ON-LINE APPLICATION FOR TNPSC REGISTRATION

36025
Registration # : 341439057
Full Name : P PREMKUMAR
One Time ID : 12390006
Name of The Post Applying for :
Combined Civil Services Exam - II
(Group II) - (Interview - Posts)

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 : Indian
Application Fee / Intimation Charges details:
Payment Mode: NO FEE
Amount : 0.00
Personal Details :
Date of Birth : 23/10/1990
Gender : MALE
Married : No
Religion : Hindu
Candidate's Place of Birth : ARAMATHAPALAYAM
Native District : Namakkal
Father's Name : P PARAMESWARAN
Father's Place of Birth : Namakkal
Mother Tongue : Tamil
Mother's Name : D MADHAMMAL
Communal Category : Scheduled Caste-Arunthathiar(SCA)
Name of the SubCaste : Arunthathiyar
Certificate No : 3469278
Date Of Issue : 11/07/2006
Issuing Authority : Taluk Tahsildar
Taluk : Rasipuram
District : Namakkal
Address for Correspondence : 1/104,ARAMATHAPALAYAM
PALANTHINNIPATTI POST
RASIPURAM TALUK
District Namakkal
State : Tamil Nadu
Pin : 637505
Permanent Address : 1/104,ARAMATHAPALAYAM
PALANTHINNIPATTI POST
RASIPURAM TALUK
District Namakkal
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State : Tamil Nadu
Pin : 637505
Contact Details :
Email ID : premkumar102390@gmail.com
Mobile No : 9865118377
EDUCATIONAL QUALIFICATION PARTICULARS :
Exam Passed Date of
Publication of
Results
Medium of
Instruction
Degree Major Subject Board / University
S.S.L.C : 05/06/2006 English N/A N/A MATRICULATION
H.S.C or Equivalent
Qualification :
09/05/2008
English H.S.C
N/A
STATE BOARD
Degree : 10/04/2012 English B.E.
ELECTRONICS AND
COMMUNICATION
ANNA UNIVERSITY
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 : CBEA013443
Year of Passing : 2012
Name of the Authority/ University : ANNA UNIVERSITY
Do you have the preferential qualification as per notification? : No
Physical Standards as per notification : Yes
Type writing
English Tamil
Type Writing -- --
Name of the Examination Centre District: Namakkal
Name of the Examination Centre : Rasipuram
Optional Subject (As per Notification) : General Studies (Degree Standard) with General English (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 (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
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 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: 2013-09-29 11:56:38 Signature of Applicant

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


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