ON-LI NE APPLI CATI ON FOR TNPSC REGI STRATI ON

This online application is provisional subject to payment of application fees/ intimation charges
32030
Registration # : 401285354

Notification. No. : 01/ 2014
Full Name : C NALLA SI VA
One Time I D : 10605721
Name of The Post Applying for :
Personal Clerk in Tamil Nadu Legislative Assembly, Secretariat (Post Code No:
1085),Assistants in various departments

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 : I ndian
Application Fee / I ntimation Charges details:
Payment Mode: I ndian Bank
Amount : 75.00
Personal Details :
Date of Birth : 02/06/1984
Gender : MALE
Marital Status : UnMarried
Religion : Hindu
Candidate's Place of Birth : AYYANARKULAM PATTI
Native District : Tuticorin
Father's Name : V CHI DAMBARAM
Father's Place of Birth : Tuticorin
Mother Tongue : Tamil
Mother's Name : C VALLI THAI
Communal Category : Denotified Community(DC)
Name of the Sub-Caste : Maravars
Certificate No : 396081
Date Of I ssue : 30/08/2000
I ssuing Authority : Deputy Tahsildar (Certificates)
Taluk : Srivaikundam
District : Tuticorin
Address for Correspondence : 9/92, SOUTH STREET,
AYYANARKULAM PATTI
SEYDUNGANALLUR
District Tuticorin
State : Tamil Nadu
Pin : 628809
Permanent Address : 9/92, SOUTH STREET,
AYYANARKULAM PATTI
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SEYDUNGANALLUR
District Tuticorin
State : Tamil Nadu
Pin : 628809
Contact Details :
Email I D : cvsiva10@gmail.com
Mobile No : 9788577679
EDUCATI ONAL QUALI FI CATI ON PARTI CULARS :
Exam Passed Date of
Publication of
Results
Medium of
I nstruction
Degree Major Subject Board /
University
S.S.L.C : 05/03/1999 Tamil N/A N/A STATE BOARD
H.S.C or Equivalent
Qualification :
05/03/2001
Tamil H.S.C
N/A
STATE BOARD
Degree : 06/04/2005 Tamil B.Com. COMMERCE M.S. UNI VERSI TY
Others : --
Do you claim reservation for Persons Studied in Tamil Medium (PSTM)? : No
Details regarding the prescribed qualification :
Qualification Details : Any Degree
Other Equivalent Qualification Details : --
Certificate No : 135132
Year of Passing : 2005
Name of the Authority/ University : M.S. UNI VERSI TY
Do you possess Special / Preferential qualification? : Yes
Preferential qualification : B.Com
Physical Standards as per notification : Yes
Type writing / Short hand Qualification
English
Cert. No. I ssued by
Dir. of Technical
Education
Tamil
Cert. No. I ssued by
Dir. of Technical
Education
Type
Writing
-- -- -- --
Short
hand
-- -- -- --
Name of the Examination Centre District: Tirunelveli
Name of the Examination Centre : Palayamkottai
Optional Subject : General Studies (Degree Standard) with General Tamil (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 (I n 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
-- -- --
-- -- --

DECLARATI ON:

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 / disqualified by the TNPSC or any other recruiting agency.

8. I am not a dismissed Government Employee.

I accept the above declaration
Place:
Date: 2014-02-25 13:47:18 Signature of Applicant

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


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