10/31/2018 www.bsehexam2017.in/Print.

aspx

BOARD OF SCHOOL EDUCATION HARYANA, BHIWANI

OPEN SCHOOL REGISTRATION MARCH-2019
Secondary-(FRESH CANDIDATE)

Personal Information
Registration Number : HOS10-28118342 District : KAITHAL
Student Name : ABHISHEK Father's KRISHAN
Photograph
Name :
Mother's Name : NARESHO DEVI Date of 08/07/2002
Birth :
Gender : MALE Category SC
Differently Abled : NONE Area of RURAL
Residence :
Adhar Card No : 499033674013 10 Signature
Class
Certificate Issue Authority PRINCIPAL GOVT SR SEC
Name(Birth Proof) : SCHOOL BAROUT BANDRANA Issue Date 22/10/2018

Corresponding Address
Address NEAR GURU RAVIDAS MANDIR
Line 1 :
Address VILL BANDRANA PO BAROUT Address TEHSILE DHAND
Line 2: Line 3:
State : HARYANA District KAITHAL
Pincode : 136027 Mobile : 9467647047
Email Telephone
Address : RAJBIRWAL1021@GMAIL.COM No :
Selected Subject Details
Subject 1 : HINDI 201 Subject 2 : ENGLISH 202
Subject 3 : MATHEMATICS 211 Subject 4 : SCIENCE & TECHNOLOGY 212
Subject 5 : SOCIAL SCIENCE 213 Optional PHYSICAL EDUCATION 217
Subject :
Center Detail
Center Name : KAITHAL Center Tehsil : KAITHAL

Payment Details
Payment SUCCESS
Status :
Transaction 1100.00 Transaction 241731
Amount : ID :
Transaction 10/31/2018 4:59:41 PM Merchant
Date Time : Transaction 150140850
ID :
Declaration
It is certified that the information given on the form is correct and has been checked by me.

Note: Candidates are advised to submit self attested hard copy of application, along with proof of Original copy
of Date of Birth Certificate/School Leaving Certificate/Matric Fail Certificate/Photocopy of Middle Pass/Fail
Certificates sent to Asstt. Secretary (Haryana Open School), Board of School Education Haryana, Bhiwani-
127021 by post or in person within 07 days of application submission.
http://www.bsehexam2017.in/Print.aspx 1/2
10/31/2018 www.bsehexam2017.in/Print.aspx

Paste your
passport size
photograph
here

Student Signature

http://www.bsehexam2017.in/Print.aspx 2/2