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ON-LINE APPLICATION FOR TNPSC REGISTRATION

This online application is provisional subject to payment of application fees/ intimation charges

32030
Registration # : 1854293

Full Name :

G NOSHA DEVI

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 Discharge / Date : 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 : Spouse's Name : Communal Category : Name of the SubCaste : Certificate No : Date Of Issue : Issuing Authority : Taluk : District : Address for Correspondence :

-CSSE-II NO NO NO --NO Indian

Post Office 50.00

14/11/1985 FEMALE No Hindu THANJAVUR Thanjavur S GANESAN Thanjavur Tamil G SAROJA -Scheduled Caste (SC) PARAYAN 472416 26/07/1988 Taluk Tahsildar Thanjavur Thanjavur NO 1 MANNAR MARUDUPANDIAR NGR NAGAI ROAD THANJAVUR

District State : Pin : Permanent Address :

Thanjavur Tamil Nadu 613001 NO 1 MANNAR MARUDUPANDIAR NGR NAGAI ROAD THANJAVUR

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District State : Pin : Contact Details : Email ID : Mobile No : EDUCATIONAL QUALIFICATION PARTICULARS : Exam Passed S.S.L.C : H.S.C : Degree : Others : Details regarding the prescribed qualification : Qualification Details : Other Equivalent Qualification Details : Certificate No : Year of Passing : Name of the Authority/ University : Preferential qualification for per notification : Preferential Physical Standards for per notification : Name of the Examination Centre : Compulsory Subject (apart from General Knowledge) : Do you claim Age Concession? : Do You Claim Fee Exemption? : Under What Category? : No of free Attempts : A Degree of B.Sc -A21S62318 2009 BHARATHIDASAN UNIVERSITY Yes Yes Thanjavur General Knowledge with Tamil No Yes SC/SC(A) 0 1.Station Officer - Fire and Rescue Services (Post Code:1096) 2.Junior Inspector of Co-operative Societies (Post Code:1095) 3.Store-Keeper (Post Code:1099) 4.Assistant Supervisor (Post Code:1097) Not Applicable Not Applicable Year of Passing 2001 2004 2009 Medium of Instruction Tamil Tamil Tamil -Whether studied Tamil as one of the subject Yes Yes Yes noshadevi@gmail.com 7708330341 Thanjavur Tamil Nadu 613001

Post Preference :

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 Designation

From(mm/yyyy)

To(mm/yyyy)

Nature of Duty

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.

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.

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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 by the TNPSC or any other recruiting agency.

8. I am not a dismissed Government Employee.

I accept the above declaration

Place:

Date: 2012-05-29 09:12:27

Signature of Applicant

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