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ON-LINE APPLICATION FOR TNPSC REGISTRATION

4102

Registration # : 341405987

Full Name : V M DIVYA

One Time ID : 13188220

Name of The Post Applying for :Combined Civil Services Exam - II

(Group II) - (Interview - Posts)

Are you a Destitute Widow? : NO

Are you a Differently Abled Person? : NO

Are you an Ex-Serviceman ? : NO

PPO No : --

Date of Discharge / Probable date of Discharge : --Are you a Government Employee? : NO

Nationality / Citizenship : Indian

Application Fee / Intimation Charges details:

Payment Mode: NO FEE

Amount : 0.00

Personal Details :

Date of Birth : 11/11/1986

Gender : FEMALE

Married : Yes

Spouse's Name : R Krishnakumar

Religion : Hindu

Candidate's Place of Birth : Thanjavur

Native District : Thanjavur

Father's Name : P V Muthukrishnan

Father's Place of Birth : Thanjavur

Mother Tongue : Tamil

Mother's Name : R Savithri

Communal Category : Backward Class(BC)

Name of the SubCaste : Gavara

Certificate No : 1439331

Date Of Issue : 04/04/1997

Issuing Authority : Zonal Deputy Tahsildar

Taluk : Thanjavur

District : Thanjavur

Address for Correspondence : A3 / 241 F

BHEL Township

Kailasapuram

District Tiruchirappalli

State : Tamil Nadu

Pin : 620014

Permanent Address : 86 Annamalai Nagar

Medical College Road

Thanjavur

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District Thanjavur

State : Tamil Nadu

Pin : 613007

Contact Details :

Email ID : divyavmd@gmail.com

Mobile No : 9677011869

EDUCATIONAL QUALIFICATION PARTICULARS :

Exam Passed Date of

Publication of

Results

Medium of

Instruction

Degree Major Subject Board /

University

S.S.L.C : 30/05/2002 English N/A N/A Tamil Nadu HSC

H.S.C or Equivalent

Qualification :

12/05/2004English H.S.C

N/ATamil Nadu HSC

Degree : 31/05/2008 English B.E.Computer

ScienceAnna University

Others : --

Do you claim reservation for Persons Studied in Tami l Medium (PSTM)? : No

Details regarding the prescribed qualification :

Qualification Details : Any Degree

Other Equivalent Qualification Details : --

Certificate No : 0624073

Year of Passing : 2008

Name of the Authority/ University : Anna University

Do you have the preferential qualification as per notification? : No

Physical Standards as per notification : Yes

Type writing English Tamil

Type Writing -- --

Name of the Examination Centre District: Thanjavur

Name of the Examination Centre : Thanjavur

Optional Subject (As per Notification) : General Studies (Degree Standard) with General English (S.S.L.C Standard)

Do you claim Age Concession? : No

Do You Claim Fee Exemption? : YesUnder What Category? : Backward Class/Backward Class (Muslims)

No of free Attempts : 1

Criminal Case (Registered/Pending/Punishment awarded) : Not Applicable

Participation in Political Activities (In agitation/As a Member of Political

Organisation/Candidature in Election) :Not Applicable

Post Qualification work experience (Start from present Employer) :

Name of the Organisation Designation From(mm/yyyy) To(mm/yyyy) Nature of Duty

Infosys Technology Analyst 12/2008 12/2012 Software

Previous appearance for Oral Test / Written Test

Name of the Post Register No. Year

-- -- --

-- -- --

DECLARATION:

1. I hereby dec lare that all the particulars furnished in this application are true, cor rect and c omplete 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 presc ribed for admission to the examination.

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

5. I have gone through the Instruc tions 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 G overnment Employee.

I accept the above declaration

Place:

Date: 2013-09-27 18:29:04 Signature of Applican

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

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