Dinesh tn

7/23/2019 Dinesh tn

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12/10/2015 TNPSC

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Tamil Nadu Public Service Commission

தம ந⥽ அர娩 பண騒யளᅌ தᅌவணயꇞ

Name of the Post Applying for / வ騒睂ண娩ப騒㦪뷸ꇞ பதவ騒ய騒ᚒ பயᅌ :VILLAGE ADMINISTRATIVE OFFICER IN THE TAMIL NADU

MINISTERIAL SERVICE

Not if ica t ion No. / அறவ騒㦪க எ睂 : 1 9 / 2 0 1 5

Ap pl ic at io n No . / வ騒睂ண娩ப எ睂 : 5 1 9 6 0 5 6 4 1

Registration Date : / பத퇡 ச쐺த நꛛ : 1 0 - 1 2 - 2 0 1 5 2 1 : 2 3 : 1 5

Name of the Candidate / வ騒睂ண娩பதரᅚᚒ பயᅌ :

Initialsதல娩ப霝⡎㱅கꛛ

Nameபயᅌ

J DINE SHKUMAR

Gender / பலனꇞ : MALE

Date of Birth / ப騒ற괭த தத : 0 2 - 0 6 - 1 9 8 0

Father's Name / த괭தயᅌ பயᅌ :


Nameபயᅌ

V J AGANNAT HAN

Mother's Name / தயᅌ பயᅌ :


Nameபயᅌ

J AMB IGA

Marital Status / தமணꇞ ஆனவர? MARRIED

Spouse's Name / கணவᅌ / மனவ騒ய騒ᚒ பயᅌ : SUGUNA

Candidate's Place of Birth / வ騒睂ண娩பதரᅌ ப騒ற괭த இடꇞ : THIRUVANNAMALAI

Native District / ச괭த மவ டꇞ : THIRUVANNAMALAI

Father's Place of Birth / த괭தயᅌ ப騒ற괭த இடꇞ : THIRUVANNAMALAI

Mother Tongue / த쐺 மழ : TAMIL

Nationality / தசய இனꇞ : INDIAN

Religion / மதꇞ : HINDU

Certificate Details / சᚒறதகள쁸ᚒ வ騒வர䌔கꛛ

Communal Category / வ뷸娩튅 : SCHEDULED CASTE (SC)

Name of the Sub - Caste / சத உ ப騒ᅚவ騒ᚒபயᅌ :

VALLUVAN

Certif icate No / சᚒறத எ睂 : 7 DBE6 6 6 C6 A6 8 7 A8 6

Date of Issue / வழ䌔க娩ப

ட தத : 2 8 - 0 1 - 2 0 1 4

Issuing Authority / சᚒறத வழ䌔கயஅதகᅚ :

TALUK TAHSILDAR

District / மவ டꇞ : THIRUVANNAMALAI

Taluk / வ டꇞ : THIRUVANNAMALAI

Ar e yo u a Di ff ere n tl y Ab le d Pe rso n / மᚷ赣⡎ தறனள쁸ய ? NO

Are yo u a Go ve rn men t Em pl o ye e / அர娩பண騒யளர ? NO

Have you been debarred or disqualif ied by the Public ServiceCommission or any other recruiting agency from appearing

examinations and selections for specific period or permanently? /

தᅌவணயꇞ அ냣ல㱅 வ赣 எ괭த பண騒 நயமன 겫கமய騒னலதᅌ퇡கꛛ மᚷ赣ꇞ தᅚ퇡கள쁸냣 கல괭㱅 கꛛ룕ꇞ உᅚமய騒ல괭㱅த䌔கள நர괭தரமகவ அ냣ல㱅 ஒ 뷸ற娩ப騒 ட கல⡎தᚷகவ騒ல㦪க வ⡎த அ냣ல㱅 த뷸தய騒ᚒமய ச쐺ய娩ப ⥽ꛛளத ?

