PROFORMA - I

Details of Senior Revenue Inspector cadre staff working in the office including the persons on leave and
under suspension if any

Sl.No. Name Designation Year of Senior Whether qualified

Revenue for inclusion in
Inspector list the Deputy
Tahsildar’s list or
not
(1) (2) (3) (4) (5)

1 Senior Revenue Qualified

Inspector

Certified that the names of all the persons in the cadre of Senior Revenue Inspector, working in
my office as per the pay roll (including those who are on leave and under suspension, if any) have been
reported above and there is no omission.

Personal Assistant to Collector (General)

Kanchipuram
 PROFORMA II

Nomination Rolll in respect of personsqualifie for inclusion in the list of

Deputy Tahsildars for 2023
1 Name and Designation of the Senior Revenue
Inspector
2 LIST No and Year Panel
3 Caste and Community to which he / She
belongs with reference to the entries in the
first page of Service Register
4 Age as on 15.09.2022 and date of birth with Years
reference to the first page of Service Register.
5 General Educational Qualification
6 (a) Date of entry into service in JA /
Typist / VAO
(b) Date of entry into service in Assistant
(c) Total Service as on 15.09.2022
7.Tests Passed

Sl.No. Name of the Tests Date of publication of results in the Gazette

Volume No./ Bulletin No. Date
Page No.
1 Revenue Test Part I 1st Paper
2 Revenue Test Part I 2nd Paper
3 Revenue Test Part II
4 Revenue Test Part III
5 Account test for Subordinate
Officer Part I
6 Account test for Subordinate
Officer Part II
7 Criminal Judicial Test Part I
8 Criminal Judicial Test Part II
9 Criminal Judicial Test Part III

Training Completed From To Whether Passed

(i)Bhavanisagar Training
(ii)Period of Survey and
Settlement Training
(iii)Survey Maintenance Test
Firka Revenue Inspector’s Training for 2 Years
Name of Firka / Taluk Period Total
From To Y M D
THIRUKAZHUKUNDRAM FIRKA
UTHIRAMERUR FIRKA
THIRUPPULIVANAM FIRKA
TOTAL
9 i.The year in which he/she was included in the list of Senior Revenue
Inspector.
ii. Date of Regularization of Services in the Cadre of Senior Revenue
Inspector
iii.Date of Declaration of Probation (for Directrly Recruited
Assistants)
iv.Total Service in the Cadre of Senior Revenue Inspector
Post held Period Total
From To Y M D

TOTAL

9 Leave Details From To Y M D

10 Punishments if any, according to the

entries made in the Service
Registers and Record Sheet
11. Whether there are any charges
pending against the Senior Revenue
Inspector
12 Remarks of the recommending
Officer (Whether recommended or
not recommended)

Personal Assistant to Collector (General)

Kanchipuram
 PROFORMA - III
Details of Senior Revenue Inspector cadre staff working in the office (including the persons on leave
and under suspension, if any, who are considered as unqualified for inclusion in the list of Deputy
Tahsildars for the year 2023

S.No. Name Designation Year of Senior Reason for not

Revenue qualified for inclusion
Inspector List in the Deputy
Tahsildars List 2023
(all the reasons should
be furnished)

.
Personal Assistant to Collector (General)
Kanchipuram
 Form of Record Sheet as prescribed in G.O.Ms.No.2569, Public (Services – P)
Department, Dated:31st August 1976
REVENUE DEPARTMENT
Name
Designation
Date of Birth
Date of joining in Government Service

Date of entry Post held Meritorious Punishment Authority Signature of

work if any number and Officer
date of order
issued
(1) (2) (3) (4) (5) (6)
26.12.2012 Directrly - - -
Recruited
Assistants.

Personal Assistant to Collector (General)

 PROFORMA - I

Details of Senior Revenue Inspector cadre staff working in the office including the persons on leave and
under suspension if any

Sl.No. Name Designation Year of Senior Whether qualified

Revenue for inclusion in the
Inspector list Deputy Tahsildar’s
list or not
(1) (2) (3) (4) (5)
1 K. SHANBAGAVALLI Senior Revenue 2008 Qualified
Inspector

Certified that the names of all the persons in the cadre of Senior Revenue Inspector, working in
my office as per the pay roll (including those who are on leave and under suspension, if any) have been
reported above and there is no omission.

