8/24/2015

HaryanaStaffSelectionCommission:RegistrationPrint

APPLICATIONFORM|HaryanaStaffSelectionCommission(Advt.No.2/2015)

RegistrationNumber

30116936

PostAppliedFor

CatNo1JuniorEngineer(Civil)

Applicant'sName

RAVIKUMAR

Father'sName

JOGINDERSINGH

Mother'sName

JEETODEVI

DateofBirth

15/8/1994

Ageason24.08.2015

21Year0months9days

Gender

Male

MaritalStatus

UnMarried

Nationality

INDIAN

Category

SC

MatricwithHindi/Sanskritor
YES
10+2/B.A./M.A.withHindias
oneofthesubject?
AadharCardNo.(Desirable)

638742887963

QUALIFICATION

ClassName/Qualification

PassingYear

University/Board Subject

MarksObtained/
TotalMarks

Matric

2010

CBSE

MAT,HIN,ENG,SCT,SCI

380/500

3yearNationalCertificate
courseinCivilEngg

2013

HSBTE
PANCHKHULA

CIVIL

5423/7425

Equivalent

2015

Equivalent

2015

Experience

Nameof
Institution/Organization

Designation

Salary(in
Rupees)

FromDate(dd/mm/yyyy)

To
Date(dd/mm/yyyy)

Experience
(InMonths)

SOBHADEVELOPERSLIMTED

TRAINEE
SUPERVISOR

15000

22/6/2013

31/3/2014

OTHER

HaryanaDomicile

YES

BirthPlaceandCountry

LADWAHARYANA/
INDIA

Password

194FFDFE81

ADDRESS

PermanentAddress
VILLAGEDHANORAJATTANPOSTOFFICELADWA,THANESAR,Kurukshetra,Pin136132,TelephoneNo
9996799698,EmailIDRKSINGH14U@GMAIL.COM
CorresspondenceAddress
VILLAGEDHANORAJATTANPOSTOFFICELADWA,THANESAR,Kurukshetra,Pin136132,TelephoneNo
9996799698
DECLARATION:Iherebydeclarethat:

1.Allstatementsmadeinthisapplicationformregardingagelimit,educationalqualifications&experienceetc.are
http://recruitmentportal.in/HSSC_JE/RegPrint.aspx

1/2

8/24/2015

HaryanaStaffSelectionCommission:RegistrationPrint

true,correctandcompletetothebestofmyknowledge,belief,recordandnothinghasbeenconcealedtherein.
In the event of any information being found/detected false, incorrect, incomplete and ineligible before or after
theinterview/selection/appointmentthenmycandidaturemaybecancelledandanylegalactionasperlawcan
beintiated/takenagainstme.
2. I have read the terms and conditions prescribed in advertisement carefully and accordingly, I hereby
undertake to abide by them. I, also, fulfill all the conditions of eligibilty as per relevant rules and instructions
prescribedbyGovernmentofHaryanafromtimetotime.
3.Ihaveneverbeenconvictedbyanycompetentcourtoflaw.
SIGNATURE

Home|HaryanaStaffSelectionCommission|ContactUs

http://recruitmentportal.in/HSSC_JE/RegPrint.aspx

Copyright2015
DesignedbyHaryanaStaffSelection
Commission

2/2