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Application

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0% found this document useful (0 votes)
4 views2 pages

Application

Uploaded by

cscelathagiri
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

District Recruitment Bureau - 2025

KRISHNAGIRI

(01-2025)Assistant/Junior Assistant in Cooperative Institutions / Central Cooperative Bank

Registration Number / gÂÎ v© : 2510100353


Name of the Applicant / t¨©z¥gjhuu¨‹ bga® : M KALAISELVI
Personal Details / Ra étu§fŸ :
Date of Birth / g¨wªj njj¨ : 05-06-1997
Father`s Name / jªija¨‹ bga® : L MUNUSAMY
Mother`s Name / jhah® bga® : T PARVATHI
Guardian`s Name / fh¥ghs® bga® : -
Gender / ghy¨d« : Female
Marital Status / j¨Ukz« Mdtuh? : Married
Spouce Name / fzt® bga®/kidt¨ bga® : GANESAN
Applicant`s Place of Birth / t¨©z¥gjhu® g¨wªj Ïl« : KRISHNAGIRI
Native State /brhªj khãy« : Tamil Nadu
Native District / brhªj kht£l« : Krishnagiri
Mother Tongue/jhŒ bkhê : TAMIL
Nationality / njÁa Ïd« : Indian
Religion / kj« : Hindu
Certificate Details / rh‹¿jœfë‹ étu§fŸ :
Communal Category / tF¥ò : Most Backward Class(MBC)
Name of the Sub-Caste /rhj¨ c£g¨u¨t¨‹ bga® : Vanniyar
Certification Number / rh‹¿jœ v© : EA9969976A687886
Date of Issue / tH§f¥g£l njj¨ : 04-10-2012
Issuing Authority / rh‹¿jœ tH§f¨a mj¨fhu¨ : ZONAL DEPUTY TAHSILDAR
Taluk / t£l« : Krishnagiri
District / kht£l« : Krishnagiri
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«? :

Co-Operative Training Qualifications Particulars / Tl¦LwÎ¥ gæ‰Á jF F¿j¦j t¨tu§fŸ :


Are you currently undergoing Diploma in cooperative training by regular or correspondence course in Institute of cooperative management? Yes

Name of the Cooperative Training Institute Or College / University :


BARGUR INSTITUTE OF CO OPERATIVE MANAGEMENT

Certificate Number / Registration Number /Bonafied Number : 0004118

Month and year of joining (if studying): Jul 2023

Page 1/2
Applied Date : 2025-08-19 04:29 pm
District Recruitment Bureau - 2025
KRISHNAGIRI

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

1566974 Mar 2013 Tamil STATE BOARD 2723181

H.S.C OR Diploma Month & Year Of Passing Medium of Instruction H.S.C board H.S.C Certificate Number

HSC Mar 2015 Tamil STATE BOARD 9958900

Month & Year Of Medium of


Qualification Name Of Degree Major Subject Name of the Board/ University Certification Number
Passing Instruction
Bachelor of Computer
Degree COMPUTER APPLICATION Apr 2018 English Periyar University 2KO063496
Applications (B.C.A)

Integrated 5 year PG - - - - - -

Whether Studied in following Pattern (10+2+Degree) or (10+3+Degree) : 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¨ :

6/98 ALAMARATHU KOTTAI 6/98 ALAMARATHU KOTTAI

ELATHAGIRI VILLAGE & POST ELATHAGIRI VILLAGE & POST

BARGUR TK BARGUR TK

District / khtl¦lk¦¦ : Krishnagiri District / khtl¦lk¦¦ : Krishnagiri

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

Pin / mŠrš Fw¨pL : 635108 Pin / mŠrš Fw¨pL : 635108

Email Id / k¨‹dŠrš Kftu¨ : kalaiselviganesan78@[Link] Mobile Number / if¥ngÁ v© : 7871230097

Application Fee Paid Details/ é©z¥g f£lz« brY¤j¥g£l étu§fŸ :

Transaction Id : BIC52R70TQ2GO7 Date of Fee Paid / f£lz« brY¤Âa ehŸ : 2025-08-19 Amount Paid / brY¤Âa bjhif : Rs. 500

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 khtl¦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 : 2025-08-19 04:29 pm

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