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HaryanaStaffSelectionCommission:RegistrationPrint
[PARTI]APPLICATIONFORM|HaryanaStaffSelectionCommission[Advt.No.1/2015]
RegistrationNumber
81791568
PostAppliedFor
Storekeeper
CategoryNo.
Cat.No.11
Applicant'sName
MANOJ
Father'sName
GYANSINGH
Mother'sName
KASHMIRADEVI
DateofBirth
6/12/1988
Ageason31.07.2015
26Year7months25days
Gender
Male
MaritalStatus
UnMarried
Nationality
INDIAN
Category
BCB
SubCategory
OutstandingSportsperson
NO
MatricwithHindi/Sanskritor
YES
10+2/B.A./M.A.withHindi
asoneofthesubject?
AadharCardNo.(Desirable)
488895288160
QUALIFICATION
ClassName/Qualification
Passing
Year
University/Board Subject
MarksObtained/Total
Marks
Matric
2005
HBSE
HINDI,ENGLISH,MATHS,SOCIAL
SCIENCE,PHYSICALEDUCATION
371/600
10+2(SeniorSecondary)
2007
HBSE
ENGLISH,HINDI,ECONOMICS,BUSINESS
STUDIES,ACCOUNTING
316/500
OTHER
HaryanaDomicile
YES
BirthPlaceandCountry
REWARIHARYANA/
INDIA
Password
0FDD0D6BBD
ADDRESS
PermanentAddress
HNOD9,DCRUST,MURTHALSONEPATHARYANA,SONEPAT,Sonepat,Pin131039,TelephoneNo8901316916,EmailID
manojrv.99@gmail.com
CorresspondenceAddress
HNOD9,DCRUST,MURTHALSONEPATHARYANA,SONEPAT,Sonepat,Pin131039,TelephoneNo8901316916
DECLARATION:Iherebydeclarethat:
1.Allstatementsmadeinthisapplicationformregardingagelimit,educationalqualifications&experienceetc.aretrue,correct
andcompletetothebestofmyknowledge,belief,recordandnothinghasbeenconcealedtherein.
In the event of any information being found/detected false, incorrect, incomplete and ineligible before or after the
interview/selection/appointmentthenmycandidaturemaybecancelledandanylegalactionasperlawcanbeintiated/taken
againstme.
2.Ihavereadthetermsandconditionsprescribedinadvertisementcarefullyandaccordingly,Iherebyundertaketoabideby
them.I,also,fulfillalltheconditionsofeligibiltyasperrelevantrulesandinstructionsprescribedbyGovernmentofHaryana
fromtimetotime.
3.Ihaveneverbeenconvictedbyanycompetentcourtoflaw.
http://recruitmentportal.in/PMS_HR_REG/RegPrint.aspx
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06/08/2015
HaryanaStaffSelectionCommission:RegistrationPrint
SIGNATURE
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Commission
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