HARYANA STAFF SELECTION COMMISSION
One Time Registration Details CET-'C'-01/2025
Acknowledgement
CET-'C' ID 2025
141534
Full name as per matriculation PRIYANKA
Father's name RAMESH KUMAR
Mother's name MUKESH
Date of birth as per matriculation 01-06-2001
Gender FEMALE
Marital status MARRIED
Email ID
[email protected]Mobile No. 7626087619
Aadhaar number 369195319473
Identification marks 1 CUT MARK ON SMALL FINGER IN LEFT HAND
Identification marks 2
Have you participated in the CET 01/2022 YES
Previous CET 01/2022 Details
Registration No. as per previous CET 01/2022 141534
DOB as per previous CET 01/2022 2001-06-01
CET marks as per previous CET 01/2022 41.3169628
Category as per previous CET 01/2022 GEN
Form filled by candidate
Have you filled the form by yourself? YES
Address Information
Signature of the Candidate
HARYANA STAFF SELECTION COMMISSION
One Time Registration Details CET-'C'-01/2025
Correspondence Address Permanent Address
CO, RAMESH KUMAR,
5567 FIRST FLOOR, MODERN HOUSING
Address Address CHEHER KALAN,
COMPLEX
BHIWANI, HARYANA
Village/City/Sector MANIMAJRA, SECTOR 13 Village/City/Sector CHEHER KALAN
MODERN HOUSING COMPLEX
Post office MARKET, MANIMAJRA, SECTOR 13, Post office CHEHER KALAN
CHANDIGARH
State CHANDIGARH State HARYANA
District CHANDIGARH District BHIWANI
Pin code 160101 Pin code 127201
Category Information
Are you a Domicile/ Bonafide resident of Haryana ? YES
Domicile certificate number HR/2022/2369
Domicile certificate issue date 2022-11-14
Domicile certificate issuing authority name NAIB TEHSILDAR, BEHAL
Category GEN
Have you worked or presently working on
adhoc/contract/workcharged/ daily wages basis in any
Department/ Board Corporation of Haryana Government NO
including Government-aided lnstitutions under Haryana
Government ?
Are you an Ex-Serviceman/Family Member of Ex-
NO
Serviceman?
Are you a dependent of freedom fighter (DFF)? NO
Are you a PWD (Person with Benchmark Disability)
NO
Candidate
Are you an eligible sports person (ESP)? NO
Do you have any criminal case against you? NO
Education Qualification
% of
Examination Course Board/university Year of
Duration Stream Rollno Marks/
Passed Type Name passing
CGPA
BOARD OF
10TH
SCHOOL
10TH - - WITH 2015 2214278988 73.4
EDUCATION
HINDI
HARYANA
BOARD OF
12TH SCHOOL NON
- - 2017 3017120673 74.2
COMPLETED EDUCATION MEDICAL
HARYANA
Signature of the Candidate
HARYANA STAFF SELECTION COMMISSION
One Time Registration Details CET-'C'-01/2025
OTHER 2
DIPLOMA CBLU, BHIWANI B,ED 2022 20177011035 62.78
CERTIFICATE YEARS
BSC,
OTHER 3
OTHER GJU, HISAR NON 2020 173072300017 57.23
CERTIFICATE YEARS
MEDICAL
Payment Details
Transaction ID Paid Amount Date & Time
133715206 250 07/06/2025 22:08:52
Uploaded Documents
• Photo Uploaded
• Signature Uploaded
• Aadhaar Uploaded
• Undertaking as per annexure -VII Uploaded
• Domicile Certificate Uploaded
• 10th or Matriculation certificate Uploaded
• 12th completed Uploaded
• Other certificate Uploaded
Declaration
I declare that all the information and particulars filled in this application are true, complete, and correct to the best of
my knowledge and belief. I understand that any misrepresentation, omission or concealment of facts may lead to
the cancellation of my candidature at any stage of the recruitment process or termination of my employment, if
appointed
Uploaded Signature Acknowledgement Generated Date & Time
07-06-2025 22:11:05
Signature of the Candidate
