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APPLICATION FORM<br />
Name of the applicant :<br />
Father/ Husband Name :<br />
Present address :<br />
Affix recent<br />
passport<br />
size<br />
Photograph<br />
Permanent address :<br />
Address for communication :<br />
Date of Birth :<br />
Place of Birth :<br />
Age as on 1.07.2012 :<br />
Community<br />
(BC/MBC/SC/ST/OC)<br />
Educational Qualification :<br />
Degree<br />
Year<br />
passed<br />
University<br />
% of<br />
marks<br />
Additional Qualification :<br />
Tamil Language<br />
Possession of vehicle Two/<br />
Four wheeler<br />
(R.C.No. details)<br />
Speak/ Write<br />
: