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ON-LINE APPLICATION FOR TNPSC REGISTRATION

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

36032
Registration # : 341279190

Full Name :

S BHARATHIKANNAN

One Time ID : Name of The Post Applying for : Are you a Destitute Widow? : Are you a Differently Abled Person? : Are you an Ex-Serviceman ? : PPO No : Date of Discharge / Probable date of Discharge : Are you a Government Employee? : Nationality / Citizenship : Application Fee / Intimation Charges details: Payment Mode: Amount : Personal Details : Date of Birth : Gender : Married : Religion : Candidate's Place of Birth : Native District : Father's Name : Father's Place of Birth : Mother Tongue : Mother's Name : Communal Category : Name of the Sub Caste : Certificate No : Date Of Issue : Issuing Authority : Taluk : District : Address for Correspondence :

-Combined Civil Services Exam - II (Group II) - (Interview - Posts) NA NO NO --NO Indian

Indian Bank 50.00

19/03/1990 MALE No Hindu THIRUCHIRAPALLI Tiruchirappalli A SELVAMANI Tiruchirappalli Tamil E JAGATHESWARI Scheduled Caste (SC) Pallan 4850632 05/04/2007 Taluk Tahsildar Tambaram Kancheepuram NO.7 T.N.E.B COLONY ANAKAPUTHUR CHENNAI

District State : Pin : Permanent Address :

Kancheepuram Tamil Nadu 600070 NO.7 T.N.E.B COLONY ANAKAPUTHUR CHENNAI

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District State : Pin : Contact Details : Email ID : Mobile No : EDUCATIONAL QUALIFICATION PARTICULARS : Exam Passed Date of Publication of Results S.S.L.C : H.S.C or Equivalent Qualification : Degree : Others : Do you claim reservation for Persons Studied in Tamil Medium (PSTM)? : Details regarding the prescribed qualification : Qualification Details : Other Equivalent Qualification Details : Certificate No : Year of Passing : Name of the Authority/ University : Do you have the preferential qualification as per notification? : Physical Standards as per notification : Type writing Name of the Examination Centre District: Name of the Examination Centre : Optional Subject (As per Notification) : Do you claim Age Concession? : Do You Claim Fee Exemption? : Criminal Case (Registered/Pending/Punishment awarded) : Participation in Political Activities (In agitation/As a Member of Political Organisation/Candidature in Election) : Post Qualification work experience (Start from present Employer) : Name of the Organisation Previous appearance for Oral Test / Written Test Name of the Post Register No. Year Designation From(mm/yyyy) To(mm/yyyy) Nature of Duty Other Equivalent Qualification B.E L714198 2011 ANNA UNIVERSITY No No English Type Writing Chennai-South Saidapet General Studies (Degree Standard) with General Tamil (S.S.L.C Standard) No No Not Applicable Not Applicable -Tamil -04/06/2005 14/05/2007 01/06/2011 Medium of Instruction English English English N/A H.S.C B.E. N/A N/A ELECTRICAL -No MATRICULATION STATE BOARD ANNA UNIVERSITY Degree Major Subject Board / University bharathikannan1990@gmail.com 8939009793 Kancheepuram Tamil Nadu 600070

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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: 2013-09-22 12:24:58

Signature of Applicant

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