ON-LINE APPLICATION FOR TNPSC REGISTRATION

42034
Registration # : 418287408
Notification. No. : 18/2014
Full Name : S JEYARAMACHANDRAN
Do you have One Time Registration ID? : YES
One Time ID : 12468135
Name of The Post Applying for : Junior Assistant/Bill Collector/Field Surveyor/Draughtsman
Are you a Destitute Widow? : NA
Are you a Differently Abled Person? : YES
Type of Disability : Visually impaired
Percentage of Disability : More-than-40%
Do you need a scribe? : YES
Are you an Ex-Serviceman ? : NO
PPO No : --
Date of Discharge / Probable date of Discharge : --
Are you a Government Employee? : NO
Nationality : Indian
Application Fee / Intimation Charges details:
Payment Mode: NO FEE
Amount : 0.00
Personal Details :
Date of Birth : 01/06/1989
Gender : MALE
Marital Status : UnMarried
Religion : Hindu
Candidate's Place of Birth : Tirunelvelli
Native District : Tirunelvelli
Father's Name : M Sakthi Vel
Father's Place of Birth : Tirunelvelli
Mother Tongue : Tamil
Mother's Name : S Ganapathi
Communal Category : Backward Class(BC)
Name of the SubCaste : Sengunthar
Certificate No : 6775075
Date Of Issue : 19/07/2006
Issuing Authority : Head Quarters Deputy Tahsildar
Taluk : Sankarankoil
District : Tirunelvelli
Address for Correspondence : No.2-67A Church Street,
Subbalapuram
Sankaran Kovil Taluka
District Tirunelvelli
State : Tamil Nadu
Pin : 627753
1/3
Pin : 627753
Permanent Address : No.2-67A Church Street,
Subbalapuram
Sankaran Kovil Taluka
District Tirunelvelli
State : Tamil Nadu
Pin : 627753
Contact Details :
Email ID : jeyaramachandran.s@gmail.com
Mobile No : 9894985720
EDUCATIONAL QUALIFICATION PARTICULARS :
Exam Passed Date of
Publication of
Results
Medium of
Instruction
Degree Major Subject Board /
University
S.S.L.C : 05/06/2006 Tamil N/A N/A State Board
H.S.C or Equivalent
Qualification :
09/05/2008
Tamil H.S.C
N/A
State Board
Degree : 02/06/2011 Tamil B.LITT.
Tamil Madurai Kamaraj
University
Others : Certificate in Tamil Pandit
Do you claim reservation for Persons Studied in Tamil Medium (PSTM)? : No
Are you trained person in Survey in ITI, Tamil Nadu?
(Eligible for Field Surveyor and Draughtsman post only)? :
No
Whether you are applying with the Educational Qualification as Prescribed in
the notification or with an equivalent qualification :
Prescribed Qualification
Details regarding the prescribed qualification :
Qualification Details : SSLC
Certificate No : SEC 3245704
Year of Passing : 2006
Name of the Authority/ University : State Board of School Exam
Preferential qualification for per notification : Yes
Type writing / Short hand Qualification
English
Cert. No. Issued by Dir. of
Technical Education
Tamil
Cert. No. Issued by Dir.
of Technical Education
Type
Writing
-- -- -- --
Short
hand
-- -- -- --
Computer Qualification (for Typist and Steno-Typist, Grade III) ?
Do you possess Certificate Course in Computer on Office Automation
awarded by the Technical Education Department? :
Yes
Physical Standards as per notification : Yes
Name of the Examination Centre District: Madurai
Name of the Examination Centre : Madurai South
Optional Subject : General Studies with General Tamil (S.S.L.C Standard)
Do you claim Age Concession? : No
Do You Claim Fee Exemption? : Yes
Under What Category? : Differently Abled of all castes
No of free Attempts : morethan3
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
Experience Details :
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
2/3
-- -- --
-- -- --

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 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: 2014-10-26 12:29:28 Signature of Applicant

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


3/3