8/10/2016

TNPSC

TamilNaduPublicServiceCommission

Name o f th e P o st Ap p l yi n g fo r / : POST SINCL UDE DINGROUPIVSE RVICE S.

No ti fi c ati o n No . / : 1 5 / 2 0 1 6
Ap p l i c ati o n No . / : 6 1 5 0 2 1 2 8 8
Reg i strati o n Date :/ : 1 0 0 8 2 0 1 6 1 4 :11 :4 6

Name o f th e Can d i d ate/ :

In i ti al s

Name

TAMIL ARASU

Gen d er/ : MAL E

Date o f Bi rth / : 1 5 0 3 1 9 8 3

Fath er' s Name/ :

Mo th er' s Name/ :

In i ti al s

Name

J AYARAMAN

In i ti al s

Name

UMAMAGE SHVARI

Mari tal S tatu s/ ? UNMARRIE D

Can d i d ate' s P l ac e o f Bi rth / : AL AGAPPASAMUT HIRAM
Nati ve Di stri c t/ : CUDDAL ORE
Fath er' s P l ac e o f Bi rth / : CUDDAL ORE
Mo th er To n g u e/ : TAMIL
Nati o n al i ty/ : INDIAN
Rel i g i o n / : HINDU

CertificateDetails /
Co mmu n al Categ o ry/ : MOST B ACKWARDCL ASS(MB C)
Name o f th e S u b Caste/
:

VANNIAKUL A
KSHAT RIYA

Certi fi c ate No / :

2962514

Date o f Issu e/ :

1 9 0 6 2 0 0 3

Issu i n g Au th o ri ty/
:

TAL UKTAHSIL DAR

Di stri c t/ :

CUDDAL ORE

Tal u k/ :

PANRUT I

Are yo u a Di fferen tl y Ab l ed P erso n / ? NO

Are yo u a Go vern men t E mp l o yee/ ? NO
Have yo u b een d eb arred o r d i sq u al i fi ed b y th e P u b l i c S ervi c e
Co mmi ssi o n o r an y o th er rec ru i ti n g ag en c y fro m ap p eari n g
exami n ati o n s an d sel ec ti o n s fo r sp ec i fi c p eri o d o r p erman en tl y? /

NO

Are yo u an E xS ervi c emen / ? NO

Cri mi n al Case Reg i stered / ? NO
P arti c i p ati o n i n P o l i ti c al Ac ti vi ti es / ? NO

http://182.18.164.63/ntisnc/tfrmAcknowledgement.aspx

1/4

8/10/2016

TNPSC

CommunicationDetails /
Co rresp o n d en c e Ad d ress/
Ad d ress Li n e 1 / 1 :

P erman en t Ad d ress/

NO:1 0 0 ,
AL AGAPPASAMUT HIRAM

Ad d ress Li n e 1 / 1 :

NO:1 0 0 ,
AL AGAPPASAMUT HIRAM

Ad d ress Li n e 2 / 2 : ARSADIKUPPAMPOST

Ad d ress Li n e 2 / 2 : ARSADIKUPPAMPOST

Ad d ress Li n e 3 / 3 : PANRUT IT K

Ad d ress Li n e 3 / 3 : PANRUT IT K

S tate/ : TAMIL NADU

S tate/ : TAMIL NADU

Di stri c t/ : CUDDAL ORE

Di stri c t/ : CUDDAL ORE

P i n c o d e/
: 6 0 7 1 0 3

P i n c o d e/
: 6 0 7 1 0 3

E mai l ID/ : ujta mi l @g ma i l .co m

Mo b i l e No / : 9 8 9 4 7 6 6 7 5 7

EducationalQualificationParticulars /
S S LC
Date o f Resu l t P u b l i sh ed / :

1 7 0 6 1 9 9 9

Med i u m o f In stru c ti o n / :

TAMIL

Name o f th e Bo ard / Un i versi ty / / :

STAT E B OARD

Certi fi c ate Nu mb er/ :

06385643

Wh eth er stu d i ed Tami l as o n e o f th e su b jec t/

?

YE S

S el ec t th e evi d en c e fo r P erso n s S tu d i ed i n Tami l Med i u m ( P S TM) wi th a rec o rd i n g th at h e/ sh e stu d i ed th e P resc ri b ed

o rE q u i val en t Qu al i fi c ati o n i n Tami l Med i u m /
(Tami l Med i u m) :

NO
E VIDE NCE

HS C
Date o f Resu l t P u b l i sh ed / :

2 1 0 7 2 0 0 4

Med i u m o f In stru c ti o n / :

TAMIL

Name o f th e Bo ard / Un i versi ty / / :

STAT E B OARD

Certi fi c ate Nu mb er/ :

11 0 7 4 0 6

Wh eth er stu d i ed Tami l as o n e o f th e su b jec t/

?

YE S

D egree
Date o f Resu l t P u b l i sh ed / :

0 6 0 4 2 0 0 8

Name o f th e Deg ree / :

B .C.A.

