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ON-LINE APPLICATION FOR TNPSC REGISTRATION

20031
Registration # : 10903313

Full Name : C NADHIYA

One Time ID : --
Group IV,Group VIII Executive Officer
Name of The Post Applying for :
GR-IV
Are you a Destitute Widow? : NO

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: Net Banking
Amount : 150.00

Personal Details :
Date of Birth : 03/05/1985
Gender : FEMALE
Married : Yes
Spouse's Name : kannan
Religion : Hindu
Candidate's Place of Birth : karur
Native District : Erode

Father's Name : c Chinnasamy

Father's Place of Birth : Erode
Mother Tongue : Tamil
Mother's Name : c Lakshmi

Spouse's Name : Kannan

Communal Category : Backward Class(BC)

Name of the Sub‐Caste : hindu kongu vellalar

Certificate No : 4068437

Date Of Issue : 03/03/2005

Issuing Authority : Zonal Deputy Tahsildar

Taluk : Dharapuram

District : Erode
Address for Correspondence : C.NADHIYA W/o Kannan

24 Eda Street, Ellaiyamman

Koil Near, Chidambaram

District Cuddalore
State : Tamil Nadu

Pin : 608001
Permanent Address : C.NADHIYA W/o Kannan

24 Eda Street, Ellaiyamman

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Koil Near, Chidambaram

District Cuddalore
State : Tamil Nadu

Pin : 608001

Contact Details :
Email ID : nadhi.nivi@gmail.com

Mobile No : 9629754363

EDUCATIONAL QUALIFICATION PARTICULARS :

Exam Passed Year of Passing Medium of Instruction Whether studied Tamil as

one of the subject
S.S.L.C : 2000 Tamil No

H.S.C : 2002 Tamil No

Degree : 2005 English Yes

Others : --

Details regarding the prescribed qualification :

Qualification Details : SSLC

Other Equivalent Qualification Details : --

Certificate No : 0413063

Year of Passing : 2000

Name of the Authority/ University : GOVERMENT OF TAMIL NADU

Preferential qualification for per notification : No

English Tamil

Type writing / Short hand Qualification Type Writing -- --

Short hand -- --

Name of the Examination Centre District: Cuddalore

Name of the Examination Centre : Chidambaram

Compulsory Subject (apart from General Knowledge) : General Knowledge with Tamil
Do you claim Age Concession? : No

Do You Claim Fee Exemption? : No

1.Junior Assistant - Non Security (Post Code:2600)
Post Preference : 2.Junior Assistant - Security (Post Code:2400)
3.Bill Collector (Post Code:2500)
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.

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5. I have gone through the Instructions etc. to candidates and the Commission’s 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: 2012-05-21 20:45:17 Signature of Applicant

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