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Haveri Application

The document is an application for the position of Peon at the Prl. District and Sessions Court in Haveri, submitted by Manjunath Huliyal. It includes personal details, educational qualifications, and instructions for the application process, including deadlines and required documents. The applicant affirms the accuracy of the information provided and acknowledges the consequences of any false statements.

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manjurevu2725
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0% found this document useful (0 votes)
202 views3 pages

Haveri Application

The document is an application for the position of Peon at the Prl. District and Sessions Court in Haveri, submitted by Manjunath Huliyal. It includes personal details, educational qualifications, and instructions for the application process, including deadlines and required documents. The applicant affirms the accuracy of the information provided and acknowledges the consequences of any false statements.

Uploaded by

manjurevu2725
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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4/11/25, 11:23 AM about:blank

PRL. DISTRICT AND SESSIONS COURT, HAVERi

Applied Post Name : PEON Generated Date:


Applicant Information 11/04/2025 11:22:45
Application No. HVR2425GDP020669
1. Name of the Applicant MANJUNATH HULIYAL
I declared the name mention in the Sl.No 1 is
correct.
2. Father Name SHANKAR HULIYAL
3. Gender Male
I declared the gender mention in the Sl.No 3 is
correct.
4. Date of Birth 27/03/1992 Age.32Yrs 4Mon 5days
Age as on last date of Notification-.
I declared the date of Birth mention in the
Sl.No 4 is correct.
Schedule Caste (SC) Certificate No-
5. Category RD0038579025728 Date of Certificate-
30/06/2013
I declared the category mention in the Sl.No 5
is correct.
6. Reservation Claimed
Quota a). Rural-NO
b) Benchmark disability(PH) -NO
c) Kannada medium -YES Date of Issued-
08/07/2015
d) Displaced for Project -NO
e). Ex-Servicemen -NO
Others
a). In KARNATAKA State, Census
Organisation of India -NO
b). Bonded Labourer Date of Issued-NO
c). Whole time cadet instructor in
NCC(National Cadet Cops)-NO
d). In KARNATAKA State, Rural
Industrialisation Scheme-NO
7. Marital Status Married Single SpouseName-REVATI
8. Citizen Indian
9. a)Present Address
HOUSE NUMBER 48 HOLEVVA NILAYA
Door No/Street No/Place
NEAR RNS FACTORY
Area RAJENDRA COLONY HUBBALLI
Taluka HUBBALLI
District DHARWAD
State KARNATAKA
Pincode 580024
b)Permanent Address
HOUSE NUMBER 48 HOLEVVA NILAYA
Door No/Street No/Place
NEAR RNS FACTORY
Area RAJENDRA COLONY HUBBALLI
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Taluka HUBBALLI
District DHARWAD
State KARNATAKA
Pincode 580024
10. a). Mobile No. 8970468417
b). Landline No.
11. Email ID. manjunathhuliyal@gmail.com
12. Whether the Applicant is in service
of Union of India / State Government No
and their Undertaking?
13. Is there any Departmental Enquiry
Pending/Contemplated/Ending with
No
impostion of penalty against the
Applicant?
14. Whether the applicant is /was a
No
party to any Civil /Criminal Proceedings
Application Status Process For Scrutiny
System Remarks
List of Documents
15. Educational Information
Year of Maximumimum Obtained
Qualification Board Roll No Percentage
Passing Marks Marks
KARNATAKA
X SCECONDARY
20080587418 2008 625.00 406.00 64.96
Std/S.S.L.C EDUCATION
EXAMINATION BOARD

I do hereby solemnly and sincerely affirm that the statement made and the information furnished above is true.
Should it however be found that any information furnished herein is untrue in material particulars, I realise that I
am liable to criminal prosecution and I am also agreeable to forego the claim for public services under the State
Goverment.
Note:
1. Marks obtained in X/SSLC or Equivalent Exam shall be furnished, Otherwise Application stands
disqualified.
2. If Photograph and signature(in JPG format) is not uploaded, Application stands disqualified.