Majo r S u b jec t/ :

COMPUT E R

Name o f th e Bo ard / Un i versi ty / / :

T HIRUVAL L UVARUNIVE RSIT Y

Certi fi c ate Nu mb er/ :

A4 0 6 2 1

Med i u m o f In stru c ti o n / :

E NGL ISH

*Have yo u p assed th e Certi fi c ate c o u rse i n Co mp u ter o n Offi c e

Au to mati o n award ed b y th e Di rec to rate o f Tec h n i c al E d u c ati o n ? /

' '

? :
No te: For Typ i s t an d S ten o Typ i s t G rad e I I I p os ts can d i d ates s h ou l d h a ve p a s s ed
th e Certi fi cate Cou rs e i n Comp u ter on O ffi ce Au tomati on a ward ed b y th e
Tech n i cal E d u cati o n Dep a rtmen t. Can d i d ates wh o d o n ot p os s es s th e s a i d
q u al i fi cati on may al s o ap p l y. I f s el ected for s u ch p os ts th ey s h ou l d acq u i re s u ch
q u al i fi cati on wi th i n th e p eri od o f th ei r p rob ati on . :
I I I

NO

(Certi fi cate Cou rs e i n Co mp u ter o n
O ffi ce Au tomati on ) .
.



.

*Do yo u p o ssess th e S u rvey Trad e i n I. T. I, Tami l Nad u ? /

http://182.18.164.63/ntisnc/tfrmAcknowledgement.aspx

NO

2/4

8/10/2016

TNPSC
? :

Do yo u h ave th e P h ysi c al S tan d ard s as p er n o ti fi c ati o n ? /

? :

YE S

ExaminationParticulars /
Name o f th e E xami n ati o n Cen tre/ : CUDDAL ORE NE YVE L I

GE NE RAL ST UDIE S+APT IT UDE T E ST ANDGE NE RAL TAMIL

S u b jec t( s) fo r E xami n ati o n / : (S.S.L .CSTANDARD)+

()

RegistrationFees
* P aymen t Mo d e ONL INE T RANSACT IONID:IKC0 7 1 2 5 6 0 FE E SAMOUNT :7 5

FeeConcession /
*Do yo u c l ai m exami n ati o n fee c o n c essi o n ? /

? :
No te: I f an y of th e can d i d ates wh o h ave al read y avai l ed Two free ch an ces i n cas e of
E xS ervi cemen catego ry or T h ree free ch an ces i n cas e of Deg ree h o l d ers o f
B C/ B CM/ MB C/ DC category or th os e wh o wan ts to p ay th e exami n ati on fee s h o u l d
ch o o s e th e op ti on < No/ > an d p ay th e exami n ati on fee. T h e ap p l i cati o n of
ca n d i d ates wh o mak es a fal s e cl a i m for exemp ti on from p aymen t of exa mi n a ti o n fee
wi l l b e rejected at an y s tag e of s el ecti on . T h e op ti on (Yes / No) for fee co n ces s i o n i s
n ot a l l owed to ed i t a fter s u b mi tti n g ap p l i cati o n .

B C/ B CM/ MB C/ DC

NO

< No/
>
.

.
(/ )
.

Declaration /
I h ereb y d ec l are th at al l th e p arti c u l ars fu rn i sh ed i n th i s ap p l i c ati o n are tru e, c o rrec t an d c o mp l ete to th e b est o f my kn o wl ed g e an d b el i ef.
In th e even t o f an y i n fo rmati o n b ei n g fo u n d fal se o r i n c o rrec t o r i n el i g i b i l i ty b ei n g d etec ted b efo re o r after th e exami n ati o n o r at an y
stag e, an y ac ti o n c an b e taken ag ai n st me b y th e TNP S C i n c l u d i n g rejec ti o n o f my ap p l i c ati o n .
. ,
.
,

.

I h ereb y d ec l are th at I wi l l n o t b e a p arty to an y ki n d o f c an vassi n g o n my b eh al f.

.

I fu rth er d ec l are th at I fu l fi l al l th e el i g i b i l i ty c o n d i ti o n s p resc ri b ed fo r ad mi ssi o n to th e exami n ati o n .

.

I h ave g o n e th ro u g h th e i n stru c ti o n s to th e c an d i d ates an d th e Co mmi ssi o n ' s n o ti fi c ati o n fo r th i s Rec ru i tmen t b efo re fi l l i n g u p th e
ap p l i c ati o n fo rm.
" "
.

I d ec l are th at I p o ssess th e P h ysi c al stan d ard s p resc ri b ed fo r th e p o st( s) wh i c h I am n o w ap p l yi n g .

.

I Certi fy th at I h ave n o t b een d eb arred / d i sq u al i fi ed b y th e TNP S C o r an y o th er rec ru i ti n g ag en c y.

.

I am n o t a d i smi ssed Go vern men t E mp l o yee.

.

I h ave veri fi ed th e c o rrec tn ess o f th e p arti c u l ars fu rn i sh ed i n th e ap p l i c ati o n an d taken a p ri n t o u t o f th e ap p l i c ati o n .

http://182.18.164.63/ntisnc/tfrmAcknowledgement.aspx

3/4

8/10/2016

TNPSC

Print Logout

http://182.18.164.63/ntisnc/tfrmAcknowledgement.aspx

4/4