NO

Ar e yo u an Ex -S erv ic eme n /겫ᚒனꛛ இர暲வ⡎தனர? NO

Criminal Case Registered / 뷸ᚷறவ騒ய냣 வழ㦪뷸 பதய娩ப டத ? NO

Pa r ticipa t ion in Pol i t ica l Act ivit ie s / அரசயல냣 ப䌔கᚷ튅 ? NO

Communication Details /தடᅌ튅 뷸ற⡎த வ騒வர䌔கꛛ

7/23/2019 Dinesh tn


12/10/2015 TNPSC


Correspondence Address / தடᅌ튅 겫கவᅚ Permanent Address / நர괭தர 겫கவᅚ

Ad dr ess Li n e 1 /겫கவᅚ 1 :NO.79/46A ANNANAGAR 9TH

STREET

Ad dr ess Li n e 2 /겫கவᅚ 2 : THIRUVANNAMALAI

Ad dr ess Li n e 3 /겫கவᅚ 3 :

State / மநலꇞ : TAMIL NADU

District / மவ

டꇞ : THIRUVANNAMALAI

P i n c o d e / அச냣 뷸றய ⥽ : 6 0 6 6 0 1

Ad dr ess Li ne 1 /겫கவᅚ 1 :NO.79/46A ANNANAGAR

9 TH STREET

Ad dr ess Li ne 2 /겫கவᅚ 2 : THIRUVANNAMALAI

Ad dr ess Li ne 3 /겫கவᅚ 3 :

State / மநலꇞ : TAMIL NADU

District / மவ டꇞ : THIRUVANNAMALAI

P i n c o d e / அச냣 뷸றய ⥽ : 6 0 6 6 0 1

Email ID / மᚒனச냣 겫கவᅚ : dhi ne kum a r @ y a ho o . c o m

Mobile No /கபச எ睂 : 9 9 4 3 0 4 4 0 4 1

Educational Qualification Particulars /க냣வ騒⡎ த뷸த 뷸ற⡎த வ騒வர䌔கꛛ

S S L C

Date of Result Published / தᅌ퇡 겫᪪퇡 வள쁸ய騒ட娩ப ட தத : 2 1 - 1 2 - 1 9 9 5

Name of the Board / University / தᅌ퇡㦪뷸霝மꇞ/ப냣கல㦪கழகꇞ : STATE BOARD

Certif icate Number / சᚒறத எ睂 : 3 6 2 4 2 6 0

Whether studied Tamil as one of the subject / தமழ ஒ படமக எ⥽⡎㱅 தᅌ貇சபᚷ赣ꛛள㞜ர?

YE S

Medium of Instruction / பய騒ᚷ赣 மழ : TAMIL

Select the evidence for Persons Studied in Tamil Medium (PSTM) with a recording that he/she studied the PrescribedorEquivalent Qualif ication inTamil Medium / தமழ娩 பய騒ᚷ赣மழயக㦪 க睂⥽ நᅌணய騒㦪க娩ப ட அ냣ல㱅 இணயனக냣வ騒⡎த뷸தய தம வழய騒냣 ( T a mi l Medi um)பய騒ᚒறத பத퇡 ச쐺㱅ꛛள சᚒறதழ தᅌ퇡 ச쐺க :

NO

EVIDENCE

HS C


Medium of Instruction / பய騒ᚷ赣 மழ : TAMIL

Name of the Board / University / தᅌ퇡㦪뷸霝மꇞ/ப냣கல㦪கழகꇞ : STATE BOARD



YE S

Under Graduate


Name of the Degree /ப

ட娩

ப᪪娩ப騒ᚒ

பயᅌ :

B AMajor Subject /겫தᚒம படꇞ HISTORY

Name of the Board / University / தᅌ퇡㦪뷸霝மꇞ/ப냣கல㦪கழகꇞ : UNIVERSITY OF MADRAS

Certif icate Number / சᚒறத எ睂 : 0 3 2 3 8 0


YE S

Medium of Instruction / பய騒ᚷ赣 மழ : ENGLISH

Post Graduate


Name of the PG Degree / ப

ட娩 ப᪪娩ப騒ᚒ பயᅌ : MA

Major Subject /겫தᚒம படꇞ : HISTORY

Name of the Board / University / தᅌ퇡㦪뷸霝மꇞ/ப냣கல㦪கழகꇞ : THIRUVALLUVAR UNIVERSITY



NO


M.Phil



Major Subject /겫தᚒம படꇞ : M.PHIL

Name of the Board / University / தᅌ퇡㦪뷸霝மꇞ/ப냣கல㦪கழகꇞ : HISTORY

Certif icate Number / சᚒறத எ睂 : 0 3 3 5 0 5

Do you have the Physical Standards as per notif ication? /

அறவ騒㦪கய騒냣 뷸ற娩ப騒 ⥽ꛛள உடᚷத뷸த பᚷ赣ꛛள㞜ர? :

