Board of School Education Haryana, Bhiwani

Haryana Teacher Eligibility Test (2020)

Confirmation Form for HTET-2020

You have successfully complated Step-1 to Step-3 of Online Application for HTET - 2020
Kindly take the PRINT-OUT of this confirmation page

Registration No.: 1001029638 Apply For: LEVEL 1 - PRT

Candidate Name: ARPITA JOHRI Date Of Birth: 30/09/1997

Mother's Name: ARCHANA JOHRI Gender: FEMALE

Father's Name: MOHAN JOHRI Category: GENERAL

Physically No Home State: DELHI

Challenged:

Identity Type: AADHAR CARD Home District: Other State

Aadhaar Card No.: XXXX XXXX 3262

Structure and Content

LEVEL 1 - PRT ,

Correspondence Address Details

Correspondence RZ C2 94D VIJAY ENCLAVE NEAR SBV SCHOOL DELHI SOUTH WEST DELHI 110045
Address:

Email Id: ARPITAJOHRI9@GMAIL.COM Mobile No.: 7291038650

DECLARATION
I hereby solemnly and sincerely affirm that all the particulars stated by me in this Application Form are true and correct and I have verified my eligibility to apply for HTET-2020. I have not
concealed any information. However, if any information furnished herein is found false, wrong, incorrect or inaccurate, I understand that my candidature for HTET-2020 will be cancelled and lead
to cancellation of the result, forfeiture of certificate and even prosecution. I agree to abide by the Rules and regulations governing the Examination as contained in the HTET-2020 Information
Bulletin, which I have duly gone through.

Paste a passport size

photograph inside this
box

Put your signature in running hand (within Affix your left thumb impression inside the
the box only) box

e-Payment Details

Amount: 1000.00 Transaction Id: HR100102963811120208 Transaction date: 11/25/2020

12:02:08 PM

Payment Method: CREDIT CARD Level(s): LEVEL 1 - PRT

Note: 1. A copy of confirmation page will be submitted at the examination centre with same colored photograph as uploaded at the time of registration. Candidate shall affix their
thumb immpression and put his/her signature on confirmation page In front of invigilator / supervisor. No candidate will be allowed without this.

2. It is verified that candidate affixed left thumb impression and put his/her signature on confirmation page in front of me

invigilator / supervisor Name Roll No. Signature