Tamil Nadu Public Service Commission

"# & )p ,r rm

Name of the Post Applying for / !"pk'm !+, r :

POSTS INCLUDED IN COMBINED CIVIL SERVICE

EXAMINATION-II (NON-INTERVIEW POSTS)(GROUP-II A
SERVICES)

Notification No. / 1!k " : 17/2015

Application No. / !"p " : 517523160
Registration Date : / 56 y ll : 07-11-2015 17:50:43
Name of the Candidate / !"p=, r :

Initials

Name

p?tAll

SIDHARTH

Gender / Bm : MALE
Date of Birth / n 5 : 10-11-1993
Father's Name / nr r :

Mother's Name / r r :

Initials

Name

p?tAll

SYED IBRAHIM

Initials

Name

p?tAll

ARULSELVI

Marital Status / 5Gm ? UNMARRIED

Candidate's Place of Birth / !"pr n m : DHARMAPURI
Native District / n Mm : DHARMAPURI
Father's Place of Birth / nr n m : RAMANATHAPURAM
Mother Tongue / y N : TAMIL
Nationality / O m : INDIAN
Religion / m : MUSLIM

Certificate Details / 67#96 :ll

Communal Category / 'pP : BACKWARD CLASS-MUSLIM(BCM)
Name of the Sub - Caste / 5 M=!,
r :

Certificate No / ,1R " :

Date of Issue / pM 5 :
Issuing Authority / ,1R U 5=
:

District / Mm :
Taluk / Mm :

LABBAIS
5723656
06-06-2003
ZONAL DEPUTY
TAHSILDAR
SALEM
SALEM

Are you a Differently Abled Person / VWt 5X ? NO

Are you a Government Employee / YpZ ? NO
Have you been debarred or disqualified by the Public Service
Commission or any other recruiting agency from appearing
examinations and selections for specific period or permanently? /
rm lA W n Z ] + r6ll VWm
=6Xl nA ll_m =+BGnA ]n lA G
'1pM t5V !kU t lA '5+, ypMall
?

NO

Are you an Ex-Servicemen / ,ll bt5? NO

Criminal Case Registered / 'V!l k' 5pM ? NO
Participation in Political Activities / OBl VP ? NO

Communication Details / r? @7t :ll

Correspondence Address / rP =

Permanent Address / ]n =

Address Line 1 / = 1 : 23/2 APPAVOO NAGAR

Address Line 1 / = 1 : 23/2 APPAVOO NAGAR

Address Line 2 / = 2 : BHARATHIYAR STREET

Address Line 2 / = 2 : BHARATHIYAR STREET

Address Line 3 / = 3 : SURAMANGALAM

Address Line 3 / = 3 : SURAMANGALAM

State / ]m : TAMIL NADU

State / ]m : TAMIL NADU

District / Mm : SALEM

District / Mm : SALEM

Pincode / cl '1da : 636005

Pincode / cl '1da : 636005

Email ID / e,cl = : ohmysid@gmail.com
Mobile No / O " : 8056789708

Educational Qualification Particulars / l:t @C @7t :ll

SSLC
Date of Result Published / r6 f6 X+pM 5 :

30-05-2008

Medium of Instruction / +VW N :

ENGLISH

Name of the Board / University / r6k'?m/lkm :

MATRICULATION

Certificate Number / ,1R " :

0045899

Whether studied Tamil as one of the subject / e G atA rcO

VWllh?

YES

HSC
Date of Result Published / r6 f6 X+pM 5 :

14-05-2010

Medium of Instruction / +VW N :

ENGLISH

Name of the Board / University / r6k'?m/lkm :

STATE BOARD

Certificate Number / ,1R " :

4919217

Whether studied Tamil as one of the subject / e G atA rcO

VWllh?

YES

Under Graduate
Date of Result Published / r6 f6 X+pM 5 :

02-05-2014

Name of the Degree / Mp fp, r :

OTHER THAN ABOVE DEGREES

Specify the Degree with Major Subject

B.TECH BIOTECHNOLOGY

Name of the Board / University / r6k'?m/lkm :

KUMARAGURU COLLEGE OF TECHNOLO

Certificate Number / ,1R " :

CK01966

Whether studied Tamil as one of the subject / e G atA rcO

VWllh?

Medium of Instruction / +VW N :

NO
ENGLISH

Do you have the Physical Standards as per notification? / 1!k+l YES

'1pMall V'5 VWllh? :

*Have you passed the Certificate course in Computer on Office

NO
Automation awarded by the Technical Education Department. /

Examination Particulars / r:6 :ll

Name of the Examination Centre / r6 t5, r : SALEM
Subject(s) for Examination / r!V m :

GENERAL STUDIES (DEGREE STANDARD) AND GENERAL

ENGLISH (SSLC STANDARD)

Registration Fees
*Payment Mode ONLINETRANSACTION ID : CP32488739 FEES AMOUNT : 75

Declaration / EC G
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.
v!"pt5l '1pMall !tAm , 1!V' Mf "A, =A VWm ?A. r!V' , lA
v!ll W lA "k'p PmA lA '5+, 1jmMt5l , kA akpam rt5, v ! fkk'm MaU,.

I hereby declare that I will not be a party to any kind of canvassing on my behalf.
, rl n ! jm , n GkM,.

I further declare that I fulfil all the eligibility conditions prescribed for admission to the examination.
tr!, l5k't tAt '5jm VWll , W5 mWU,.

I have gone through the instructions to the candidates and the Commission's notification for this Recruitment before filling up the application
form.
rt5, " !"pr_k !5ll " VWm p!k !mpatpMall 1!k+jm ftA 1n , v!"ptp
nrt5 yAll,.

I declare that I possess the Physical standards prescribed for the post(s) which I am now applying.
!"pk'm ! lA !_k't V '5p VWll , ,W W5XkU, .

I Certify that I have not been debarred / disqualified by the TNPSC or any other recruiting agency.
trt lA W n Z ] , !kUk lA '5okm yp!l c ,XkU,.

I am not a dismissed Government Employee.

, Z6 ypM YpZ, l,.

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