ON-LINE APPLICATION FOR TNPSC REGISTRATION

32032Registration # : 2903576

Full Name : B AMEENA BEEBI

One Time ID : 10564586

Name of The Post Applying for : Village Administrative Officer

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 Discharge / Date : --

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 : 20/05/1987

Gender : FEMALE

Married : No

Religion : Muslim

Candidate's Place of Birth : Madurai

Native District : Madurai

Father's Name : S.H Beeran

Father's Place of Birth : Madurai

Mother Tongue : Tamil

Mother's Name : B Kulsum Beebi

Communal Category : Backward Class(BC)

Name of the Sub‐Caste : Lebbai

Certificate No : 3756198

Date Of Issue : 15/03/2001

Issuing Authority : Deputy Tahsildar

Taluk : Madurai (North)

District : Madurai

Address for Correspondence : 10/1, Abdul Rahman Street

Kansapuram Main Road

Goripalayam

District Madurai

State : Tamil Nadu

Pin : 625002

Permanent Address : 10/1, Abdul Rahman Street

Kansapuram Main Road

Goripalayam

District Madurai

State : Tamil Nadu

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State : Tamil Nadu

Pin : 625002

Contact Details :

Email ID : ameenabeebi@gmail.com

Mobile No : 8056394394

EDUCATIONAL QUALIFICATION PARTICULARS :

Exam Passed Year of Passing Medium of Instruction Degree Major Subject

S.S.L.C : 2002 Tamil N/A N/A

H.S.C : 2004 Tamil N/A N/A

Degree : 2007 English science Home Science

Post Graduate Degree : 2009 English science Human Nutrition

M.Phil : 2010 English N/A N/A

Others : --

Whether studied Tamil as one of the subject : hsc

Details regarding the prescribed qualification :

Qualification Details : SSLC

Other Equivalent Qualification Details : --

Certificate No : 2030120

Year of Passing : 2002

Name of the Authority/ University : State Board

Preferential qualification for per notification : Yes

Preferential Physical Standards for per notification : Yes

Type writing / Short hand Qualification

English Tamil

Type Writing -- --

Short hand -- --

Name of the Examination Centre District: Madurai

Name of the Examination Centre : Madurai South

Compulsory Subject : General Knowledge with English

Do you claim Age Concession? : No

Do You Claim Fee Exemption? : Yes

Under What Category? : Backward Class/Backward Class (Muslims)

No of free Attempts : 3

Post Preference : 1.Village Administrative Officer (Post Code:2025)

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

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

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.

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

5. I have gone through the Instructions etc. to candidates and the Commission�s 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 by the TNPSC or any other recruiting agency.

8. I am not a dismissed Government Employee.

I accept the above declaration

Place:

Date: 2012-07-14 10:18:58 Signature of Applicant

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

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