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    ASST2024-27874

    *ASST2024-27874*
    GOVERNMENT OF PUDUCHERRY
    DEPARTMENT OF PERSONNEL AND ADMINISTRATIVE REFORMS-PW
    ---------------------------------------------------------------------------------------------------------------------------
    Application for Direct Recruitment to the post of Assistant, 2024
    Level 6

    Name of the Post

    Assistant

    Applicant's Specimen Signature:

    1.Application Number : ASST2024-27874


    2.Name of the Applicant : Mr AKIL ALI BEIG A
    3.Father's Name : ACHARAF ALY BECK R
    4.Mother's Name : BARKATHUNISHA A
    5.Gender : Male
    6.Date of Birth : 19-09-1999
    7.Age as on 24-04-2024 : 24 years 7 months 5 days
    8.Address :
    Permanent Address Address for Communication
    No.16, No.16,
    2nd cross, Thirumudinagar, near Raja Theatre 2nd cross, Thirumudinagar, near Raja Theatre

    PONDICHERRY PONDICHERRY
    PUDUCHERRY PUDUCHERRY
    605011 605011
    9.Mobile Number : +91 8778964376
    10.E-Mail Id : akilali1991999@gmail.com
    11.Educational Qualifications :
    SSLC or its equivalent
    Board / University / Institution : Petit Seminaire Higher Secondary School
    Passing Month & Year : Mar, 2015
    HSC or its equivalent
    Board / University / Institution : Petit Seminaire Higher Secondary School
    Passing Month & Year : Mar, 2017
    Degree of a recognized University
    Board / University / Institution : Sri Manakula Vinayakar Engineering College
    Passing Month & Year : Sep, 2021
    12.Nationality : Indian
    13.Is Native/Resident of UT of Puducherry? : Yes
    14.Religion : MUSLIM
    15.Exam Centre Region : PONDICHERRY
    16.Preferred Medium of Examination : English
    17.Community : BCM - ORIGIN

    Page 1 of 2 12-09-2024 17:19:05


    18.Special Category : Not Applicable
    DECLARATION
    1. I have read the provisions in the Notification of the recruitment carefully and hereby undertake to abide by
    them.
    2. I declare that I am a Native by birth / Resident of Union Territory of Puducherry by virtue of continuous
    residence for the last five years immediately preceding the date of Notification and I understand that any
    deviation in this regard will render my selection invalid.
    3. I also declare that I have never been convicted by any court of law. I also declare that no charge sheet is
    pending against me in any court of law.
    4. I understand that success in examination confers no right to appointment. I further understand that
    appointment is subject to fulfillment of all conditions stipulated in the Notification.
    5. I hereby declare that all the statements made in this application are true, complete and correct to the best of
    my knowledge and belief, I understand that in the event of any information being found false or incorrect or
    suppressed, my candidature at any stage is liable to be cancelled. I further understand that in case, I am
    appointed in Government service on the basis of false information, my services are liable to be terminated
    forthwith, without notice.
    6. I understand that mere acceptance of my application by the online portal does not imply that I satisfy all the
    conditions of eligibility.
    7. I am aware that if at any time before or after the written exam or even after my appointment, it is found that
    I do not fulfill any of the eligibility conditions, my candidature shall be cancelled.
    8. I further declare that I fulfill all the conditions of eligibility regarding age limit, educational qualification
    etc., prescribed for admission to this recruitment.
    9. I have not submitted any other application for this recruitment. I am aware that if I contravene this, my
    application will be summarily rejected.
    10. I am a Ex-service men applicant satisfying the criteria as prescribed by the Govt. of India from time to
    time and also declare that the certificates are issued by the authority specified (Applicable to Ex-
    servicemen applicant only).
    11. I hereby declare that the information regarding my age, nativity, residence, educational qualification and
    all other information furnished in my online application are correct and true.

    DATE : 12-09-2024 17:19:04


    PLACE : PONDICHERRY SIGNATURE OF THE APPLICANT

    Page 2 of 2 12-09-2024 17:19:05

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