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  • Patwari Application Form

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    vineet dalal
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    PATWARI APPLICATION FORM

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    4 views3 pages

    Patwari Application Form

    Uploaded by

    vineet dalal

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
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    sranoig Haryana Siaff Selection Commission, Government of Haryana ‘sfraron afaret aa aratt Haryana Staff Selection Commission Version No.2. Login 719263672 ice ga Applcants Name __[AIAY KUMAR. rar 7H Mothers Name SANTOSH DEVI fr Gonr Vole [arr Dae ofBih: rioata7e [feet aria Morea status Ber Ares Rural ‘Mur 4a°/ Aadhar No:e3i29091239 cicada we Rar ise entity MarkOn | cut mark on right eye Body iTany FIR odged Pending agaist he appcan? No ‘Aaples Post Post sn. Adv. No. Post Name Payment Status | Application ta 1 [poi Git hes Re ma ies crear arvartevivé ever /Gorespondence [HOUSE NO. 474, WARD NO. 2, PADAV MOHALLA Poros & Gontet beats Gy: SAMALIGIR, Tesi: Saal Dist Pit, Pn: 232203, States Haryana, Moble/Pnone~ 8223938553, aren Revonsaton 3 Category: Gono Tay Cast: sri na Reva Physically Handicapped None ‘ran Resonaton None [te Frew Spore Type Dea: None ‘at ocv este eos ¥ Ff Ar you a dome of Haryana sate: Yos areca RE ae eT ATT #7 Do you have Knowledge of ind/Sansrt upto Mai Standard? Yoo ‘crt er 7 Whether pasted NC Ceca? No Date me of payment; c62019 6.0995 Ft Date & time of submission of application form #282019 S009 AM ype Gao NO ra aervs er Oe Essential Dotalo i you appy preva or the advertisement? No ‘Ars ava ecw Qualifying Examination ston a wero | atte feafare ats ra anita SRE | srr gy ate | Ee fivenl/Education University/Board Date of Marks Name Declaration of Date on | obtained | Total | Percentage Haration of | yarkshaet Marke ‘oss fom (Genoa eSeenon 24172019 nrysairdAppFomiPrntxm.a5px7F mNo=syoRVpKINMIMUTELTSTPLg==4PGID=REOIdeGWK t= 10 sranoig Haryana Staff Selection Commission, Government of Haryana avon Haryana Board of Edcation 9.nne998 | 0800 | S00 | 6160 HoH ans) Dome: Haryana State Board of (COMPUTER ENGINEERING) m su Siried oyzcvantcaL LAR AOE soray2c0s | asx.co | aso | 6120 Eucinzesine) Post Graduaton/ Maser Degee- | Wanarsh Dayarard Timumyz Samay | asanoo ) as00 | er other University O13 2014 942.00 61.68 Printed an: 29/06/2019, 11:33 AM 36V72019.hrysscin/AppFormiPrintlorm aspx7F rN 1yoRVpKINMIHLTSLTJ7PLg==8PGID=K50I4eGWNK 20 sranoie Haryana Siaff Selection Commission, Government of Haryana ‘Socio Economie enteria 1. Any person from among the applicant’ father, mother, spouse, brothers, sisors, sans and daughtor is, was or has boon a regular employee in any Department Board! Corpration! Company/ Statutory Body! Commission! Autharty of Government of Haryana or any aher State Gavernmant or Government of India No 2. Is applicant a Widow ?: No 5. le the applicant the eto the gecond child and his father had ded before attalning the age of 42 years. No 4.15 the applicant the fret or the sacond cid and his father had diad before the applicant had attained the age of 15 years. :No 5: Ifthe applicant belongs fo euch a denotife tbe (Vimukt Jas and Tapriwas Jai) oF Nomad tbe of Haryana whichis neither a Scheduled Caste nor 8 Backward Class, : No ‘rar

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