ON-LINE APPLICATION FOR TNPSC REGISTRATION

This online application is provisional subject to payment of application fees/ intimation charges
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Registration # : 341732850
Full Name : S KARTHIK
One Time ID : --
Name of The Post Applying for :
Combined Civil Services Exam - II
(Group II) - (Interview - Posts)

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 date of Discharge : --
Are you a Government Employee? : NO
Nationality / Citizenship : Indian
Application Fee / Intimation Charges details:
Payment Mode: Post Office
Amount : 125.00
Personal Details :
Date of Birth : 02/06/1992
Gender : MALE
Married : No
Religion : Hindu
Candidate's Place of Birth : CHENNAI
Native District : Chennai
Father's Name : R SRINIVASAN
Father's Place of Birth : Chennai
Mother Tongue : Tamil
Mother's Name : S MUNIYAMMAL
Communal Category : Backward Class(BC)
Name of the SubCaste : Vania Chettiar incl. Gandala / Ganika / Telikula / Chekkalar
Certificate No : 1336710
Date Of Issue : 16/03/1997
Issuing Authority : Zonal Deputy Tahsildar
Taluk : Ambattur
District : Chennai
Address for Correspondence : 41a
North Mada Street
Madhuravoyal
District Chennai
State : Tamil Nadu
Pin : 600095
Permanent Address : 41a
North Mada Street
Madhuravoyal
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District Chennai
State : Tamil Nadu
Pin : 600095
Contact Details :
Email ID : yeskarthiks@gmail.com
Mobile No : 9841376275
EDUCATIONAL QUALIFICATION PARTICULARS :
Exam Passed Date of
Publication of
Results
Medium of
Instruction
Degree Major Subject Board /
University
S.S.L.C : 31/05/2007 English N/A N/A matric
H.S.C or Equivalent
Qualification :
14/05/2009
English H.S.C
N/A
state
Degree : 13/07/2013 English B.E.
electrical and
electronics eng
anna university
Others : --
Do you claim reservation for Persons Studied in Tamil Medium (PSTM)? : No
Details regarding the prescribed qualification :
Qualification Details : Other Equivalent Qualification
Other Equivalent Qualification Details : b.e
Certificate No : GA267459
Year of Passing : 2013
Name of the Authority/ University : anna university
Do you have the preferential qualification as per notification? : No
Physical Standards as per notification : Yes
Type writing
English Tamil
Type Writing -- --
Name of the Examination Centre District: Chennai-Central
Name of the Examination Centre : Perambur
Optional Subject (As per Notification) : General Studies (Degree Standard) with General English (S.S.L.C Standard)
Do you claim Age Concession? : No
Do You Claim Fee Exemption? : No
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 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.
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5. I have gone through the Instructions 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 / disqualified by the TNPSC or any other recruiting agency.

8. I am not a dismissed Government Employee.

I accept the above declaration
Place:
Date: 2013-10-04 12:32:01 Signature of Applicant

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


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