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ON-LINE APPLICATION FOR TNPSC REGISTRATION Registration # : 3410159 Full Name : T JAYARAMAN One

ON-LINE APPLICATION FOR TNPSC REGISTRATION

Registration # :

3410159

Full Name :

T JAYARAMAN

One Time ID :

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:

: Indian Application Fee / Intimation Charges details: 23031 Payment Mode: Net Banking Amount : 125.00

23031

Payment Mode:

Net Banking

Amount :

125.00

Personal Details :

Date of Birth :

27/12/1990

Gender :

MALE

Married :

No

Religion :

Hindu

Candidate's Place of Birth :

SAYILGUDI

Native District :

Ramanathapuram

Father's Name :

P THIRUMENI

Father's Place of Birth :

Ramanathapuram

Mother Tongue :

Tamil

Mother's Name :

T CHELLAM

Communal Category :

Backward Class(BC)

Name of the SubCaste :

NADAR

Certificate No :

6660932

Date Of Issue :

19/07/2006

Issuing Authority :

Additional Head Quarters

Taluk :

Palladam

District :

Tiruppur

Address for Correspondence :

3/6, KOMBAKKADU PUDUR

District

ITCHIPATTI POST SOMANUR VIA Tiruppur

State :

Tamil Nadu

Pin :

641668

Permanent Address :

3/6, KOMBAKKADU PUDUR

District

ITCHIPATTI POST SOMANUR VIA Tiruppur

State :

Tamil Nadu

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Pin :

Contact Details :

Email ID :

Mobile No :

EDUCATIONAL QUALIFICATION PARTICULARS :

Exam Passed

S.S.L.C :

H.S.C :

Degree :

Year of Passing

2007

2009

2012

Others :

Whether studied Tamil as one of the subject :

Details regarding the prescribed qualification :

Qualification Details :

Other Equivalent Qualification Details :

Certificate No :

Year of Passing :

Name of the Authority/ University :

Preferential qualification for per notification :

Preferential Physical Standards for per notification :

Type writing / Short hand Qualification

Name of the Examination Centre District:

Name of the Examination Centre :

Compulsory Subject :

Do you claim Age Concession? :

Do You Claim Fee Exemption? :

Post Preference :

Name of the Organisation

Previous appearance for Oral Test / Written Test

DECLARATION:

1.

2.

3.

4.

5.

Name of the Post

--

--

English

English

English

Designation

the Post -- -- English English English Designation 641668 jrsopt@gmail.com 9659957123 Degree

641668

jrsopt@gmail.com

9659957123

Degree

Major Subject

N/A

N/A

N/A

N/A

science

BCA

--

degree

BCA

C012-0439

2012

Yes

Yes

Type Writing

--

Short hand

--

Coimbatore

Sulur

No

No

Not Applicable

Not Applicable

From(mm/yyyy)

--

--

Tamil

--

--

To(mm/yyyy)

Applicable From(mm/yyyy) -- -- Tamil -- -- To(mm/yyyy) Nature of Duty Year -- -- Medium of

Nature of Duty

Year

--

--

Medium of Instruction
Medium of Instruction

Other Equivalent Qualification

BHARATHIYAR UNIVERSITY

English

General Knowledge with English

1.Village Administrative Officer (Post Code:2025)

Criminal Case (Registered/Pending/Punishment awarded) :

Participation in Political Activities (In agitation/As a Member of Political Organisation/Candidature in Election) :

Post Qualification work experience (Start from present Employer) :

Register No.

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, action can be taken against me by the TNPSC.

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

I further declare that I fulfil all the eligibility conditions prescribed for admission to the examination.

I have informed my employer in writing that I am applying for this Examination.

I have gone through the Instructions etc. to candidates and the Commission’s notification for this Recruitment before filling up the application form.

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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 Government Employee.

I accept the above declaration

Place:

Date: 2012-08-02 07:45:04

the above declaration Place: Date: 2012-08-02 07:45:04 Signature of Applicant Please retain your Registration No.

Signature of Applicant

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