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ON-LINE APPLICATION FOR TNPSC REGISTRATION

This online application is provisional subject to payment of application fees/ intimation charges

20039
Registration # : 308010521

Full Name : R VENKATESH

One Time ID : 145185

CCSE- III (GROUP IIIA)

Name of The Post Applying for : (POST CODE: 1095,
1098, 1099)
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:

Payment Mode: Indian Bank
Amount : 100.00

Personal Details :
Date of Birth : 14/08/1988
Gender : MALE
Married : No
Religion : Hindu
Candidate's Place of Birth : DHARMAPURI
Native District : Dharmapuri
Father's Name : M RAMASAMY
Father's Place of Birth : Dharmapuri

Mother Tongue : Tamil

Mother's Name : R PORKODI

Communal Category : Most Backward Class(MBC)

Name of the Sub‐Caste : VANNIA KULA KSHATRIYAR

Certificate No : 3783739
Date Of Issue : 16/06/2006

Issuing Authority : Zonal Deputy Tahsildar

Taluk : Salem

District : Salem

Address for Correspondence : S/O M.RAMASAMY,

4/1101 INDIRA NAGAR,

2ND CROSS,
District Dharmapuri

State : Tamil Nadu

Pin : 636701

Permanent Address : S/O M.RAMASAMY,

4/1101 INDIRA NAGAR,
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2ND CROSS,
District Dharmapuri

State : Tamil Nadu

Pin : 636701

Contact Details :
Email ID : ramvenkatesh88@gmail.com

Mobile No : 9994686030

EDUCATIONAL QUALIFICATION PARTICULARS :

Exam Passed Year of Passing Medium of Degree Major Subject

Instruction
S.S.L.C : 2004 English N/A N/A

H.S.C : 2006 English N/A N/A

Degree : 2009 English arts COMMERCE

Post Graduate Degree : 2012 English others HR and MARKEING

Others : --
Whether studied Tamil as one of the subject : degree

Details regarding the prescribed qualification :

Qualification Details : Degree of B.com

Other Equivalent Qualification Details : --

Certificate No : 233869

Year of Passing : 2009

Name of the Authority/ University : BHARATHIAR

Preferential qualification for per notification : Yes
Preferential Physical Standards for per notification : Yes
Name of the Examination Centre : Salem

Compulsory Subject (As per Notification) : General Studies with General Tamil
Do you claim Age Concession? : No
Do You Claim Fee Exemption? : No

1.
Post Preference : 2.
3.
Criminal Case (Registered/Pending/Punishment awarded) : Not Applicable
Participation in Political Activities (In agitation/As a Member of Political
Not Applicable
Organisation/Candidature in Election) :
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.

5. 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: 2013-05-27 09:32:36 Signature of Applicant

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