Personal Assistant to Collector (General)

Kanchipuram
 PROFORMA II

Nomination Roll in respect of personsqualifie for inclusion in the list of

Deputy Tahsildars for - 2023
1 Name and Designation of the Senior Revenue K. SHANBAGAVALLI
Inspector
2 LIST No and Year Panel 30/2008
3 Caste and Community to which he / She BC- SENGUNTHAR
belongs with reference to the entries in the first
page of Service Register
4 Age as on 15.09.2022 and date of birth with Years 53
reference to the first page of Service Register.
5 General Educational Qualification B.Lit., D.T.Ed.,
6 (a) Date of entry into service in JA / Typist /
VAO 14.07.2014
(b) Date of entry into service in Assistant
(c) Total Service as on 26.12.2023 9 YEARS 6 MONTHS
7.Tests Passed

S.No. Name of the Tests Date of publication of results in the Gazette

Volume No./ Bulletin No. Date
Page No.
1 Revenue Test Part I 1st Paper 2294 17 07.08.2017
2 Revenue Test Part I 2nd Paper 656 6 07.03.2015
3 Revenue Test Part II 2249 17 07.08.2016
4 Revenue Test Part III 2282 17 07.08.2016
5 Account test for Subordinate 3143 18 16.08.2016
Officer Part I
6 Account test for Subordinate 1640 DDT010 02.09.2022
Officer Part II
7 Criminal Judicial Test Part I 776 10 16.05.2021
8 Criminal Judicial Test Part II 2382 17 07.08.2017
9 Criminal Judicial Test Part III 620 6 07.03.2020

Training Completed From To Whether Passed

(i)Bhavanisagar Training 21.07.2016 09.09.2016
PASS
(ii)Period of Survey and 03.01.2018 06.02.2018 PASS
Settlement Training
(iii)Survey Maintenance Test 25.07.2020 PASS
Firka Revenue Inspector’s Training for 2 Years
Name of Firka / Taluk Period Total
From To Y M D
ONAMBAKKAM FIRKA 08.07.2018 30.11.2019 1 4 23
MATHURANTHAGAM TALUK
ARUMBULIYUR FIRKA 30.11.2019 21.07.2020 0 7 22
UTHIRAMERUR TALUK
TOTAL 02 0 15
9 i.The year in which he/she was included in the list of Senior Revenue 14.07.2014
Inspector.
ii. Date of Regularization of Services in the Cadre of Senior Revenue 14.07.2014
Inspector
iii.Date of Declaration of Probation (for Directly Recruited Assistants) 06.02.2018
iv.Total Service in the Cadre of Senior Revenue Inspector
Post held Period Total
From To Y M D
TALUK OFFICE KANCHIPURAM 14.07.2014 30.06.2015 0 11 17
DRS KANCHIPURAM 01.07.2015 20.06.2016 0 11 20
INSPECTION CELL OFFICE 20.06.2016 07.07.2018 02 0 18
KANCHIPURAM
SPECIAL DRO CHENNAI-BANGALORE 20.07.2020 27.10.2020 0 03 0
HIGHWAY SCHEME- KANCHIPURAM
TALUK OFFICE WALAJABAD 28.10.2020 27.12.2021 01 02 0
TALUK OFFICE KANCHIPURAM 01.01.2022 16.02.2023 01 01 15
TALUK OFFICE UTHIRAMERUR 17.02.2023 09.10.2023 0 08 08
COLLECTOR OFFICE KANCHIPURAM 10.10.2023 TILL DATE 0 02 16
TOTAL 07 06 14

9 Leave Details From To Y M D

NIL - - - - -
NIL - - - - -
NIL - - - - -

10 Punishments if any, according to the NO

entries made in the Service
Registers and Record Sheet
11. Whether there are any charges NO
pending against the Senior Revenue
Inspector
12 Remarks of the recommending RECOMMENDED
Officer (Whether recommended or
not recommended)

Personal Assistant to Collector (General)

Kanchipuram
 PROFORMA - III
Details of Senior Revenue Inspector cadre staff working in the office (including the persons on leave
and under suspension, if any, who are considered as unqualified for inclusion in the list of Deputy
Tahsildars for the year - 2023

S.No. Name Designation Year of Senior Reason for not

Revenue qualified for inclusion
Inspector List in the Deputy
Tahsildars List 2023
(all the reasons should
be furnished)

Personal Assistant to Collector (General)

Kanchipuram
 Form of Record Sheet as prescribed in G.O.Ms.No.2569, Public (Services – P)
Department, Dated:31st August 1976
REVENUE DEPARTMENT
Name K. SHANBAGAVALLI
Designation SENIOR REVENUE INSPECTOR
Date of Birth 09.06.1970
Date of joining in Government Service 14.07.2014 F.N

Date of entry Post held Meritorious Punishment Authority Signature of

work if any number and Officer
date of order
issued
(1) (2) (3) (4) (5) (6)
14.07.2014 Directly - - -
Recruited
Assistants.

Personal Assistant to Collector (General)

Kanchipuram