HARYANA CIVIL SERVICE (JUDICIAL BRANCH)

EXAMINATION - 2020-21

Personal Details

Application Number

1056133

Post Name Advertisement Number

Civil Judge (Junior Division) in Haryana Civil 1/2021
Service (Judicial Branch) Advertisement Date

13.01.2021
Corrigendum Date Name of the Applicant

13.08.2021 SHIVAM SHARMA

Date of birth Age as on 15.09.2021

01/May/1997 24Years 4Months 14Days

Gender Father's Name

Male NEERAJ SHARMA

Mother's Name

SADHNA SHARMA
Mobile Number Email ID

7905175701 shivamsh7.ss@gmail.com
Nationality

Citizen of India
Are you domicile of Haryana? Category

No General (Unreserved)
Are you child or grand child of Freedom Fighter of Have you ever been debarred by UPSC/HPSC/other State
Haryana? PSCs or any other Government Department?
No No
Have you ever been convicted by Criminal Court? Have you worked or are you presently working on
adhoc/contract/work-charged/daily wages basis in any
No
Department/Board/Corporation of Haryana Government?

No

Correspondence Address

Address Line 1 Address Line 2

MS-3, SECTOR-D, ALIGANJ, LUCKNOW

State District

UTTAR PRADESH LUCKNOW

 City/Town/Village Tehsil

LUCKNOW LUCKNOW
Pincode Is Permanent Address same as Correspondence address?

226024 YES

Permanent Address

Address Line 1 Address Line 2

MS-3, SECTOR-D, ALIGANJ, LUCKNOW

State District

UTTAR PRADESH LUCKNOW

City/Town/Village Tehsil

LUCKNOW LUCKNOW
Pincode

226024

Qualification Details

Do you possess a Degree of Bachelor of Law from

University established by the Law and approved
/recognized by Bar Council of India

Yes

Candidate Documents/Images Upload Details

Signature

Declaration By The Candidate

I hereby declare that all the statements made in this application form are true, complete and correct to the
best of my knowledge & belief. In the event of any information being found false or incorrect, or any
ineligibility being detected before or after the examination (Preliminary, Main or on selection), my candidature
may be cancelled and action can be taken against me by the Commission.

I have read the advertisement including detailed instructions and the relevant Services Rules related to this
examination carefully and I hereby undertake to abide by them. I fulfill all the conditions of eligibility regarding
age limit, eductional qualifications etc. prescribed for admission to the examination in the advertisement and
relevant Rules / Instructions.

I'm in possession of all the Certificates / documents in support of my claim made above in the application
form.

Date :
Place :

[Signature of the Candidate]