HARYANA STAFF SELECTION COMMISSION
One Time Registration Details CET-'C'-01/2025
Acknowledgement
CET-'C' ID 2025
20250549952
Full name as per matriculation VANSH GOYAL
Father's name SUVEEN KUMAR
Mother's name SAMTA RANI
Date of birth as per matriculation 06-07-2005
Gender MALE
Marital status UNMARRIED
Email ID vanshgoyal1357@[Link]
Mobile No. 7206286360
Aadhaar number 761234890047
Identification marks 1 MOLE ON LEFT ARM
Identification marks 2
Have you participated in the CET 01/2022 NO
Form filled by candidate
Have you filled the form by yourself? YES
Address Information
Correspondence Address Permanent Address
HOUSE NO 73A, WARD NO 08, HOUSE NO 73A, WARD NO 08,
Address RAJIV CHOUK MAIN BAZAR, Address RAJIV CHOUK MAIN BAZAR,
SAFIDON, JIND SAFIDON, JIND
Village/City/Sector SAFIDON Village/City/Sector SAFIDON
Post office SAFIDON Post office SAFIDON
State HARYANA State HARYANA
District JIND District JIND
Pin code 126112 Pin code 126112
Category Information
Are you a Domicile/ Bonafide resident of Haryana ? YES
Domicile certificate number HA0800296381
Domicile certificate issue date 2013-04-30
Domicile certificate issuing authority name TEHSILDAR
Signature of the Candidate
HARYANA STAFF SELECTION COMMISSION
One Time Registration Details CET-'C'-01/2025
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
CENTRAL
BOARD OF
10TH - - - 2020 17163557 58.33
SECONDARY
EDUCATION
CENTRAL
12TH BOARD OF
- - MEDICAL 2022 17652808 60
COMPLETED SECONDARY
EDUCATION
Payment Details
Transaction ID Paid Amount Date & Time
134154061 500 10/06/2025 [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
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
10-06-2025 [Link]
Signature of the Candidate
