HARYANA STAFF SELECTION COMMISSION
One Time Registration Details CET-'C'-01/2025
Acknowledgement
CET-'C' ID 2025
20250308789
Full name as per matriculation ANISH
Father's name SANJAY
Mother's name MUKESH
Date of birth as per matriculation 09-07-2004
Gender MALE
Marital status UNMARRIED
Email ID anishredhujat9072004@[Link]
Mobile No. 8307473623
Aadhaar number 897993143470
Identification marks 1 A MOLE ON NECK
Identification marks 2
Have you participated in the CET 01/2022 NO
PARIVAR PEHCHAN PATRA (PPP) Details
PPP NO 8AQE4059
Member ID EUOB0942
Form filled by candidate
Have you filled the form by yourself? YES
Address Information
Correspondence Address Permanent Address
Address VPO IGRAH JIND Address VPO IGRAH JIND
Village/City/Sector IGRA Village/City/Sector IGRA
Post office IGRAH Post office IGRAH
State HARYANA State HARYANA
District JIND District JIND
Pin code 126102 Pin code 126102
Category Information
Are you a Domicile/ Bonafide resident of Haryana ? YES
Domicile certificate number 080462201015764
Signature of the Candidate
HARYANA STAFF SELECTION COMMISSION
One Time Registration Details CET-'C'-01/2025
Domicile certificate issue date 2022-07-11
Domicile certificate issuing authority name TEHSILDAR
Category GEN
Have you worked or presently working on
adhoc/contract/workcharged/ daily wages basis in any
Department/ Board Corporation of Haryana NO
Government 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
SCHOOL
10TH - - - 2020 1020288165 86.2
EDUCATION
HARYANA
BOARD OF
12TH SCHOOL NON
- - 2022 3022146159 75.6
COMPLETED EDUCATION MEDICAL
HARYANA
Payment Details
Transaction ID Paid Amount Date & Time
133725868 500 08/06/2025 [Link]
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
• Scanned copy of Parivar Pehchan Patra Uploaded
Declaration
Signature of the Candidate
HARYANA STAFF SELECTION COMMISSION
One Time Registration Details CET-'C'-01/2025
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
08-06-2025 [Link]
Signature of the Candidate
