ON-LINE APPLICATION FOR TNPSC REGISTRATION

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Registration # : 2782424
Full Name : M PREM
One Time ID : 11907597
Name of The Post Applying for : Village Administrative Officer
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: NO FEE
Amount : 0.00
Personal Details :
Date of Birth : 15/06/1988
Gender : MALE
Married : No
Religion : Hindu
Candidate's Place of Birth : SIRUPAKKAM
Native District : Cuddalore
Father's Name : C MURUGESAN
Father's Place of Birth : Cuddalore
Mother Tongue : Tamil
Mother's Name : M KARUPPAYEE
Communal Category : Most Backward Class(MBC)
Name of the SubCaste : BOYAR
Certificate No : 1358340
Date Of Issue : 19/04/2004
Issuing Authority : Zonal Deputy Tahsildar
Taluk : Thittakudi
District : Cuddalore
Address for Correspondence : BOYAR STREET, SIRUPAKKAM POST
TITTAKUDI TALUK
CUDDALORE DISTRICT
District Cuddalore
State : Tamil Nadu
Pin : 606123
Permanent Address : BOYAR STREET, SIRUPAKKAM POST
TITTAKUDI TALUK
CUDDALORE DISTRICT
District Cuddalore
State : Tamil Nadu
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State : Tamil Nadu
Pin : 606123
Contact Details :
Email ID : mprem111@gmail.com
Mobile No : 9600548765
EDUCATIONAL QUALIFICATION PARTICULARS :
Exam Passed Year of Passing Medium of
Instruction
Degree Major Subject
S.S.L.C : 2004 Tamil N/A N/A
H.S.C : 2006 Tamil N/A N/A
Degree : 2010 English others ELECTRICAL ENGG.
Others : --
Whether studied Tamil as one of the subject : hsc
Details regarding the prescribed qualification :
Qualification Details : Other Equivalent Qualification
Other Equivalent Qualification Details :
B.E- ELECTRICAL AND
ELECTRONICS ENG
Certificate No : 61506105038
Year of Passing : 2010
Name of the Authority/ University : ANNA UNIVERSITY CHENNAI
Preferential qualification for per notification : Yes
Preferential Physical Standards for per notification : Yes
Type writing / Short hand Qualification
English Tamil
Type Writing JG --
Short hand -- --
Name of the Examination Centre District: Cuddalore
Name of the Examination Centre : Cuddalore
Compulsory Subject : General Knowledge with Tamil
Do you claim Age Concession? : No
Do You Claim Fee Exemption? : Yes
Under What Category? : Most Backward Class/Denotified Community
No of free Attempts : 1
Post Preference : 1.Village Administrative Officer (Post Code:2025)
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.

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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 by the TNPSC or any other recruiting agency.

8. I am not a dismissed Government Employee.

I accept the above declaration
Place:
Date: 2012-07-12 15:22:57 Signature of Applicant

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


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