Registration ID
HARYANA PUBLIC SERVICE COMMISSION 711387074959457
Post Name Haryana Civil Services (Executive Branch) & Other Allied Services - 2023
Basic Detail
Applicant Name: DEEPAK Mobile No: 7876552001
Gender: Male
Category: EWS Nationality: CITIZEN OF INDIA
Father's Name: SHRI BHAGWAN Mother's Name: SHEELA DEVI
Have you ever been debarred by UPSC/HPSC/other State PSCs or any other
No
Government Department?:
Have you ever been convicted by Criminal Court: No
Are you an employee of Govt. of Haryana: No
Sub Category Detail
Applicable Sub Category: None
Permanent Address
Address: Vill mundhal kalan
State: Haryana District: Bhiwani Tehsil: Bhiwani
Town/Village: Mundhal Kalan Pin Code: 127041
Correspondence Address
Address: Vill mundhal kalan
State: Haryana District: Bhiwani Tehsil: Bhiwani
Town/Village: Mundhal Kalan Pin Code: 127041
Date :
Place :
Candidate signature
Date of Printing : 13/12/2023
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Registration ID
HARYANA PUBLIC SERVICE COMMISSION 711387074959457
Bank Account Details
Name of the Account Holder Deepak
Bank Account No 3198492823
Name of the Bank Central Bank Ofindia
IFSC Code CBIN0280408
Are you domicile of Haryana State? Yes
Payment Detail
Bank Refrence Number: 85251286010
Order ID: 44380071138042
Payment amount: ₹ 250.00
Payment date: 13-12-2023
Qualifying Examination
Name of the
Passing Marks Total
Qualification Board/University/ Roll Number Percentage
Year Obtained Marks
Institution
Matric Haryana Board of School Education 2009 2208447216 395 500 79.00
Central Board of Secondary
10+2 2012 2606894 326 500 65.20
Education
Arts
University of Delhi, Delhi 2016 7225707 612 1200 51.00
(BA programme)
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 to claim age relaxation?
Employees of Haryana Government or HighCourt or any Court Subordinate thereto,having at least 4 years
No
service in a substantive or officiating (excluding ad-hoc)capacity on or before 01.01.2023.
Optional Subject Details
Optional Subject For The Main Exam: Law (15)
Date :
Place :
Candidate signature
Date of Printing : 13/12/2023
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Registration ID
HARYANA PUBLIC SERVICE COMMISSION 711387074959457
Post Prefrence Details
Post Prefrence Details
Prefrence 1 Haryana Civil Services (Executive Branch)
Prefrence 2 Deputy Superintendent of Police
Prefrence 3 Excise & Taxation Officer
Prefrence 4 District Food & Supplies Controller
Prefrence 5 'A' Class Naib Tehsildar
Prefrence 6 Block Development & Panchayat Officer
Prefrence 7 Assistant Excise & Taxation Officer
Prefrence 8 Assistant Registrar Cooperative Societies
Prefrence 9 District Food & Supplies Officer
Prefrence 10 Traffic Manager
Prefrence 11 Assistant Employment Officer
Physical Details
Height: 176
Chest (expanded): 95
Chest (unexpanded): 86
Date :
Place :
Candidate signature
Date of Printing : 13/12/2023
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Registration ID
HARYANA PUBLIC SERVICE COMMISSION 711387074959457
Uploaded Documents
S.N. Document Name
1. Document for Matric
2. Document for 10+2
3. Document for Qualifying Examination
4. Document for Category Certificate
Declaration
I have filled up my particulars and I verify that I have read the same and found the same to be correct as per the original documents and have not
concealed anything, and thereafter submitted the same. If at any stage, any particular in the application form is found incorrect/false as per available
data, then my candidature shall be liable to be rejected/cancelled without giving me any opportunity of hearing, at any stage i.e., prior to/after my
recruitment/appointment.
Date :
Place :
Candidate signature
Date of Printing : 13/12/2023
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