I APPL ICAT ION FOR INTERNAL SELECTION
AE/ELECTRICAL - 2024
(i)Appl icant's Name/N umber VENKATESAN K I ISAE3 l 680220242 l 89
(ii)Gen der * Male
(iii)Em ployee ID:* 12064157
2. (i)Prese nt Design ation * TECHNICAL ASSISTANT/ELECL.
(ii)Date of joining in the present post : * 30-06-2020
3 (i)Date of first Appoin tment (Should be 20-03-2009
prior to 07.06.2022):*(dd-mm-yyyy)
(ii)Desi gnation at the time of appointment FIELD ASSISTANT
.*
(iii)Tra ining Period :(dd-mm-yyyy) FROM: 20-03-2009
TO: 19-03-2011
(iv)Dat e of Regula r Appointment(in time 20-03-2011
scale of pay):*(dd-mm-yyyy)
4. Method of Appoin tment * Direct Recruitment
5. Date of Birth* (dd-mm-yyyy) 20-03-1976 9 TC
6. Name of the Commu nity :(If the BCO ii Community
individual claims as
SC!SCN ST!BCO !BCM/M BCIDC have
to submit the certificates obtained from
the concerned Revenue authorities as per
Tamilnadu government rules).*
7. Differently Ab led Person No
8. Place where employed: COIMB ATORE (NORT H) EDC
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V
9. i) Passing of Degree examination (i.e.
BE/Electrical or equivalent
AMIE/Electrical)-should have passed on
or before 07.06.2022:
(ii) Percentage in B.E. or equivalent 78.00
(CGP A Illrd to VIIIth Semester
Percentage):*
(iii) Branch of Degree: EEE
(iv) Name of the Univer sity:* Karpagam Acada my of Higher Education
(v) Mode of Study(Part Time /Regular PART TIME
Course ):*
(vi)Whether Permission obtained for YES
studying Part time /others from the
competent authority:*
(vii) If mode of study is by Others
a) whether covered under SLP order NA
dt. 03.11.2017 and passed validation exam
in 2018 :*
b) whether studied B.E.,/B.TECH in NA
IGNOU up to the acadamic year
201 l-2012(as ordered under supreme
court W.P.(C) No.1341 of2019 ) :*
10. Whether any DP is pending or NO
undergoing punishment (Yes/No) : *
11. MODE OF STUDY/ YEAR OF PASSING.
SJ.No Name of the Quaification: IMonth of Passing I Year of Passing Mode
I (Part Time/Regular)
1. SSLC( I 0th Standard): 4 1991 R
2. HSC( 12th Standard):
3. Diploma: 4 2017 p
Adequate Knowledge in TAMIL : * YES
12. Whether he/she got appointment in any NO
previous selection and relinquished
(Yes/N o):*
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of documents uploaded:
:,eirree Certificate
pi~oma C~rtificate
,.•5SLC Certtfic
ate
4. rransfer Certificate
5. Community Certificate
6. Photo
7. Payslip
8. Study Permission
Note:
I .Bachelor of Engineering Graduates recruited as Juni . . . .
for Internal Selection to the post of Assistant E . ~r Assistan t/Admrn1s tratton and Typists are not eligible
Dated 19.02.2018. ngmeer as per (Per.) (CMD) TANGE DCO Proceeding No.47,
2.Attested copies of certificates for f Of . . .
proo age, commumty, educational qualification/technical qualification -
D ENCLOSED.
Declaration
not ask for
1. I declare that the particulars furnished above are true to the best of my knowledge and I shall
any alteration or change thereof at a later date.
ment/
2. I agree to relinquish my rights for promotion in the present post held in regular Work Establish ent
man etc. in the event of my appointm
Provincial categories viz., Junior Engineer (Electrical)/ Draughts
as Assistant Engineer/ Electrical.
protection in pay by
3. If,l am selected and given appointment as Assistant Engineer/ Electrical, I agree for
le to me from time to time in the
grant of personal pay extent of the difference in the basic pay admissib
have been drawn by me in the previous
post of Assistant Engineer/ Electrical and the basic pay that would
in the post of Assistan t Enginee r/Electrical
post, had I continued in the previous post, till the basic pay
post or by promotio n to higher post whichever is
becomes equal to or more than basic pay in the previous
earlier as per orders in B.P. Ms. (FB) No.95,(S ecretariat Branch), dated 20.11.19 85.
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SIGNATURE OF THE APPLICANT
DATE :15/02/2024
PLACE ~ SN'?Ll#-.y.e."7
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