7/9/24, 1:39 PM about:blank
Confirmation
पुष्टीकरण
Personal Details
व्यक्तिगत विवरण
Registration No/User Id Applicant Name
66903 RICHPAL
पंजीकरण संख्या/उपयोगकर्ता आईडी: उम्मीदवार का पूरा नाम
Father's Name: Mother's Name:
RAGHUVIR SINGH SEEMA RANI
पिता का नाम माता का नाम
Gender DOB
Male 13-Feb-1997
लिंग जन्म की तारीख
Mobile No E-Mail ID
9729187666 richpalj7@gmail.com
फ़ोन नंबर ईमेल आईडी
Marital Status Are You a Bonafide Resident of Haryana?
Unmarried Y
वैवाहिक स्थिति क्या आप हरियाणा बोनाफाइड निवासी हैं?
Registration Details
पंजीकरण के विवरण
Are you an Ex-Serviceman
OR
Dependent of Ex-Serviceman of Haryana and
neither you nor any of your family member has
already secured employment in civil service on
regular basis in any Department/
Board/Corporation/ University etc. under the
State Government with availing the
Category
benefit of reservation?
General N
वर्ग
क्या आप हरियाणा के एक्स-सर्विसमैन
या
एक्स-सर्विसमैन के आश्रित हैं और न तो आप और न ही
आपके किसी परिवार के सदस्य ने पहले से ही राज्य
सरकार के किसी विभाग/बोर्ड/निगम/विश्वविद्यालय आदि में
नियमित आधार पर नौकरी हासिल की है जिसमें आरक्षण
का लाभ प्राप्त हो रहा हो?
Are you applying under PWD category ?
N
क्या आप PWD श्रेणी के अंतर्गत आवेदन कर रहे हैं?
Permanent Mailing Address Details
about:blank 1/5
7/9/24, 1:39 PM about:blank
पते का विवरण
Mailing Address
VPO BANGAON TEHSIL AND DISTRICT FATEHABAD HARYANA125050
डाक पता
City State
Fatehabad HARYANA
शहर राज्य
District Tehsil
Fatehabad Fatehabad
जिला तहसील
Pincode Alternate Mobile Number
125050 9729187666
पिन कोड वैकल्पिक मोबाइल नंबर
STD Code Landline Contact Number
एसटीडी कोड लैंडलाइन संपर्क नंबर
Correspondence Mailing Address Details
पत्राचार का पता
Mailing Address
VPO BANGAON TEHSIL AND DISTRICT FATEHABAD HARYANA125050
डाक पता
City State
Fatehabad HARYANA
शहर राज्य
District Tehsil
Fatehabad Fatehabad
जिला तहसील
Pincode Alternate Mobile Number
125050 9729187666
पिन कोड वैकल्पिक मोबाइल नंबर
STD Code Landline Contact Number
एसटीडी कोड लैंडलाइन संपर्क नंबर
Qualification Details
योग्यता विवरण
Year Roll No/ Total
Date of Issue of Obtained
Qualification Subject School/Board/University/Institute of Registration CertificateNo Marks/Maximum Document
Result/Ceriticate Marks/CGPA
Exam Number CGPA
Cat. 96 - INSPECTOR
Graduate of recognized
PHYSICS,
university or having M M COLLEGE FATEHABAD 2018 15230442084 18101776 16-Jul-2018 1891.00 2900 Qualification_3377380.pdf
CHEMISTRY,MATH
equivalent qualification
knowledge of Hindi up to Hindi ,english HARYANA BOARD OF SCHOOL 2013 2212397588 056395 06-Jun-2013 407.00 500 Qualification_3379906.pdf
Metric standards. ,math ,science, EDUCATION
about:blank 2/5
7/9/24, 1:39 PM about:blank
social science,
physical education
Cat. 334 - PATWARI
Graduation or its
PHYSICS,
