19/09/2015

HaryanaStaffSelectionCommission:RegistrationPrint

APPLICATIONFORM|HaryanaStaffSelectionCommission(Advt.No.5/2015)

RegistrationNumber

20008929

PostAppliedFor

PGTComputerScience(Cat.No.1)

Applicant'sName

meenu

Father'sName

veerbhan

Mother'sName

rajpati

DateofBirth

16/10/1989

Ageason21.09.2015

25Year11months5days

Gender

Female

MaritalStatus

UnMarried

Nationality

indian

Category

General

DistrictMewatCadre

NO

MatricwithHindi/Sanskritor
YES
10+2/B.A./M.A.withHindiasoneof
thesubject?
Certificateofhavingqualified
HaryanaTeacherEligibilityTest
(HTET)/SchoolTeacherEligibility
Test(STET)ofrespectivesubjectfor NO
thepostapplied,Conductedby
BoardofSchoolEducation
Haryana,Bhiwani
QUALIFICATION

ClassName/Qualification

Passing
Year

University/Board Subject

MarksObtained/Total
Marks

Matric

2005

HBSE

hindi,eng,maths,social
science,science,physical
education

511/600

10+2(SeniorSecondary)

2007

CBSE

physics,chemistry,maths

412/500

B.Tech.ComputerScience(Regular
Course)

2012

maharshi
dayanand
university

computerscience

6132/8750

BirthPlaceandCountry

narwanajind/india

OTHER

HaryanaDomicile

YES

WhetherWorkingasateacherinprivatelymanagedGovt.aided,
recognizedandGovt.Schools.Agerelaxationtotheextentof
servicerenderedasateachersubjecttoamaximumof5
years.

NO

Workedforminimum4years
commulativelyason11/04/2012in
privatelymanagedGovernment
NO
aidedschools,RecognizedSchools
andGovernmnetSchools.Shouldbe
inserviceasondate.

WhetherServingIn
State/centralGovt.

NO

Password

F6724273CB

ADDRESS

http://recruitmentportal.in/pgt_advt5/RegPrint.aspx

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19/09/2015

HaryanaStaffSelectionCommission:RegistrationPrint

PermanentAddress
houseno310wardno13pujabhichowk,narwana,Jind,Pin126116,TelephoneNo9818780874,EmailID
CorresspondenceAddress
houseno21policecolonynangloi,nangloi,OTHER,Pin110041,TelephoneNo9818780874
DECLARATION:Iherebydeclarethat:

1.Allstatementsmadeinthisapplicationformregardingagelimit,educationalqualifications&experienceetc.aretrue,correct
andcompletetothebestofmyknowledge,belief,recordandnothinghasbeenconcealedtherein.
In the event of any information being found/detected false, incorrect, incomplete and ineligible before or after the
interview/selection/appointmentthenmycandidaturemaybecancelledandanylegalactionasperlawcanbeintiated/taken
againstme.
2.Ihavereadthetermsandconditionsprescribedinadvertisementcarefullyandaccordingly,Iherebyundertaketoabideby
them.I,also,fulfillalltheconditionsofeligibiltyasperrelevantrulesandinstructionsprescribedbyGovernmentofHaryana
fromtimetotime.
3.Ihaveneverbeenconvictedbyanycompetentcourtoflaw.
SIGNATURE

Home|HaryanaStaffSelectionCommission|ContactUs

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Commission

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