HARYANA STAFF SELECTION COMMISSION
One Time Registration Details CET-'C'-01/2025
Acknowledgement
CET-'C' ID 2025
20250770137
Full name as per matriculation TANVI
Father's name RAJENDER SINGH
Mother's name SUDESH
Date of birth as per matriculation 29-07-2006
Gender FEMALE
Marital status UNMARRIED
Email ID
[email protected]Mobile No. 8053039677
Aadhaar number 842768821906
Identification marks 1 MOLE NEAR NOSE
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 241 TCP 2 ADARSH VPO MOKHRA KHERI
Address Address
COLONY HISAR CANTT MEHAM
Village/City/Sector HISAR CANTT Village/City/Sector MOKHRA
Post office HISAR CANTT Post office MOKHRA
State HARYANA State HARYANA
District HISAR District ROHTAK
Pin code 125006 Pin code 124001
Category Information
Are you a Domicile/ Bonafide resident of Haryana ? YES
Domicile certificate number HR/2017/7991
Domicile certificate issue date 2017-11-10
Domicile certificate issuing authority name TEHSILDAR MEHAM
Category DSC
Signature of the Candidate
HARYANA STAFF SELECTION COMMISSION
One Time Registration Details CET-'C'-01/2025
Category certificate number SC/2017/1933
Category certificate issue date 2017-11-07
Category certificate issuing authority name TEHSILDAR MEHAM
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 - - - 2022 13141484 88.8
SECONDARY
EDUCATION
CENTRAL
12TH BOARD OF
- - MEDICAL 2024 17650630 82.6
COMPLETED SECONDARY
EDUCATION
Payment Details
Transaction ID Paid Amount Date & Time
134495735 250 12/06/2025 11:20:43
Uploaded Documents
• Photo Uploaded
• Signature Uploaded
• Aadhaar Uploaded
• Undertaking as per annexure -VII Uploaded
• Domicile Certificate Uploaded
• Category 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
12-06-2025 11:21:14
Signature of the Candidate
