HARYANA STAFF SELECTION COMMISSION
One Time Registration Detalls CET-C-01/2025
                                               Acknowledgement
                        CET-C ID 2025
                         20251235533
   Full name as per matriculation
                                                             SUSHMA RANI
   Father's name                                             HANSRAJ
   Mother's name                                             RAMVATI
   Date of birth as per matriculation
                                                             03-04-1991
   Gender
                                                             FEMALE
   Marital status
                                                            MARRIED
  Email ID
                                                            gaurav61193538@gmail.com
  Mobile No.
                                                            7015572144
  Aadhaar number
                                                            558743314945
  Identiation marks 1                                       MOLE ON RIGHT SIDE FACE
  ldentiation marks 2                                       SCAR ON RIGHT FOOT
  Have you participated in the CET 01/2022                  NO
                                             Form filled by candidate
 Have you Jed the form by yourself?                        YES
                                              Address Information
               Correspondence Address                                     Permanent Address
Address            NEW FRIENDS COLONY NEAR
                    JINDAL SCHOOL WARD 5                |Address            NEW FRIENDS COLONY NEAR
  Village/City/Sector SOHNA                                                JINDAL SCHOOL WARD 5
Post oPpe           SOHNA
                                                        Village/City/Sector SOHNA
                                                        Post olce          SOHNA
State               HARYANA                             |State             HARYANA
District            GURGAON                              District          GURGAON
Pin code            |122103                             Pin code           122103
                                             Category Information
Are you a Domicile/ Bonalßle resident of
                                           Haryana ?      YES
Domicile certiate number
                                                          HR/2025/961
Domicile certiate issue date
                                                          2025-05-06
Domicile certilate issuing authority name
                                                          NAIB TEHSILDAR SOHNA
                                                                                Signature of the Candidate
                                       HARYANASTAFF SELECTION
                                      One Time Registration Details   COMMISSION
                                                                    CET-C-01/2025
   Category
                                                                OSC
   Category certilate number
   Category certilate issue date                               HROSCI2025/261902
                                                               2025-06-14
   |Category certilate issuing authority                       ADDITIONAL DEPUTY COMMISSIONER
                                           name
  Have yoU worked or presenty                                  GURUGRAM
                             working on
  adhoc/contractworkcharged/
  Department/ Board          daily wages basis in any
                    Corporation of Haryana Government| NO
  including Government-aided
  Government ?               Institutions under Haryana
  Are you an
  Serviceman?Ex-Serviceman/Family Menmber of Ex               NO
  Are you a dependent of freedom
                                     Rghter (DFF)?            NO
 |Are you a PWD (Person with
 Candidate                   Benchmark Disability)
                                                              NO
 Are you an eligible sports person
                                     (ESP)?                   NO
 Do you have any criminal case
                               against     you?            NO
                                              Education Qualification
 Examination
   Passed        Duration    CourseBoard/university
                              Type                           Stream     Year of                                  % of
                                              Name                                         Rolíno              Marks/
                                                                        passing
                                                                                                               CGPA
                                       BOARD OF
10TH                                   SCHOOL                10TH
                                       EDUCATION            WITH      2006          224280
                                                            HINDI                                          7.6
                                       HARYANA
12TH                                   BOARD OF
                                       SCHOOL
COMPLETED                                                   ARTS      2008
                                       EDUCATION                                   32075888553             8.0
                                       HARYANA
                                                  Payment Details
        Transaction ID                     Paid Amount
                                                                                  Date &Time
          135231758                               250
                                                                             14/06/2025 19:52:52
                                            Uploaded Documents
                                                                                  Signature of the Candldate
                                   HARYANA STAFF SELECTION COMMISSION
                                   One Time Registration Details CET-C-01/2025
Photo Uploaded
2Signature Uploaded
Aadhaar Uploaded
QUndertaking as per annexure -VIlUploaded
Domicile Certiate Uploaded
RCategory certitate Uploaded
210th or Matriculation certiAate Uploaded
1 2th completed Uploaded
Declaration
 I declare that all the information and particulars Bed in this application are true, complete, and correct to the
best of my knowiedge and belief. Iunderstand 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
                                                                                 14-06-2025 19:54:54
                                                                                        Signature of the Candidete