INSTRUCTIONS TO THE CANDIDATE


1 Applicants shall read all the instructions carefully before submitting online application, so as to avoid the
mistakes /rejection.
2 Applicants shall compulsory provide the Mobile Number and valid e-mail ID, for communication at relevant
columns while submitting Online application. The authority is not responsible for non-receipt of SMS or E-
mail.
3 Applicants shall pass 10th STD/S.S.L.C or equivalent examination conducted by the Department of Public
Instructions.In case of CBSE Syllabus, The applicant should fill the percentage of Xth by converting
CGPA into a percentage as per the rules of Central Board.
4 Applicants shall provide photograph and signature scan separately. The candidates shall scan his / her latest
colour passport size photograph with white background (having 5 cm of length x 3.6 cm. of breadth with
maximum size 50 kb in jpg format) and signature on white paper in black ball point pen (having 2.5 cm. of
length x 7.5 cm. of breadth with maximum size 25 kb in jpg format) separately and upload the same, while
submitting the online application.
Note:- After successful payment of fee from the SBI e-pay Portal, the candidates are hereby instructed to
download the E-receipt in PDF format.

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5 Printout of Application Form Submitted and SBI e-pay payment receipt may be taken and they shall be
preserved till completion of Recruitment process.
6 To avoid last minute rush, the Applicants are advised to submit the ONLINE applications well in advance. The
website will accept the applications round the clock till 11.59 p.m. of 01.08.2024.
Last Dates:
To register / submit online applications on or before 01.08.2024. Time-11.59 PM.
To pay application fee through online SBIepay modes are Net Banking / Credit / Debit / UPI ID or QRcode.
To pay Application fee through SBIepay on or before 02.08.2024.
7 Intimation will be sent to the eligible candidates through SMS and E-mail provided. The list of eligible
candidates for viva-voce will also be notified in the notice board and in.
website URL link:https://haveri.dcourts.gov.in/online-recruitment/. of Prl.District and Sessions Court, Haveri.
8 The Candidates called for Viva-voce will have to appear for the same at their own cost.
9 The Candidates shall obtain the prescribed forms of the below mentioned Certificates before the last date for
submitting Online application from the concerned competent authorities and shall produce all the original
Testimonials at the time of verification. The certificates obtained after the last date fixed for submitting Online
applications would not be considered, failing wherein the Reservation claimed / candidature shall liable for
rejection.
a) Print-out of the Application submitted online..
b) The copy of application fee paid SBIepay e-receipt.
c) SSLC or equivalent certificate showing the date of birth.
d) SSLC Marks Cards.
e) No objection certificate may be obtained only if the candidate is selected.
f) Caste Certificate, if reservation claimed under SC/ ST / Cat-I/ IIA / IIB / IIIA / IIIB in prescribed formats
issued by the competent authority.
g) The Discharge certificate from Military Service (Ex-Serviceman), if reservation claimed.
h) Rural Certificate in the prescribed form, if reservation claimed.
i) Kannada Medium Certificate in the prescribed from, if reservation claimed (If post is Notified).
j) Medical Certificate in respect of Benchmark disability(PH) Candidates issued by the competent authority, if
reservation claimed.
k) Certificate from concerned authority regarding displaced by projects.
l) Creamy Layer certificate, in case the applicant belongs to General Merit and claiming reservation under
Rural Category
10 While Applying Online Application for the post, the candidates shall ensure that, he / she fulfills the eligibility
and other norms as mentioned above and that all the particulars furnished by him / her are correct in all
respects. In case, it is detected at any stage of Recruitment that, candidate does not fulfill the eligibility norms
and / that he / she has suppressed / twisted or truncated any material facts, his/her candidature would stands
cancelled. If any of these short comings is detected even after appointment, his / her appointment shall liable to
be terminated. Furnishing of wrong, incomplete and incorrect information would not only lead to
disqualification but also liable for criminal prosecution.
11 The candidates shall not upload any of these original or attested copies of documents / certificates at the stage
of submitting the online application.
12 The candidates shall produce all the original Testimonials along with one set of photocopies at the time
verification Viva-voce.
13 If any applicant is found to attempt / obtain extraneous support by any means for candidature from any
officials or non-officials, he/she will not be eligible for appointment.

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