9/5/2017 Teachers Recruitment Board

Application No. 683795

Candidate's Name M HARIPRIYA

Date of Birth 16/05/1994

Age (As on 1st July, 2017) 23 years, 1 months, and 16 days

Gender Female

Community BC

Father's Name MEIYAZHAGAN

Mother's Name KALYANI
Are you differently abled and eligible as per G.O. Ms. No. 13 Welfare of No
Differently abled person (DAP.3.2) Department, dated 02.03.2016?
Category of Post applied for Engineering Subjects & NonEngineering
Engineering Course
Subjects.
Have you possessed first class UG degree in B.E / B.Tech? Yes
Email ID priyagans94@gmail.com
Mobile No. 8754206205

Name Of Exam Board/University Medium Of Instruction Subjects Month & Year Of Passing

SSLC State Board English -- 03 2009

HSC State Board English -- 03 2011

UG ANNA UNIVERSITY English Electronics and Communication Engineering 04 2015

Have you studied the prescribed qualifications as an Integrated Course? Yes

Post applied for Electronics and Communication Engineering
Do you have teaching experience, after completing all the required
No
qualifications for the post of Lecturers in Government Polytechnic Colleges?
Choice of Exam District Erode
Address for Communication
a Address1 2 PERUMAL KOVIL STREET
b Address2 OLAGADAM POST
c Address3 BHAVANI TALUK
District ERODE
State Tamil Nadu
Pin Code 638314
Fee Payment Details
a. Transaction Number 230829642 b. Date of Transaction 2017-08-08 14:03:04 c. Amount 600.00 (Convenience Charges & Service Tax as applicable)

Declaration

1. I have gone through the instructions to the candidates and the board's notification for this recruitment before filling up the application form.
2. I hereby declare that all the particulars furnished in this application are true,correct and complete to the best of my knowledge and belief.
3. I am aware that in the event of any information being found false or incorrect at any stage or my ineligibility being detected at any time,TRB is at liberty to disqualify my candidature at any
stage and also cancel my selection,if made.
4. I hereby declare that I will not be a party to any kind of canvassing on my behalf.
5. I will produce the necessary certificates or documentary proof related to the recruitment at the time of certificate verification,if called for and upon selection or thereafter.
6. I have verified the correctness of the particulars furnished in the application and will take a print out of the application.

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