equivalent examination of M M COLLEGE FATEHABAD 2018 15230442084 18101776 16-Jul-2018 1891.00 2900 Qualification_3389878.pdf
CHEMISTRY,MATH
a recognized University;
Cat. 345 - SECRETARY MUNICIPAL COUNCIL
Post Graduate or 1st PHYSICS,
M M COLLEGE FATEHABAD 2018 15230442084 18101776 16-Jul-2018 1891.00 2900 Qualification_3391403.pdf
Class Graduate, CHEMISTRY,MATH
Cat. 322 - AUDITOR (DIRECTORATE)
Degree of a recognized PHYSICS,
M M COLLEGE FATEHABAD 2018 15230442084 18101776 16-Jul-2018 1891.00 2900 Qualification_3389099.pdf
University or its equivalent CHEMISTRY,MATH
Cat. 323 - AUDITOR (SUB OFFICES)
Degree of a recognized PHYSICS,
M M COLLEGE FATEHABAD 2018 15230442084 18101776 16-Jul-2018 1891.00 2900 Qualification_3388419.pdf
University or equivalent CHEMISTRY,MATH
Cat. 327 - EXCISE INSPECTOR
Graduate from recognized
University or must have PHYSICS,
M M COLLEGE FATEHABAD 2018 15230442084 18101776 16-Jul-2018 1891.00 2900 Qualification_3384200.pdf
passed and equivalent CHEMISTRY,MATH
examination.
Hindi ,english
Hindi/Sanskrit upto Matric ,math ,science, HARYANA BOARD OF SCHOOL
2013 2212397588 056395 06-Jun-2013 407.00 500 Qualification_3387224.pdf
standard social science, EDUCATION
physical education
Cat. 87 - AUDITOR
Graduate preferably in
PHYSICS,
Commerce of a M M COLLEGE FATEHABAD 2018 15230442084 18101776 16-Jul-2018 1891.00 2900 Qualification_3376047.pdf
CHEMISTRY,MATH
recognized University;
Cat. 353 - TAXATION INSPECTOR
Graduate from recognized
University or must have PHYSICS,
M M COLLEGE FATEHABAD 2018 15230442084 18101776 16-Jul-2018 1891.00 2900 Qualification_3385556.pdf
passed and equivalent CHEMISTRY,MATH
examination.
Cat. 346 - SOCIAL EDUCATION AND PANCHAYAT OFFICER
Graduate from any
PHYSICS,
recognized university in M M COLLEGE FATEHABAD 2018 15230442084 18101776 16-Jul-2018 1891.00 2900 Qualification_3393129.pdf
CHEMISTRY,MATH
any stream.
Cat. 369 - HOSTEL WARDEN
PHYSICS,
Graduation M M COLLEGE FATEHABAD 2018 15230442084 18101776 16-Jul-2018 1891.00 2900 Qualification_3381392.pdf
CHEMISTRY,MATH
Cat. 344 - SECRETARY MUNICIPAL COMMITTEE
PHYSICS,
Graduate. M M COLLEGE FATEHABAD 2018 15230442084 18101776 16-Jul-2018 1891.00 2900 Qualification_3382206.pdf
CHEMISTRY,MATH
Cat. 356 - ZILLEDAR
(i) Graduate with 55% PHYSICS, M M COLLEGE FATEHABAD 2018 15230442084 18101776 16-Jul-2018 1891.00 2900 Qualification_3392014.pdf
marks or its equivalent CHEMISTRY,MATH
about:blank 3/5
7/9/24, 1:39 PM about:blank
examination from a
recognized university
(ii)
Hindi ,english
Matric/10+2/Graduate/Post
,math ,science, HARYANA BOARD OF SCHOOL
Graduate with 2013 2212397588 056395 06-Jun-2013 407.00 500 Qualification_3392580.pdf
social science, EDUCATION
Hindi/Sanskrit as one of
physical education
the subject
Cat. 319 - ASSISTANT FOOD AND SUPPLIES OFFICER
