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7/21/2019 Karthik tnpsc http://slidepdf.com/reader/full/karthik-tnpsc 1/3 12/10/2015 TNPSC http://182.18.164.63/tnpscen192015/tfrmAcknowledgement.aspx 1/3 Tamil Nadu Public Service Commission Name of the Post Applying for / : VILLAGE ADMINISTRATIVE OFFICER IN THE TAMIL NADU MINISTERIAL SERVICE Notification No. / : 19/2015 Ap pl ic at io n No . / : 519569746 Registration Date : / : 10-12-2015 04:59:57 Name of the Candidate / : Initials Name S KARTHIKEYAN Gender / : MALE Date of Birth / : 15-03-1980 Father's Name / : Initials Name K SRINIVASAN Mother's Name / : Initials Name R VANITHAMANI Marital Status / ? MARRIED Spouse's Name / / : INDUMATHI Candidate's Place of Birth / : TIRUVANNAMALAI Native District / : THIRUVANNAMALAI Father's Place of Birth / : THIRUVANNAMALAI Mother Tongue / : TAMIL Nationality / : INDIAN Religion / : HINDU Certificate Details / Communal Category / : SCHEDULED CASTE-ARUNTHATHIAR(SCA) Name of the Sub - Caste / : ARUNTHATHIYAR Certificate No / : 2759902 Date of Issue / : 22-06-2001 Issuing Authority / : TAHSILDAR District / : THIRUVANNAMALAI Taluk / : THIRUVANNAMALAI Ar e yo u a Di ff ere n tl y Ab le d Pe rso n / ? NO Are yo u a Go ve rn men t Em pl o ye e / ? NO Have you been debarred or disqualified by the Public Service Commission or any other recruiting agency from appearing examinations and selections for specific period or permanently? / ? NO Ar e yo u an Ex -S erv ic eme n / ? NO Criminal Case Registered / ? NO Participation in Political Activities / ? NO Communication Details /

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Page 1: Karthik tnpsc

7/21/2019 Karthik tnpsc

http://slidepdf.com/reader/full/karthik-tnpsc 1/3

12/10/2015 TNPSC

http://182.18.164.63/tnpscen192015/tfrmAcknowledgement.aspx 1/3

Tamil Nadu Public Service Commission

Name of the Post Applying for / :VILLAGE ADMINISTRATIVE OFFICER IN THE TAMIL NADUMINISTERIAL SERVICE

Notif ica t ion No. / : 19 /2015

Ap pl ic at io n No . / : 519569746

Registration Date : / : 10-12-201 5 04:59:57

Name of the Candidate / Ṉ :

Initials Name

S KART HIKE YAN

Gender / : MALE

Date of Birth / : 15-03-1980

Father's Name / :

Initials Name

K SRINIVASAN

Mother's Name / :

Initials Name

R VANIT HAMANI

Marital Status / ? MARRIED

Spouse's Name / / : INDUMATHI

Candidate's Place of Birth / : TIRUVANNAMALAI

Native District / : THIRUVANNAMALAI

Father's Place of Birth / : THIRUVANNAMALAI

Mother Tongue / : TAMIL

Nationality / : INDIAN

Religion / : HINDU

Certificate Details /

Communal Category / : SCHEDULED CASTE-ARUNTHATHIAR(SCA)

Name of the Sub - Caste / Ṉ

:ARUNTHATHIYAR

Certificate No / : 2759902

Date of Issue / : 22 - 06- 2001

Issuing Authority /

Ṉ :TAHSILDAR

District / : THIRUVANNAMALAI

Taluk / : THIRUVANNAMALAI

Are yo u a Di ff eren tl y Ab le d Pe rso n / ? NO

Are yo u a Go ve rn men t Em pl o yee / ? NO

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

examinations and selections for specific period or permanently? /

Ṉ Ṉ

?

NO

Are yo u an Ex -S erv ic eme n / ? NO

Criminal Case Registered / ? NO

Partic ipat ion in Poli t ica l Activ i t ies / ? NO

Communication Details /

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Correspondence Address / Ṉ Permanent Address / Ṉ

Ad dr ess Li n e 1 / Ṉ 1 : 1 22

Ad dr ess Li n e 2 / Ṉ 2 : INDIRA NAGAR

Ad dr ess Li n e 3 / Ṉ 3 : NALLAVAN PALAYAM

State / : TAMIL NADU

District / : THIRUVANNAMALAI

Pin co d e / : 606603

Ad dr ess Li ne 1 / Ṉ 1 : 1 22

Ad dr ess Li ne 2 / Ṉ 2 : INDIRA NAGAR

Ad dr ess Li ne 3 / Ṉ 3 : NALLAVAN PALAYAM

State / : TAMIL NADU

District / : THIRUVANNAMALAI

Pin co d e / : 606603

Email ID / Ṉ : kar [email protected]

Mobile No / : 9952742885

Educational Qualification Particulars /

SSLC

Date of Result Published / : 17-06-1996

Name of the Board / University / / : STATE BOARD

Certificate Number / : 4036152

Whether studied Tamil as one of the subject /

?YE S

Medium of Instruction / : TAMIL

Select the evidence for Persons Studied in Tamil Medium (PSTM) with a recording

that he/she studied the Prescribed orEquivalent Qualification inTamil Medium /

(Tamil Medium)

:

PSTM CERTIFICATE IN PRESCRIBED FORMAT

Certificate of Evidence for PSTM issued on / : 30-09-2013

Certificate of Evidence for PSTM issued by (Issuing authority) /

Ṉ :PRINCIPAL

HS C

Date of Result Published / : 05-06-1998

Medium of Instruction / : TAMIL

Name of the Board / University / / : STATE BOARD

Certificate Number / : 2534295

Whether studied Tamil as one of the subject /

? YE S

Under Graduate

Date of Result Published / : 03-07-2003

Name of the Degree / : B.SC

Major Subject / CHEMISTRY

Name of the Board / University / / : UNIVERSITY OF MADRAS

Certificate Number / : 01757

Whether studied Tamil as one of the subject /

?YE S

Medium of Instruction / : TAMIL

Do you have the Physical Standards as per notification? /

? :YE S

Examination Particulars /

Name of the Examination Centre / : KANCHEEPURAM

Subject(s) for Examination / :GENERAL STUDIES WITH BASICS OF VILLAGE ADMN. ANDGENERAL TAMIL (SSLC STD.)

Registration Fees

*Payment Mode NI L

Declaration /

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 betaken against me by the TNPSC.

, Ṉ .

.

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I hereby declare that I will not be a party to any kind of canvassing on my behalf. .

I further declare that I fulfil all the eligibility conditions prescribed for admission to the examination. .

I have gone through the instructions to the candidates and the Commission's notification for this Recruitment before filling up theapplica t ion form.

" "

.

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

I Certify that I have not been debarred / disqualified by the TNPSC or any other recruiting agency.

.

I am not a dismissed Government Employee. .

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