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ON-LINE APPLICATION FOR TNPSC REGISTRATION

41028
Registration # : 341405987

Full Name :

V M DIVYA

One Time ID : Name of The Post Applying for : Are you a Destitute Widow? : Are you a Differently Abled Person? : Are you an Ex-Serviceman ? : PPO No : Date of Discharge / Probable date of Discharge : Are you a Government Employee? : Nationality / Citizenship : Application Fee / Intimation Charges details: Payment Mode: Amount : Personal Details : Date of Birth : Gender : Married : Spouse's Name : Religion : Candidate's Place of Birth : Native District : Father's Name : Father's Place of Birth : Mother Tongue : Mother's Name : Communal Category : Name of the Sub Caste : Certificate No : Date Of Issue : Issuing Authority : Taluk : District : Address for Correspondence :

13188220 Combined Civil Services Exam - II (Group II) - (Interview - Posts) NO NO NO --NO Indian

NO FEE 0.00

11/11/1986 FEMALE Yes R Krishnakumar Hindu Thanjavur Thanjavur P V Muthukrishnan Thanjavur Tamil R Savithri Backward Class(BC) Gavara 1439331 04/04/1997 Zonal Deputy Tahsildar Thanjavur Thanjavur A3 / 241 F BHEL Township Kailasapuram

District State : Pin : Permanent Address :

Tiruchirappalli Tamil Nadu 620014 86 Annamalai Nagar Medical College Road Thanjavur

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District State : Pin : Contact Details : Email ID : Mobile No : EDUCATIONAL QUALIFICATION PARTICULARS : Exam Passed Date of Publication of Results 30/05/2002 12/05/2004 Medium of Instruction English English English Degree Major Subject Board / University Tamil Nadu HSC Tamil Nadu HSC Anna University divyavmd@gmail.com 9677011869 Thanjavur Tamil Nadu 613007

S.S.L.C : H.S.C or Equivalent Qualification : Degree : Others :

N/A H.S.C B.E.

N/A N/A Computer Science -No

31/05/2008

Do you claim reservation for Persons Studied in Tamil Medium (PSTM)? : Details regarding the prescribed qualification : Qualification Details : Other Equivalent Qualification Details : Certificate No : Year of Passing : Name of the Authority/ University : Do you have the preferential qualification as per notification? : Physical Standards as per notification : Type writing Name of the Examination Centre District: Name of the Examination Centre : Optional Subject (As per Notification) : Do you claim Age Concession? : Do You Claim Fee Exemption? : Under What Category? : No of free Attempts : Criminal Case (Registered/Pending/Punishment awarded) : Participation in Political Activities (In agitation/As a Member of Political Organisation/Candidature in Election) : Post Qualification work experience (Start from present Employer) : Name of the Organisation Infosys Previous appearance for Oral Test / Written Test Name of the Post Designation Technology Analyst

Any Degree -0624073 2008 Anna University No Yes English Type Writing Thanjavur Thanjavur General Studies (Degree Standard) with General English (S.S.L.C Standard) No Yes Backward Class/Backward Class (Muslims) 1 Not Applicable Not Applicable -Tamil --

From(mm/yyyy) 12/2008

To(mm/yyyy) 12/2012

Nature of Duty Software

Register No.

Year

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DECLARATION:
1. 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 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.

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

4. I have informed my employer in writing that I am applying for this Examination.

5. I have gone through the Instructions 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 / disqualified by the TNPSC or any other recruiting agency.

8. I am not a dismissed Government Employee.

I accept the above declaration

Place:

Date: 2013-09-27 18:29:04

Signature of Applicant

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

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