2/25/24, 1:58 PM Haryana Staff Selection Commission : Registration Print

APPLICATION FORM | Haryana Staff Selection Commission (Advt. No. 5 / 2015 )

Registration Number 20005187

Post Applied For PGT Computer Science (Cat.No.1)
Applicant's Name RAMKESH

Father's Name BALWAN SINGH

Mother's Name MURTI DEVI

Date of Birth 10/5/1986

Age as on 21.09.2015 29 Year 4 months 11 days

Gender Male

Marital Status Un Married

Nationality INDIAN

Category General
District Mewat Cadre NO

Matric with Hindi/Sanskrit or

YES
10+2/B.A./M.A. with Hindi as one
of the subject ?
Aadhar Card No.(Desirable) 684205757769
QUALIFICATION

Marks Obtained / Total

Class Name/Qualification Passing Year University/Board Subject
Marks
ENG HIN SS SCI
Matric 2003 HBSE BHIWANI 364 / 600
MATH PHE
ENG HIN HIS SKT
10+2 (Senior Secondary) 2005 HBSE BHIWANI 293 / 500
PUBADD
MCA (Regular three year course) 2012 M D U ROHTAK COMPUTER 1918 / 2700
Post Graduation 2010 M D U ROHTAK COMPUTER 1425 / 2000
HTET DETAIL

HTET passing
HTET Roll No. HTET Subject HTET Passing Year HTET Marks Obtained
Month

OTHER

Birth Place and VPO SULEHRA

Haryana Domicile YES
Country HARYANA/ INDIA
Whether Working as a teacher in
privately managed Govt. aided,
recognized and Govt. Schools.
Age relaxation to the extent of NO
service rendered as a teacher
subject to a maximum of 5
years.
Password E269A8591D
ADDRESS

Permanent Address
VPO SULEHRA, NARWANA, Jind, Pin-126116, Telephone No -9729148840, Email ID-monisulehra2010@gmail.com
Corresspondence Address
VPO SULEHRA, NARWANA, Jind, Pin-126116, Telephone No -9729148840
DECLARATION: I hereby declare that:-

1.All statements made in this application form regarding age limit,educational qualifications & experience etc. are true,
correct and complete to the best of my knowledge, belief, record and nothing has been concealed therein.
In the event of any information being found/detected false, incorrect, incomplete and ineligible before or after the

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2/25/24, 1:58 PM Haryana Staff Selection Commission : Registration Print
interview/selection/appointment then my candidature may be cancelled and any legal action as per law can be
intiated/taken against me.
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 prescribed by Government of
Haryana from time to time.
3. I have never been convicted by any competent court of law.

SIGNATURE

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