ON-LINE APPLICATION FOR TNPSC REGISTRATION

42032Registration # : 507057666

Notification. No. : 07/2015

Full Name : D DILEEPANDo you have One Time Registration ID? : YES One Time ID : 13393421

Name of The Post Applying for :Posts included inCombined Civil ServicesExamination - II (Interviewposts )(Group-II services)

Are you a Destitute Widow? : NA Are you a Differently Abled Person? : NO Are you an Ex-Serviceman ? : NODate of Enrolment : --PPO No : --Date of Discharge / Probable date of Discharge : --Are you a Government Employee? : NO Have you been debarred by the Public Service Commission or any other recruiting agency? : NO Are you a retrenched Technical or Non-Technical Employee of TANSI and notabsorbed in Government Corporation or Undertaking? : NO

Nationality : IndianApplication Fee/Examination Fee/Intimation Charge details: Payment Mode: Net BankingAmount : 75.00Personal Details : Date of Birth : 22/02/1988Gender : MALEMarital Status : UnMarriedReligion : HinduCandidate's Place of Birth : KURUBARAHALLINative District : DharmapuriFather's Name : V DHANASEKARANFather's Place of Birth : DharmapuriMother Tongue : TamilMother's Name : D NIRMALACommunal Category : Backward Class(BC)

Name of the SubCaste : KonguVellalar incl. Vellala Gounder/Nattu Gounder/NarambukattilGounder/Tirumudi Vellalar/Thondu Vellalar/Pala Gounder/PoosariGounder/Anuppu Vellala Gounder/Padaithalai Gounder/ChendalaiGounder/Pavalankatti vellala Gounder/Pala Vellala Gounder/ Sangu VellalaGounder & Rathnagiri Gounder

Certificate No : 2647262Date Of Issue : 11/06/2003Issuing Authority : Deputy Tahsildar (Certificates)Taluk : PappireddipattiDistrict : Dharmapuri

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Address for Correspondence : KURUBARAHALLI VII&POPAPPIREDDIPATTI TALUK

District DharmapuriState : Tamil NaduPincode : 635302Permanent Address : KURUBARAHALLI VII&PO

PAPPIREDDIPATTI TALUKDistrict DharmapuriState : Tamil NaduPincode : 635302Contact Details : Email ID : dileepand88@gmail.comMobile No : 9444464716EDUCATIONAL QUALIFICATION PARTICULARS :

Exam Passed Date ofPublication of

Results

Medium ofInstruction

Degree MajorSubject

Certificate No Board / University

S.S.L.C : 30/05/2003 English N/A N/A 0027611 MATRICULATIONH.S.C / ITI (2

years) /Teacher

Training (2years) :

18/05/2005

English H.S.C

N/A 1505146

SATE BOARD

Degree : 30/04/2009 English B.E. ECE 459482 ANNA UNIVERSITYPost Graduate

Degree :31/05/2011 English M.TECH. VLSIDESIGN

00041 VELTECHUNIVERSITY

Class / Grade obtained in UG Degree : FIRSTDo you claim reservation for Persons Studied in Tamil Medium (PSTM)? : NoWhether you are applying with the Educational Qualification as Prescribed in the notificationor with an equivalent qualification : Prescribed Qualification

Details regarding the prescribed qualification : Master's Degree in Computer Application / Master's Degree in Science (InformationTechnology / Computer Science) No

Any other Master's degree /IPG Degree YesAny Bachelor's Degree YesAny Bachelor's Degree with Typewriting in Higher/ Senior Grade in both Tamil and English NAPG Diploma in Agriculture Economics and Co-operation NoDiploma in Rural service / Diploma associate member of the Institute Chartered Accountant. NoDiploma in Handloom Technology / Textile Technology / Textile Processing / Man madeFibre Technology No

Do you possess any preferential qualification as per Notification? : No

Qualification with MajorsubjectMedium ofInstruction

Date of Publication ofResults Board/University

-- -- -- --

-- -- -- --

-- -- -- --

-- -- -- --

Are you rendered any social welfare work for a period of not less than one year? : NoAre you Released Emergency Commissioned Officer? : NoAre you released Short Service Regular Commissioned Officer? : NoTechnical Qualification Particulars :

Grade Certificate No. Date of Issue Board/AuthorityTypewriting Tamil -- -- -- --

Typewriting English -- -- -- --

Shorthand Tamil -- -- -- --

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Shorthand Tamil -- -- -- --

Shorthand English -- -- -- --

Book keeping -- -- -- --

Do you have the Physical Standards as per notification : YesEXAMINATION PARTICULARS :Name of the Examination Centre : PeramburOptional Subject : General Studies ( Degree standard) and General English (SSLC standard)Do you claim Age Concession? : NoDo you claim fee concession for payment of Examination fee? : NoCriminal Case (Registered/Pending/Punishment awarded/Acquitted) : NoParticipation in Political Activities (In agitation/As a Member of PoliticalOrganisation/Candidature in Election) : No

Experience Details :Name of the Organisation Designation From(dd/mm/yyyy) To(dd/mm/yyyy) Nature of Duty

VELTECH UNIVERSITY AP 02/06/2014 05/05/2015 TEACHINGAKSHEYAA COLLEGE O

F ENGINEERINGAP 01/06/2011 31/05/2014 TEACHING

Previous appearance for Oral Test / Written Test

Name of the Post Register No. Year

-- -- --

-- -- --

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 orincorrect 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 to candidates and the Commission's notification for this Recruitment before filling up the application form.

6.I declare that I possess the Physical 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 said declarations

Place:

Last Updated Date: 2015-05-05 18:52:01 Signature of Applicant

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

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