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    F Leh : Packer

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    ganesan.zoology

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    © All Rights Reserved
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    F Leh : Packer

    Uploaded by

    ganesan.zoology
    3 views2 pages

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    3 views2 pages

    F Leh : Packer

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    of 2

    District Recruitment Bureau

    CHENNAI DISTRICT
    Office of the Additional Registrar of Cooperative Societies

    PACKER / f£Leh¦

    Registration Number / 32205963


    Name of the Applicant /t¨©z¥gjhuu¨‹ bga® : P GANESAN
    Personal Details / Ra étu§fŸ :
    Date of Birth / g¨wªj njj¨ : 11-03-1987
    Father's / Guardian's Name / jªijahh¦ / fh¥ghsh¦ bgah¦ K PARAMASIVAM
    Gender / ghy¨d« : Male
    Marital Status / j¨Ukz« Mdtuh? : Married
    Spouse Name / fzt® bga®/kidt¨ bga® : ARUNADEVI
    Applicant's Native District as: per family card / Virudhunagar

    Family Card Number/ FL«g ml¦il : NPHH-333779254250

    Native State /brhªj khãy« : Tamil Nadu


    Native District / brhªj kht£l« : Virudhunagar
    Mother Tongue/jhŒ bkhê : TAMIL
    Nationality / njÁa Ïd« : Indian
    Religion / kj« : Hindu
    Certificate Details / rh‹¿jœfë‹ étu§fŸ :
    Communal Category / tF¥ò : Scheduled Caste (SC)
    Name of the Sub-Caste /rhj¨ c£g¨u¨t¨‹ bga® : Devendrakulathan
    Certification Number / rh‹¿jœ v© : 6573349
    Date of Issue / tH§f¥g£l njj¨ : 03-05-2011
    Issuing Authority / rh‹¿jœ tH§f¨a mj¨fhu¨ : TAHSILDAR
    Taluk / t£l« : Sivakasi
    District / kht£l« : Virudhunagar
    Are you a Destitute widow ? / No
    Mjut‰w t¨jitah ? :

    Are you Differently Abled Person ? / No


    kh‰W¤ j¨wdhs¨ah? :

    Are you an Ex-Serviceman ? / No


    K‹dhŸ ÏuhQt¤Âduh? :

    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 ? / nj®thiza« mšyJ ntW vªj gâ e¨akd Kifikædhnyh nj®ÎfŸ k‰W« bjçÎfëš
    fyªJ bfhŸS« cçikæèUªJ j§fis ãuªjukhfnth mšyJ xU F¿¥Ã£l fhy¤Â‰nfh éy¡f¨ it¤njh mšyJ jFj¨a¨‹iknah brŒa¥g£LŸsjh ? : No

    Are you Employed ? / No


    gâ étu«? :

    Do you claim any Priority under G.O.(MS) No 122


    Human Resources Management (K2) Department dated 02.11.2021 ? /
    (murhiz (ãiy) v© 122, kåj ts nkyh©ik¤ (nf2) Jiw,ehŸ: 02.11.2021 š No
    F¿¥Ã£LŸs Áw¥ò¥ Ãh¨Îfë‹ Ñœ VnjD« K‹Dh¨ik nfhUgtuh?

    Page 1/2
    Applied Date : 2024-11-05 09:50 pm
    District Recruitment Bureau
    CHENNAI DISTRICT
    Office of the Additional Registrar of Cooperative Societies

    Education Qualification Particulars / fšé¤ jF F¿j¦j t¨tu§fŸ :


    S.S.L.C. Register S.S.L.C. Certification
    Month & Year Of Passing Medium of Instruction S.S.L.C. Education Board
    Number Number

    117997 May 2003 Tamil STATE BOARD 0101460

    Obtained Mark Total Mark Mark Percentage

    317 500 63.40

    gŸë ÏW tF¥ò / nkšãiy¤ njh¦éš jäiH xU ghlkhf¥ gæ‹WŸÇuh? :


    Whether Studied Tamil as one of the Subjects in S.S.L.C/+2? / Yes
    mog¦gil fâå fy¦é m¿Î bgw¦WŸÇuh :
    Do you have Basic Computer Knowledge ? / Yes
    Do you want to claim reservation against Persons Studied the prescribed qualification(s) in Tamil Medium(PSTM) : NO

    Communication Details / bjhlu¦ò F¿j¦j t¨tu§fŸ :


    Address of Correspondence / bjhlu¦ò Kftu¨ : Permanent Address / e¨ue¦ju Kftu¨ :
    4/787 RAMALINGAPURAM 4/787 RAMALINGAPURAM

    ANUPPANKULAM POST ANUPPANKULAM POST

    SIVAKASI TK SIVAKASI TK

    District / khtl¦lk¦¦ : Virudhunagar District / khtl¦lk¦¦ : Virudhunagar

    State / khãyk¦ : Tamil Nadu State / khãyk¦ : Tamil Nadu

    Pin / mŠrš Fw¨pL : 626189 Pin / mŠrš Fw¨pL : 626189

    Email Id / k¨‹dŠrš Kftu¨ : [email protected]

    Mobile Number / if¥ngÁ v© : 9566383425

    Declaration / cWÂ bkhê :


    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,my selection by the
    District Recruitment Bureau,is liable for cancellation . / Ï›é©z¥g¤Âš F¿¥Ã£LŸs étu§fsid¤J« v‹ m¿é‰F v£oatiu c©ik.Ï›é©z¥g¤ij
    bghW¤jtiu vJΫ kiw¡f¥gléšiy. nju¦é‰F K‹ngh mšyJ Ãwnfh Ï›étu§fŸ jtW mšyJ c©ik¡F¥ òw«ghdJ mšyJ jFÂæ‹ik vd m¿Í«g£r¤Âš kht£l
    MŸnru¦¥ò e¨iya¤jhš eh‹ nj®ªbjL¡f¥g£lJ K‹ mw¨é¥g¨‹w¨ Ïu¤J brŒa¥gLtj‰Fu¨ajhF«.

    I accept the above declaration / nk‰Tw¨a cWÂbkhêia V‰W¡ bfhŸ»‹nw‹

    Please retain your Application Number and Password emailed to you carefully for further reference. Signature of Applicant

    Page 2/2
    Applied Date : 2024-11-05 09:50 pm

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