ON-LINE APPLICATION FOR TNPSC REGISTRATION

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Registration # : 2905098
Full Name : S YASSIN
One Time ID : 11617069
Name of The Post Applying for : Village Administrative Officer
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 Discharge / Date : --
Are you a Government Employee? : NO
Nationality / Citizenship : Indian
Application Fee / Intimation Charges details:
Payment Mode: Net Banking
Amount : 75.00
Personal Details :
Date of Birth : 31/03/1987
Gender : MALE
Married : No
Religion : Muslim
Candidate's Place of Birth : Virudhunagar
Native District : Madurai
Father's Name : M Samsudeen
Father's Place of Birth : Madurai
Mother Tongue : Tamil
Mother's Name : S Mehar Nisha
Communal Category : Backward Class-Muslim(BCM)
Name of the SubCaste : Lebbai
Certificate No : 9533744
Date Of Issue : 29/09/2010
Issuing Authority : Head Quarters Deputy Tahsildar
Taluk : Madurai (North)
District : Madurai
Address for Correspondence : 10, Jahangir Khan Street
Goripalayam
District Madurai
State : Tamil Nadu
Pin : 625002
Permanent Address : 10, Jahangir Khan Street
Goripalayam
District Madurai
State : Tamil Nadu
Pin : 625002
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Contact Details :
Email ID : yassinmadurai@gmail.com
Mobile No : 9894579336
EDUCATIONAL QUALIFICATION PARTICULARS :
Exam Passed Year of Passing Medium of Instruction Degree Major Subject
S.S.L.C : 2002 English N/A N/A
Others : --
Whether studied Tamil as one of the subject : sslc
Details regarding the prescribed qualification :
Qualification Details : SSLC
Other Equivalent Qualification Details : --
Certificate No : 0188676
Year of Passing : 2002
Name of the Authority/ University : Matriculation Examination
Preferential qualification for per notification : Yes
Preferential Physical Standards for per notification : Yes
Type writing / Short hand Qualification
English Tamil
Type Writing -- --
Short hand -- --
Name of the Examination Centre District: Madurai
Name of the Examination Centre : Madurai North
Compulsory Subject : General Knowledge with English
Do you claim Age Concession? : No
Do You Claim Fee Exemption? : Yes
Under What Category? : Backward Class/Backward Class (Muslims)
No of free Attempts : 1
Post Preference : --
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.

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.
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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: 2012-07-14 10:48:40 Signature of Applicant

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


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