Competitive Examinations Coaching Centre, Chennai

Presidency College Campus, Chennai-05

Application Form for Coaching classes for TNPSC,SSC,RRB,IBPS etc. - 2024 ( For Tamil Nadu candidate only)

Application No : CECC-05478-24 ( For Tamil Nadu candidate only)

Name of the Candidate Shrinidhi J Gender Female

Phone 7200149157 Email shrinidhi.j09@gmail.c…

DOB 09-01-2003 Religion Hindu

Aadhar No 529006462387 Community BC

Caste Sengundhar Mudhaliar Whatsapp No 7200149157

Father Name J Jambulingam Father Mobile 9789996757 Father Occupation Assistant

Mother Name J Sasikala Mother Mobile 7871567300 Mother Occupation House wife

Family Income 300,000 Present Address 9/20 ,Sadayappan Street, Permnant Address 9/20 ,Sadayappan Street,
Mandaveli Mandaveli
Chennai Chennai
Mylapore Mylapore
Chennai-600028 Chennai-600028

Differently Abled NO Destitute widow NO Ex-service man NO

Join Coaching classes TNPSC Coaching Center Presidency College Campus Chennai -05

SSLC Marksheet No 1172506 SSLC CGPA: 8.3 / 500 +2 Marksheet No 26789676 +2 Mark : 513/600
78.85%

Highest Qualification : Degree :

UG BSc. Statistics

Declaration
I hereby declare that the above Particulars furnished by me are true to the best of my knowledge and if any discrepancy found later in my application,
I accept the whole responsibility for the same.

Signature of the Candidate

# Document

1 Photo

2 Signature

3 Highest Qualification Certificate

4 SSLC Certificate

5 Community Certificate