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ON-LINE APPLICATION FOR TNPSC REGISTRATION

24028
Registration # : 317022063

Full Name :

G NARENDAR YADAV

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 : 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 :

-Group-I Services NA NO NO --NO Indian

Net Banking 125.00

05/12/1991 MALE No Hindu TIRUVALLUR Tiruvallur G GUNASEKARAN Tiruvallur Telugu G VIJAYA Backward Class(BC) Yadhava incl Idaiyar/Telugu speaking Idaiyar known as Vaduga Ayar or Vaduga Idaiyar or Golla and Asthanthra Golla 4586807 08/03/2004 Zonal Deputy Tahsildar Tiruvallur Tiruvallur PLOT NO 1214, ANNA NAGAR WESTERN EXTN, BEHIND DAV BOYS SCHOOL, CHENNAI.

District State : Pin : Permanent Address :

Tiruvallur Tamil Nadu 600050 PAKKUPETTAI VILLAGE POLIVAKKUM POST TIRUVALLUR TALUK

District

Tiruvallur

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State : Pin : Contact Details : Email ID : Mobile No : EDUCATIONAL QUALIFICATION PARTICULARS : Exam Passed Date of Publication of Results S.S.L.C : H.S.C or Equivalent Qualification : Degree : Others : 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 : Name of the Examination Centre : Compulsory Subject : Do you claim Age Concession? : Do You Claim Fee Exemption? : 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 Previous appearance for Oral Test / Written Test Name of the Post Register No. Year Designation From(mm/yyyy) To(mm/yyyy) Nature of Duty Any Degree -0901208006 2013 HINDUSTAN UNIVERSITY No Yes Chennai General Studies (Degree Standard) No No Not Applicable Not Applicable 31/05/2007 28/07/2009 English English English N/A H.S.C B.E. N/A N/A CHEMICAL ENGINEERING -No MATRICULATION STATE BOARD HINDUSTAN UNIVERSITY Medium of Instruction Degree Major Subject Board / University narendaryadavg91@gmail.com 7200679929 Tamil Nadu 602002

23/04/2013

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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.

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.

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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: 2014-01-03 20:54:20

Signature of Applicant

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