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Ration Form

The document is an application for the position of Salesman at the District Recruitment Bureau in Thiruvarur District, submitted by M Rajesh Kannan. It includes personal details, educational qualifications, and communication information, confirming his eligibility and declaration of truthfulness in the application. The applicant is a male, unmarried, with a diploma and claims reservation under the Persons Studied the prescribed qualifications in Tamil Medium (PSTM).

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rajeshmani.rk81
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0% found this document useful (0 votes)
25 views2 pages

Ration Form

The document is an application for the position of Salesman at the District Recruitment Bureau in Thiruvarur District, submitted by M Rajesh Kannan. It includes personal details, educational qualifications, and communication information, confirming his eligibility and declaration of truthfulness in the application. The applicant is a male, unmarried, with a diploma and claims reservation under the Persons Studied the prescribed qualifications in Tamil Medium (PSTM).

Uploaded by

rajeshmani.rk81
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
You are on page 1/ 2

District Recruitment Bureau

THIRUVARUR DISTRICT
Office of the Joint Registrar of cooperative societies

SALESMEN /é‰gidahsh¦

Registration Number / 28100594


Name of the Applicant /t¨©z¥gjhuu¨‹ bga® : M RAJESH KANNAN
Personal Details / Ra étu§fŸ :
Date of Birth / g¨wªj njj¨ : 23-06-1993
Father's / Guardian's Name / jªijahh¦ / fh¥ghsh¦ bgah¦ P MANI
Gender / ghy¨d« : Male
Marital Status / j¨Ukz« Mdtuh? : Unmarried
Spouse Name / fzt® bga®/kidt¨ bga® : -
Applicant's Native District as: per family card / Thiruvarur

Family Card Number/ FL«g ml¦il : PHH-333444108160

Native State /brhªj khãy« : Tamil Nadu


Native District / brhªj kht£l« : Thiruvarur
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® : AdiDravida
Certification Number / rh‹¿jœ v© : 5216541
Date of Issue / tH§f¥g£l njj¨ : 13-03-2009
Issuing Authority / rh‹¿jœ tH§f¨a mj¨fhu¨ : TALUK TAHSILDAR
Taluk / t£l« : Kodavasal
District / kht£l« : Thiruvarur
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 : 2024-10-12 08:49 pm
District Recruitment Bureau
THIRUVARUR DISTRICT
Office of the Joint Registrar of cooperative societies

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


H.S.C OR Diploma Registration Number Month & Year Of Passing H.S.C board H.S.C Certificate Number

Diploma 10414249 Jun 2012 DOTE 0642240

Medium of Instruction Obtained Mark Total Mark Mark Percentage

Tamil 460 600 76.67

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) : YES
Class Year of Study Medium of PSTM Cert. Govt / PVT /
Mode Issuing Authority Name of the Institution / School District PinCode
From To From To Instruction Issue Date Aided
1 5 Regular 1999 2004 Tamil HM 23/04/2022 GOVERNMENT SCHOOL Thiruvarur 609501 Govt

6 10 Regular 2004 2009 Tamil HM 23/04/2022 GEORGE HIGHER SECONDARY SCHOOL Thiruvarur 609501 Govt

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


Address of Correspondence / bjhlu¦ò Kftu¨ : Permanent Address / e¨ue¦ju Kftu¨ :
2/4 2/4

EAST STREET, VILLIYANALLUR EAST STREET, VILLIYANALLUR

VISHNUPURAM VISHNUPURAM

District / khtl¦lk¦¦ : Thiruvarur District / khtl¦lk¦¦ : Thiruvarur

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

Pin / mŠrš Fw¨pL : 609501 Pin / mŠrš Fw¨pL : 609501

Email Id / k¨‹dŠrš Kftu¨ : rajeshmani.rk81@gmail.com

Mobile Number / if¥ngÁ v© : 9585395681

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 : 2024-10-12 08:49 pm

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