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Jayakumar M

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26 views3 pages

Jayakumar M

Uploaded by

suryaseenivasan9
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
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I.

PARTICULARES OF APPOINTMEN

1. Name of the applicant : SELVAN : JAYAKUMAR M


2. Date of application for appointment :
(Only one depedent in the family can be
provided appointment on compassion nate
grounds)
3. 3. His/Her relationship to the deceased Govt. : Son
Son Servant
4. Date of birth and age (the age of wife of : 24.10.1999(26 years)
husband/son or unmarried daughter should
not be more than 35 years respectively on
the date of death of Govt.Servant) in the
case of widow/widower the upper age limit
is 50 years

5. Qualifications : MA.B.Ed
6. Name of the post for which his/her Name is : JUNIOR ASSISTANT
recommended for appointment and the
service in which it is included
(Compassionate appointment should be
given only to the lowest category of the
sevice concerned).
7. Whether the candidate is within the purview : No
of No. the Tamilnadu Public Service
Commission
8. Whether the candidate is fully qualified for : Yes Qualified
the post (If not, state the rules to be relaxed)

9. The date of tempory appointment of the : Does not arise. Not in service
candidate (Extract from service Register to
be relaxed)

II. PARTICULARS OF DECEASED GOVT.SERVANT

10. Name of the designation of the deceased: : J.MARUDHAPPAPANDIAN [late]


Govt.Servant Record Clerk

11. Office where he/she worked at the time of : Block education office Melaneelithanallur
death Tenkasi (DS)

12. Whether he/she held the post (name of the : Regular capacity
post to be specificed) in regular capcity Approved probationer
(i.e.probationer or approved of full number)
13. Date of death/date of retirement on Medical : Date of death 05.06.2024
invalidation

III GENERAL

14. Details of all the family members:


Name Age Education Maritual Relationship Employed/Unemployed(if
qualification status to The Employed particulars
deceased
M.Sumathi[late] 49 - Married Wife Unemployed

M.Jayakumar 26 MA.B.Ed Unmarried Son Unemployed

15. Monthly income by way of family pension : No eligibility for family pension and there is
and other similar sources also no other income source
16. Details of immovable property like houses: : No
lands, etc owned by the family monthly
income derived there from

IV CERTIFICATES/PARTICULARS TO BE FURNISHED

17. i) Nomination made by the wife/husband : Legal heir certificate is enclosed


of the: deceased Govt.Servant
ii) Certificate relationg qualification to : Enclosed
educational
iii) Declaration made by the applicant as : Enclosed
per: G.O.Ms.No.29, Employment Service
Department dt.07.03.1988
iv) Death certificate of the deceased Govt. : Enclosed
Servant
v) Legal heir certificate issued by the : Enclosed
Tasildar
vi) Income certificate issued by the :
Tashildar, covering both the movable and
immovable property owned by the family
with a specificremarks Regarding the
indigent nature of the Family
vii) No objection certificate from other : Enclosed
members: of the family (son/unmarried
daughters/Spouse)
viii) Other sources of income (including : Nil. No movable and immovable assets
movable and: immovable assets if any;
ix) The total amount of family benefit fund : Only Family bebfir fund received
death cum-Retirements gratuity and Rs.10,19,231/-
General Provident fund accumulations
received
x) How the amount has been spend : Medical treatment of the Government
servant Rs.13,50,000/-

18. Recommendation of the Administrative :


Department concerned in the Secretariat

Signature of the Appointing authority

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