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ON-LINE APPLICATION FOR TNPSC REGISTRATION

42032
Registration # :

507057666

Notification. No. :

07/2015

Full Name :

D DILEEPAN

Do you have One Time Registration ID? :

YES

One Time ID :

13393421

Name of The Post Applying for :

Posts included in
Combined Civil Services
Examination - II (Interview
posts )(Group-II services)

Are you a Destitute Widow? :

NA

Are you a Differently Abled Person? :

NO

Are you an Ex-Serviceman ? :

NO

Date of Enrolment :

--

PPO No :

--

Date of Discharge / Probable date of Discharge :

--

Are you a Government Employee? :

NO

Have you been debarred by the Public Service Commission or any other recruiting agency? : NO
Are you a retrenched Technical or Non-Technical Employee of TANSI and not
absorbed in Government Corporation or Undertaking? :

NO

Nationality :

Indian

Application Fee/Examination Fee/Intimation Charge details:

Payment Mode:

Net Banking

Amount :

75.00

Personal Details :
Date of Birth :

22/02/1988

Gender :

MALE

Marital Status :

UnMarried

Religion :

Hindu

Candidate's Place of Birth :

KURUBARAHALLI

Native District :

Dharmapuri

Father's Name :

V DHANASEKARAN

Father's Place of Birth :

Dharmapuri

Mother Tongue :

Tamil

Mother's Name :

D NIRMALA

Communal Category :

Backward Class(BC)

Name of the SubCaste :

KonguVellalar incl. Vellala Gounder/Nattu Gounder/Narambukattil

Gounder/Tirumudi Vellalar/Thondu Vellalar/Pala Gounder/Poosari
Gounder/Anuppu Vellala Gounder/Padaithalai Gounder/Chendalai
Gounder/Pavalankatti vellala Gounder/Pala Vellala Gounder/ Sangu Vellala
Gounder & Rathnagiri Gounder

Certificate No :

2647262

Date Of Issue :

11/06/2003

Issuing Authority :

Deputy Tahsildar (Certificates)

Taluk :

Pappireddipatti

District :

Dharmapuri

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Address for Correspondence :

KURUBARAHALLI VII&PO
PAPPIREDDIPATTI TALUK

District

Dharmapuri

State :

Tamil Nadu

Pincode :

635302

Permanent Address :

KURUBARAHALLI VII&PO
PAPPIREDDIPATTI TALUK

District

Dharmapuri

State :

Tamil Nadu

Pincode :

635302

Contact Details :
Email ID :

dileepand88@gmail.com

Mobile No :

9444464716

EDUCATIONAL QUALIFICATION PARTICULARS :

Exam Passed

Date of

Medium of

Publication of
Results

Instruction

S.S.L.C :

30/05/2003

English

H.S.C / ITI (2
years) /
Teacher
Training (2
years) :

18/05/2005

Degree :

30/04/2009

Post Graduate
Degree :

31/05/2011

Degree

Major

Certificate No Board / University

Subject
N/A

N/A

0027611

N/A

1505146

MATRICULATION

English

H.S.C

SATE BOARD

English

B.E.

ECE

459482

ANNA UNIVERSITY

English

M.TECH.

VLSI
DESIGN

00041

VELTECH
UNIVERSITY

Class / Grade obtained in UG Degree :

FIRST

Do you claim reservation for Persons Studied in Tamil Medium (PSTM)? :

No

Whether you are applying with the Educational Qualification as Prescribed in the notification
Prescribed Qualification
or with an equivalent qualification :
Details regarding the prescribed qualification :
Master's Degree in Computer Application / Master's Degree in Science (Information
Technology / Computer Science)

No

Any other Master's degree /IPG Degree

Yes

Any Bachelor's Degree

Yes

Any Bachelor's Degree with Typewriting in Higher/ Senior Grade in both Tamil and English

NA

PG Diploma in Agriculture Economics and Co-operation

No

Diploma in Rural service / Diploma associate member of the Institute Chartered Accountant.

No

Diploma in Handloom Technology / Textile Technology / Textile Processing / Man made

Fibre Technology

No

Do you possess any preferential qualification as per Notification? :

No

Qualification with Major

Medium of

Date of Publication of

subject

Instruction

Results

--

--

--

--

--

--

--

--

--

--

--

--

--

--

--

--

Board/University

Are you rendered any social welfare work for a period of not less than one year? :

No

Are you Released Emergency Commissioned Officer? :

No

Are you released Short Service Regular Commissioned Officer? :

No

Technical Qualification Particulars :

Grade

Certificate No.

Date of Issue

Board/Authority

Typewriting Tamil

--

--

--

--

Typewriting English

--

--

--

--

Shorthand Tamil

--

--

--

--

Shorthand Tamil

--

--

--

--

Shorthand English

--

--

--

--

Book keeping

--

--

--

--

Do you have the Physical Standards as per notification :

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Yes

EXAMINATION PARTICULARS :
Name of the Examination Centre :

Perambur

Optional Subject :

General Studies ( Degree standard) and General English (SSLC standard)

Do you claim Age Concession? :

No

Do you claim fee concession for payment of Examination fee? :

No

Criminal Case (Registered/Pending/Punishment awarded/Acquitted) :

No

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

Organisation/Candidature in Election) :

No

Experience Details :
Name of the Organisation

Designation

From(dd/mm/yyyy)

To(dd/mm/yyyy)

Nature of Duty

VELTECH UNIVERSITY

AP

02/06/2014

05/05/2015

TEACHING

AKSHEYAA COLLEGE O
F ENGINEERING

AP

01/06/2011

31/05/2014

TEACHING

Previous appearance for Oral Test / Written Test

Name of the Post

Register No.

Year

--

--

--

--

--

--

DECLARATION:
1. 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.
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 prescribed for admission to the examination.

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

5. I have gone through the instructions to candidates and the Commission's notification for this Recruitment before filling up the application form.

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

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

8. I am not a dismissed Government Employee.

I accept the above said declarations

Place:

Last Updated Date: 2015-05-05 18:52:01

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

Signature of Applicant