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ON-LINE APPLICATION FOR TNPSC REGISTRATION

3003

Registration # : 3272277

Full Name : M RAMAMOORTHY

One Time ID : 10361168

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: NO FEE

Amount : 0.00

Personal Details :

Date of Birth : 07/06/1980

Gender : MALE

Married : No

Religion : Hindu

Candidate's Place of Birth : NELLIKUPPAM

Native District : Cuddalore

Father's Name : A MAYAVAN

Father's Place of Birth : Cuddalore

Mother Tongue : Tamil

Mother's Name : M KANAGAVALLI

Communal Category : Scheduled Caste (SC)

Name of the SubCaste : ADI-DRAVIDA

Certificate No : 2153280

Date Of Issue : 19/06/2000

Issuing Authority : Taluk Tahsildar

Taluk : Panruti

District : Cuddalore

Address for Correspondence : 58, DR.AMBEDKAR NAGAR

MELPATHI

NELLIKUPPAM

District Cuddalore

State : Tamil Nadu

Pin : 607105

Permanent Address : 58, DR.AMBEDKAR NAGAR

MELPATHI

NELLIKUPPAM

District Cuddalore

State : Tamil Nadu

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Pin : 607105

Contact Details :

Email ID : rama.moothy@yahoo.in

Mobile No : 8870911577

EDUCATIONAL QUALIFICATION PARTICULARS :

Exam Passed Year of Passing Medium of Instruction Degree Major Subject

S.S.L.C : 1996 Tamil N/A N/A

H.S.C : 1999 Tamil N/A N/A

Degree : 2003 Tamil arts HISTORY

Others : --

Whether studied Tamil as one of the subject : hsc

Details regarding the prescribed qualification :

Qualification Details : SSLC

Other Equivalent Qualification Details : --

Certificate No : 4023341

Year of Passing : 1996

Name of the Authority/ University : GOVT.BOYS HIGH SCHOOL

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: Cuddalore

Name of the Examination Centre : Cuddalore

Compulsory Subject : General Knowledge with Tamil

Do you claim Age Concession? : Yes

Under What Category? : Scheduled Castes/(Arunthathiyar)

Do You Claim Fee Exemption? : Yes

Under What Category? : SC/SC(A)

No of free Attempts : morethan3

Post Preference : 1.Village Administrative Officer (Post Code:2025)

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 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.

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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: 2012-07-26 20:35:49 Signature of Applican

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

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