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7/23/2019 TNPSC hall ticket
1/3
12/9/2015 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
Not if ica t ion No. / : 1 9 / 2 0 1 5
Ap pl ic at io n No . / : 5 1 9 5 6 5 9 1 5
Registration Date : / : 0 9 - 1 2 - 2 0 1 5 2 0 : 2 4 : 0 5
Name of the Candidate / :Initials
Name
S EL UMAL AI
Gender / : MALE
Date of Birth / : 3 0 - 0 5 - 1 9 8 0
Father's Name / :Initials
Name
K SUB RAMANIAN
Mother's Name / :Initials
Name
S INDHIRANI
Marital Status / ? MARRIED
Spouse's Name / / : A BANUPRIYA
Candidate's Place of Birth / : METTUSATHIRAM
Native District / : THIRUVANNAMALAI
Father's Place of Birth / : THIRUVANNAMALAI
Mother Tongue / : TAMIL
Nationality / : INDIAN
Religion / : HINDU
Certificate Details /
Communal Category / : MOST BACKWARD CLASS(MBC)
Name of the Sub - Caste / :
VANNIYAR
Certif icate No / : 3 7 4 6 0 7 8
Date of Issue / : 1 5 - 0 9 - 2 0 0 6
Issuing Authority / :
ZONAL DEPUTY
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 disqualif ied by the Public ServiceCommission 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
Pa r ticipa t ion in Pol i t ica l Act ivit ie s / ? NO
Communication Details /
7/23/2019 TNPSC hall ticket
2/3
12/9/2015 TNPSC
http://182.18.164.63/tnpscen192015/tfrmAcknowledgement.aspx 2/3
Correspondence Address / Permanent Address /
Ad dr ess Li n e 1 / 1 :NO 816 METTUSATHIRAM
VILLAGE
Ad dr ess Li n e 2 / 2 : NEERTHEKKATHOTTI ST
Ad dr ess Li n e 3 / 3 : INAMKARIYANDHAL PO
State / : TAMIL NADU
District / : THIRUVANNAMALAI
P i n c o d e / : 6 0 6 6 0 4
Ad dr ess Li ne 1 / 1 :NO 8 1 6
METTUSATHIRAM
VILLAGE
Ad dr ess Li ne 2 / 2 :NEERTHEKKATHOTTI
ST
Ad dr ess Li ne 3 / 3 : INAMKARIYANDHAL PO
State / : TAMIL NADU
District / : THIRUVANNAMALAI
P i n c o d e / : 6 0 6 6 0 4
Email ID / : e l um a l a i ba nu@ g m a i l . c o m
Mobile No / : 9 9 4 3 0 4 4 0 7 6
Educational Qualification Particulars /
S S L C
Date of Result Published / : 3 0 - 1 2 - 1 9 9 6
Name of the Board / University / / : STATE BOARD
Certif icate Number / : A A 4 3 6 5 2 2 2
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 PrescribedorEquivalent Qualif ication inTamil Medium / ( T a mi l Medi um) :
NO
EVIDENCE
HS C
Date of Result Published / : 3 1 - 0 5 - 2 0 0 0
Medium of Instruction / : TAMIL
Name of the Board / University / / : STATE BOARD
Certif icate Number / : H SG 0 0 3 3 9 0 2 3
Whether studied Tamil as one of the subject / ?
YE S
Under Graduate
Date of Result Published / : 2 7 - 0 6 - 2 0 0 3Name of the Degree / : B A
Major Subject / HISTORY
Name of the Board / University / / : UNIVRSITY OF MADRAS
Certif icate Number / : 2 K / 1 3 9 2 0 4
Whether studied Tamil as one of the subject / ?
NO
Medium of Instruction / : ENGLISH
Post Graduate
Date of Result Published / : 0 7 - 0 8 - 2 0 0 6
Name of the PG Degree / : MA
Major Subject / : HISTORY
Name of the Board / University / / : THIRUVALLUVAR UNIVERSITY
Certif icate Number / : A 0 3 6 5 1
Whether studied Tamil as one of the subject / ?
NO
Medium of Instruction / : ENGLISH
Do you have the Physical Standards as per notif ication? /
? :YE S
Examination Particulars /
Name of the Examination Centre / : THIRUVANNAMALAI
Subject(s) for Examination / : GENERAL STUDIES WITH BASICS OF VILLAGE ADMN. ANDGENERAL TAMIL (SSLC STD.)
Registration Fees
*Payment Mode ONLINETRANSACTION ID : CP34548954 FEES AMOUNT : 75
7/23/2019 TNPSC hall ticket
3/3
12/9/2015 TNPSC
http://182.18.164.63/tnpscen192015/tfrmAcknowledgement.aspx 3/3
Fee Concession /
**Do you claim examination fee concession? / ? :
NO
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 ineligibil ity being detected before or after the examination, action can betaken against me by the TNPSC.
, . .
I hereby declare that I will not be a party to any kind of canvassing on my behalf. .
I further declare that I fulfi l all the eligibil ity conditions prescribed for admission to the examination. .
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. " " .
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 / disqualif ied by the TNPSC or any other recruiting agency. .
I am not a dismissed Government Employee. .
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