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RENU

The document contains an application form submitted by Renu for the post of PGT Computer Science under the Haryana Staff Selection Commission advertisement number 5/2015. It includes her personal details like name, date of birth, qualifications, marks obtained, experience, address and declaration agreeing to the terms and conditions. Renu has submitted her application for consideration for the advertised teaching position in Haryana.

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SANDEEP Singh
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89 views2 pages

RENU

The document contains an application form submitted by Renu for the post of PGT Computer Science under the Haryana Staff Selection Commission advertisement number 5/2015. It includes her personal details like name, date of birth, qualifications, marks obtained, experience, address and declaration agreeing to the terms and conditions. Renu has submitted her application for consideration for the advertised teaching position in Haryana.

Uploaded by

SANDEEP Singh
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

2/25/24, 2:21 PM Haryana Staff Selection Commission : Registration Print

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

Registration Number 20003546


Post Applied For PGT Computer Science ([Link].1)
Applicant's Name RENU

Father's Name SURESH

Mother's Name ANGREJO

Date of Birth 20/10/1991

Age as on 21.09.2015 23 Year 11 months 1 days

Gender Female

Marital Status 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) 760530070450
QUALIFICATION

Marks Obtained / Total


Class Name/Qualification Passing Year University/Board Subject
Marks
HIN ENG MATH SS
Matric 2006 HBSE 356 / 500
SCI SKT
HIN ENG GEO
10+2 (Senior Secondary) 2008 HBSE 349 / 500
MATH SKT
[Link]. Computer Science (Regular
2014 MDU ROHTAK COMPUTER SCI 1441 / 2000
two year course)
Post Graduation 2014 MDU ROHTAK COMPUTER SCI 1441 / 2000
[Link]. 2014 MDU ROHTAK COMPUTER SCI 697 / 1000
HTET DETAIL

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

OTHER

Birth Place and BHARAN HARYANA/


Haryana Domicile YES
Country 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 ECBCBA1B52
ADDRESS

Permanent Address
RENU W/O SHIV KUMAR, VPO BIBIPUR, JIND, Jind, Pin-126102, Telephone No -8396079761, Email ID-
shivkumarjaglan@[Link]
Corresspondence Address
RENU W/O SHIV KUMAR, VPO BIBIPUR, JIND, Jind, Pin-126102, Telephone No -8396079761
DECLARATION: I hereby declare that:-

[Link]/pgt_advt5/[Link] 1/2
2/25/24, 2:21 PM Haryana Staff Selection Commission : Registration Print

[Link] 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
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

Copyright © 2015
Home | Haryana Staff Selection Commission | Contact Us Designed by Haryana Staff Selection
Commission

[Link]/pgt_advt5/[Link] 2/2

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