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ON-LINE APPLICATION FOR TNPSC REGISTRATION
4002
Registration # : 390368173
Full Name : R ANITHA
One Time ID : --
Name of The Post Applying for : Group-IV Services
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 : 125.00
Personal Details :
Date of Birth : 21/11/1991
Gender : FEMALE
Married : No
Religion : Hindu
Candidate's Place of Birth : Bangalore
Native District : Vellore
Father's Name : A Ravi
Father's Place of Birth : Vellore
Mother Tongue : Tamil
Mother's Name : R Saraswathi
Communal Category : Most Backward Class(MBC)
Name of the SubCaste : Vanniya Gounder
Certificate No : 391830
Date Of Issue : 29/08/2002
Issuing Authority : Zonal Deputy Tahsildar
Taluk : Wallajah
District : Ariyalur
Address for Correspondence : #52/2, Bajanai Koil Street,
Vanapadi Post,Edapalayam Vilag
Walaja Taluk
District Vellore
State : Tamil Nadu
Pin : 632404
Permanent Address : #52/2, Bajanai Koil Street,
Vanapadi Post,Edapalayam Vilag
Walaja Taluk
District Vellore
State : Tamil Nadu
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Pin : 632404
Contact Details :
Email ID : [email protected]
Mobile No : 8792137578
EDUCATIONAL QUALIFICATION PARTICULARS :
Exam Passed Year of
Publication of
Result
Medium of
Instruction
Degree Major Subject Board / University
S.S.L.C :2007
English N/AN/A Tamilnadu
Matriculation board
H.S.C :2009
English N/AN/A Tamilnadu State
Board
Degree : 2012 English B.C.A.Computers Bangalore
University
Others : --
Do you claim reservation for Persons Studied in Tamil Medium
(PSTM)? : No
Are you trained person in Survey in ITI, Tamil Nadu?
(Eligible for Field Surveyor and Draughtsman post only)? :No
Details regarding the prescribed qualification :
Qualification Details : SSLC
Other Equivalent Qualification Details : --
Certificate No : 0696617
Year of Passing : 2007
Name of the Authority/ University : Tamilnadu Matriculation
Board
Preferential qualification for per notification : Yes
Type writing / Short hand Qualification
EnglishCert. No. Issued by Dir. of
Technical EducationTamil
Cert. No. Issued by Dir.
of Technical Education
Type
Writing-- -- -- --
Short
hand-- -- -- --
Computer Qualification (for Typist and Steno-Typist, Grade III)
?
Do you possess Certificate Course in Computer on Office
Automation
awarded by the Technical Education Department? :
Yes
Preferential Physical Standards for per notification : Yes
Do you claim reservation for Persons Studied in Tamil Medium
(PSTM)? : No
Name of the Examination Centre District: Vellore
Name of the Examination Centre : Wallajah
Optional Subject (As per Notification) : General Studies with
General Tamil (S.S.L.C Standard)
Do you claim Age Concession? : No
Do You Claim Fee Exemption? : No
Post Preference : --
Criminal Case (Registered/Pending/Punishment awarded) : Not Appl
icable
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
Century Real Estat
e Holdings Pvt Ltd
Jr Executive ERP 07/2012 03/2013 Data Entry
Previous appearance for Oral Test / Written Test
Name of the Post Register No. Year
-- -- --
-- -- --
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DECLARATION:
1. I hereby dec lare that all the particulars furnished in this
application are true, cor rect and c omplete 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 presc ribed for admission to the examination.
4. I have informed my employer in wr iting that I am applying
for this Examination.
5. I have gone through the Instruc tions 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 G overnment Employee.
I accept the above declaration
Place:
Date: 2013-06-21 16:54:48 Signature of Applican
Please retain your Registration No. and Password emailed to you
carefully for further reference
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