Degree of a recognized PHYSICS,
M M COLLEGE FATEHABAD 2018 15230442084 18101776 16-Jul-2018 1891.00 2900 Qualification_3382949.pdf
University . CHEMISTRY,MATH
Cat. 335 - PATWARI
Graduation or its
PHYSICS,
equivalent examination of M M COLLEGE FATEHABAD 2018 15230442084 18101776 16-Jul-2018 1891.00 2900 Qualification_3390817.pdf
CHEMISTRY,MATH
a Recognized University;
Cat. 330 - INSPECTOR FOOD & SUPPLIES
Degree of a recognized PHYSICS,
M M COLLEGE FATEHABAD 2018 15230442084 18101776 16-Jul-2018 1891.00 2900 Qualification_3386223.pdf
University. CHEMISTRY,MATH
List of Documents
Sr. no Document Name Name of issuing authority Date of issue Reference Number
1 Photograph
2 Signature
3 Domicile Certificate of Haryana NAIB TEHSILDAR 17-May-2021 040202101009684
Preferences
Priority Post Name Department Name
1 Cat. 327 - EXCISE INSPECTOR EXCISE & TAXATION
2 Cat. 353 - TAXATION INSPECTOR EXCISE & TAXATION
3 Cat. 330 - INSPECTOR FOOD & SUPPLIES FOOD & SUPPLIES
4 Cat. 96 - INSPECTOR REGISTRAR COOPERATIVE SOCIETIES
5 Cat. 356 - ZILLEDAR IRRIGATION & WATER RESOURCES
6 Cat. 346 - SOCIAL EDUCATION AND PANCHAYAT OFFICER DEVELOPMENT AND PANCHAYATS
7 Cat. 319 - ASSISTANT FOOD AND SUPPLIES OFFICER FOOD & SUPPLIES
8 Cat. 87 - AUDITOR LOCAL AUDIT
9 Cat. 323 - AUDITOR (SUB OFFICES) FOOD & SUPPLIES
10 Cat. 322 - AUDITOR (DIRECTORATE) FOOD & SUPPLIES
11 Cat. 345 - SECRETARY MUNICIPAL COUNCIL URBAN LOCAL BODIES
12 Cat. 344 - SECRETARY MUNICIPAL COMMITTEE URBAN LOCAL BODIES
13 Cat. 335 - PATWARI PWD (B&R)
14 Cat. 334 - PATWARI LAND RECORDS
15 Cat. 369 - HOSTEL WARDEN WELFARE OF SC & BC
Preferences submitted on Jul 9, 2024 1:38:34 PM from IP Address 223.178.213.103
Self Declaration
I solemnly affirm and declare :-
That I have read and understood the instructions mentioned above I have also gone through the particulars as mentioned in the form filled up by me/on my behalf and found the same
about:blank 4/5
7/9/24, 1:39 PM about:blank
correct and in accordance with documents/my certificate issued by Board/College/University and all the particulars are correct as per record. I understand that in the event of any of the
particulars or information above being found false or incorrect at any stage, my candidature shall be liable to be rejected.
मैं यह स्पष्ट रूप से स्वीकार करता/करती हूँ कि मैंने ऊपर उल्लिखित निर्देशों को पढ़ा और समझा है और मैंने/मेरे अधीन भरे गए फॉर्म में उल्लिखित विवरणों को समझा है और उन्हें सिद्धांतों/प्रमाण पत्रों/मेरे द्वारा बोर्ड/
कॉलेज/विश्वविद्यालय द्वारा जारी किए गए प्रमाण पत्र के साथ मिलाकर सही और तथ्यात्मक होने की पुष्टि की है। मुझे इस बात का ज्ञान है कि यदि किसी भी चरण पर ऊपर उल्लिखित किसी भी विवरण या जानकारी में कोई
भी गलती या गलत पाया जाता है, तो मेरे उम्मीदवारी को खारिज किया जाएगा।
Date:- Signature
about:blank 5/5