, SIRUPAKKAM POST

TITTAKUDI TALUK

CUDDALORE DISTRICT

District Cuddalore

State : Tamil Nadu

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Pin : 606123

Contact Details :

Email ID : mprem111@gmail.com

Mobile No : 9600548765

EDUCATIONAL QUALIFICATION PARTICULARS :

Exam Passed Year of Passing Medium of

Instruction

Degree Major Subject

S.S.L.C : 2004 Tamil N/A N/A

H.S.C : 2006 Tamil N/A N/A

Degree : 2010 English others ELECTRICAL ENGG.

Others : --

Whether studied Tamil as one of the subject : hsc

Details regarding the prescribed qualification :

Qualification Details : Other Equivalent Qualification

Other Equivalent Qualification Details :B.E- ELECTRICAL AND

ELECTRONICS ENG

Certificate No : 61506105038

Year of Passing : 2010

Name of the Authority/ University : ANNA UNIVERSITY CHENNAI

Preferential qualification for per notification : Yes

Preferential Physical Standards for per notification : Yes

Type writing / Short hand Qualification

English Tamil

Type Writing JG --

Short hand -- --

Name of the Examination Centre District: Cuddalore

Name of the Examination Centre : Cuddalore

Compulsory Subject : General Knowledge with Tamil

Do you claim Age Concession? : No

Do You Claim Fee Exemption? : Yes

Under What Category? : Most Backward Class/Denotified Community

No of free Attempts : 1

Post Preference : 1.Village Administrative Officer (Post Code:2025)

Criminal Case (Registered/Pending/Punishment awarded) : Not Applicable

Participation in Political Activities (In agitation/As a Member of Political

Organisation/Candidature in Election) :Not Applicable

Post Qualification work experience (Start from present Employer) :

Name of the Organisation Designation From(mm/yyyy) To(mm/yyyy) Nature of Duty

Previous appearance for Oral Test / Written Test

Name of the Post Register No. Year

-- -- --

-- -- --

DECLARATION:

1. I hereby dec lare that all the particulars furnished in this application are true, cor rect and c omplete 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, action can be taken against me by the TNPSC.

2. I hereby declare that I will not be a party to any kind of canvassing on my behalf.

3. I further declare that I fulfil all the eligibility conditions presc ribed for admission to the examination.

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4. I have informed my employer in wr iting that I am applying for this Examination.

5. I have gone through the Instruc tions etc. to candidates and the Commissions notification for this Recruitment before filling up the application form.

6. I declare that I possess the medical standards prescribed for the post(s) which I am now applying.

7. I certify that I have not been debarred by the TNPSC or any other recruiting agency.

8. I am not a dismissed G overnment Employee.

I accept the above declaration

Place:

Date: 2012-07-12 15:22:57 Signature of Applican

Please retain your Registration No. and Password emailed to you carefully for further reference

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