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TNPSC - Departmental Examinations May 2013 - Online Application Form

Online Application Number: DEM1326044 Examination Centre: 21-Tiruvallur
Name of the Candidate:                      VIJAYALAKSHMI .D
Date of Birth:                              28 June 1992
Differently Abled Status:                   None
Address for communication:                  33 A/8 THAYAR KULAM STREET
                                            KANCHIPURAM TALUK
                                            KANCHIPURAM - 631501
Test(s) applying for :
                                            123-Panchayat Dev.Dept - Officers - Paper I
                                            002-Panchayat Dev.Dept - Officers - Paper II
                                            138-Panchayat Dev.Dept - Officers - Paper III
                                            156-Panchayat Dev.Dept - Officers - Paper IV
                                            202-Panchayat Development Account Test
Total Fees payable:                         Rs. 280 (Application Fees + Examination Fees)
Employment details:
Employed in T N Government?                 Yes
Designation:                                P.D. UNIT TYPIST
Name of the Office:                         BLOCK DEVELOPMENT OFFICE
                                            POONAMALLEE
                                            TIRUVALLUR
Fees (Demand Draft / Postal Receipt) details:
Post Office / Bank Branch Name:        0137-KANCHIPURAM - Kanchipuram Collectorate -
                                       631501
Postal Receipt / Demand Draft No.           00000082,       Rs. 292
& Amount:
Postal Receipt / Demand Draft Date:         08 April 2013
Application submitted on: 09 April 2013
 SCAN THE BOX PRINTED BELOW AFTER AFFIXING PHOTO AND SIGNATURE AND UPLOAD TO THE
                                   WEB SERVER


                                            VIJAYALAKSHMI .D
                                              DEM1326044




                                            Affix here a recent
                                               Passport size
                                                Photograph
                                             of the Applicant




                                    Signature of the Applicant

                             All the
                             particulars
                             furnished in
                             this
                             application
                             are true to
                             the best of
                             my
                             knowledge.
Viji

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Viji

  • 1. TNPSC - Departmental Examinations May 2013 - Online Application Form Online Application Number: DEM1326044 Examination Centre: 21-Tiruvallur Name of the Candidate: VIJAYALAKSHMI .D Date of Birth: 28 June 1992 Differently Abled Status: None Address for communication: 33 A/8 THAYAR KULAM STREET KANCHIPURAM TALUK KANCHIPURAM - 631501 Test(s) applying for : 123-Panchayat Dev.Dept - Officers - Paper I 002-Panchayat Dev.Dept - Officers - Paper II 138-Panchayat Dev.Dept - Officers - Paper III 156-Panchayat Dev.Dept - Officers - Paper IV 202-Panchayat Development Account Test Total Fees payable: Rs. 280 (Application Fees + Examination Fees) Employment details: Employed in T N Government? Yes Designation: P.D. UNIT TYPIST Name of the Office: BLOCK DEVELOPMENT OFFICE POONAMALLEE TIRUVALLUR Fees (Demand Draft / Postal Receipt) details: Post Office / Bank Branch Name: 0137-KANCHIPURAM - Kanchipuram Collectorate - 631501 Postal Receipt / Demand Draft No. 00000082, Rs. 292 & Amount: Postal Receipt / Demand Draft Date: 08 April 2013 Application submitted on: 09 April 2013 SCAN THE BOX PRINTED BELOW AFTER AFFIXING PHOTO AND SIGNATURE AND UPLOAD TO THE WEB SERVER VIJAYALAKSHMI .D DEM1326044 Affix here a recent Passport size Photograph of the Applicant Signature of the Applicant All the particulars furnished in this application are true to the best of my knowledge.