Staff Selection Commission (Registration-Id: 51200408257)

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Staff Selection Commission

JUNIOR ENGINEERS (CIVIL, MECHANICAL, ELECTRICAL,QUANTITY SURVEYING AND CONTRACT) EXAMINATION, 2012 PART - I [ Application Details of Registration-Id: 51200408257 ] Basic Details : Name of the Examination Centre : Candidate's Full Name : Father's Name : Mother's Name : Date of Birth : Age as on normal closing date (01.01.2012) : Gender : Nationality : Fees : Category : If Ex-Serviceman : Whether PWD : Whether seeking Age relaxation? : Whether belong to Minority Communities as per Govt. Orders : Preference for posts SR - Chennai (8201) KATHIRAVAN M MARIMUTHU N LILLY R 20/06/1987 24years 6months 11days Male Indian Fee Paid OBC No No No No Pref-I Pref-II Pref-III Pref-IV A B

Preference for Deaprtment Subject for General Engineering, Paper-I & paper II : Medium of Paper-II

Pref 1 Pref 2 Pref 3 Pref 4 Pref 5 A 1 1 D B C E

Educational Qualification : Education Code BE Subject Code Civil Engineering Percentage of Marks 65.00 Medium English

Contact Details : 120/93 DR.MGR NAGAR KK PATTI ROAD USILAMPATTI MADURAI TAMILNADU - 625532 9894291018 kathiravan.civil@gmail.com PART - II [ Fee Payment Details, Photograph & Signature of Registration-Id: 51200408257 ] Fee Payment Details (Subject to verification) Registration-Id 51200408257 Transaction-Id 005312820 Transaction Date 08/02/2012 Fee Paid (in Rs) 100 Agency Name State Bank of India Mode of Payment Cash

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Staff Selection Commission (Registration-Id: 51200408257)

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