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APPLICATION FORM | HARYANA SCHOOL SHIKSHA PARIYOJNA PARISHAD Registration Number 115626 Post Applied For Information-cum-Office-cum-Library Manager Applicant's Name Lovkesh Kumar Father's Name Mohinder Pal Mother's Name Date of Birth Gender Marital Status Nationality Category Sub Category QUALIFICATION Class Name/Qualification Matric (Regular) XII (Commerce) B.E/B.Tech (CS) OTHER Knowledge of Multimedia & Web Technology, Comp. Sc. & Inf. Practices Criminal case registered Nirmla Devi 31/12/1987 Male Un Married Indian General

Passing University/Board Year Board of School 2003 Education Haryana Board of School 2005 Education Haryana Maharshi 2012 Dayanand University Rohtak

Subject ALL ALL ALL

Marks Obtained / Total Marks 327 / 600 320 / 500 4091 / 6550

YES NO

STET/HTET Qualified(related to 9th to 12th) Birth Place and Country Matric with Hindi/Sanskrit or 10+2/B.A./M.A. with Hindi as one of the subjects Dismissed from Govt. Service Password

NO Narwana/ India YES NO FA6308B684

Already working as Govt Employee NO of Haryana or Other State Haryana Domicile Experience (In Months) ADDRESS Permanent Address YES 0

H.No.1367, Ward No.11, Gali No.6, Patel Nagar, Narwana, Jind, Haryana, Pin-126116, Telephone No -8901043660, Email ID-lovkesh.mr@gmail.com Corresspondence Address H.No.1367, Ward No.11, Gali No.6, Patel Nagar, Narwana, Jind, Haryana, Pin-126116, Telephone No -8901043660 DECLARATION I hereby declare that information filled in above is true to the best of my knowledge and has been filled up by me.In case of any information found incorrect, I will be held responsible. CANDIDATE'S SIGNATURE
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