YE S

Examination Particulars /தᅌவ騒ᚒ வ騒வர䌔கꛛ

Name of the Examination Centre / தᅌ퇡 மய⡎தᚒ பயᅌ : KANCHEEPURAM

GENERAL STUDIES WITH BASICS OF VILLAGE ADMN. AND

7/23/2019 Dinesh tn


12/10/2015 TNPSC


Subject(s) for Examination / தᅌவ騒ᚷகன படꇞ : GENERAL TAMIL (SSLC STD.)

Registration Fees

*Payment Mode NI L

Declaration /உ赣த மழ

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 ineligibil ity being detected before or after the examination, action can be

taken against me by the TNPSC.இவ騒睂ண娩ப⡎த냣 뷸ற娩ப騒 ⥽ꛛள வ騒வர䌔களன⡎㱅ꇞ எᚒ அறவ騒ᚷ뷸 எ ᪪யவர உ睂மயன㱅 , சᅚயன㱅 மᚷ赣ꇞ 겫霝மயன㱅.

தᅌவ騒ᚷ뷸 겫ᚒப அ냣ல㱅 ப騒றக இவ騒வர䌔கꛛ தவ赣 அ냣ல㱅 உ睂ம㦪뷸娩 튅றꇞபன㱅 அ냣ல㱅 த뷸தய騒ᚒம என அற晸ꇞப ச⡎த냣எᚒம屯㱅 எ⥽㦪க娩ப⥽ꇞ தᅌவணய⡎தᚒ எவ騒த நடவ᪪㦪க㦪뷸ꇞ உ ப⥽கறᚒ.

I hereby declare that I will not be a party to any kind of canvassing on my behalf.எᚒ சᅌப騒냣 எ괭த வ騒தமன ஆதரவ晸ꇞ நட நᚒ உட괭தயக இ㦪கம டᚒ .

I further declare that I fulfi l all the eligibil ity conditions prescribed for admission to the examination.இ⡎தᅌவ騒ᚒ அᲮமத㦪뷸⡎ தவயன அன⡎㱅⡎ த뷸தகள晸ꇞ பᚷ赣ꛛளᚒ என உ赣த 붖赣கறᚒ .

I have gone through the instructions to the candidates and the Commission's notif ication for this Recruitment before fi l l ing up thea ppl ica t ion f or m.தᅌவணய⡎தᚒ "வ騒睂ண娩பதரᅌக룕㦪கன வ騒த겫றகꛛ" மᚷ赣ꇞ இ娩பதவ騒㦪கக வ騒ளꇞபர娩ப⥽⡎த娩ப ⥽ꛛள அறவ騒㦪கய騒ன晸ꇞப᪪⡎㱅 அற괭த ப騒ᚒப இவ騒睂ண娩ப⡎த娩 ᅌ⡎த ச쐺㱅ꛛளᚒ.

I declare that I possess the Physical standards prescribed for the post(s) which I am now applying.

வ騒睂ண娩ப騒㦪뷸ꇞ

பதவ騒

அ냣ல㱅

பதவ騒க룕㦪뷸⡎

தவயன

உடᚷ

த뷸தகள娩

பᚷ赣ꛛளᚒ

எᚒ赣

உ赣தயள쁸㦪கறᚒ.

I Certify that I have not been debarred / disqualif ied by the TNPSC or any other recruiting agency.இ⡎தᅌவணய⡎தல அ냣ல㱅 வ赣 எ괭த பண騒 நயமன 겫கமகளல நᚒ வ騒ல㦪கவ㦪க அ냣ல㱅 த뷸தந㞜㦪கꇞ ச쐺ய娩படவ騒냣லஎன貇 சᚒறள쁸㦪கறᚒ.

I am not a dismissed Government Employee.நᚒ பண騒யற퇡 ச쐺ய娩ப ட அர娩பண騒யளᚒ அ냣லᚒ.

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