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2/25/24, 2:12 PM Haryana Staff Selection Commission : Registration Print

APPLICATION FORM | Haryana Staff Selection Commission (Advt. No. 5 / 2015 )

Registration Number 20012034


Post Applied For PGT Computer Science (Cat.No.1)
Applicant's Name ANJU BALA

Father's Name DAYANAND

Mother's Name SANTOSH

Date of Birth 24/1/1983

Age as on 21.09.2015 32 Year 7 months 28 days

Gender Female

Marital Status Married

Nationality INDIAN

Category General
District Mewat Cadre NO

Matric with
Hindi/Sanskrit or
YES
10+2/B.A./M.A. with
Hindi as one of the
subject ?
Aadhar Card No.
529545705453
(Desirable)
QUALIFICATION

Class Marks Obtained /


Passing Year University/Board Subject
Name/Qualification Total Marks
Matric 1998 HBSE HIN.ENG.MATH,SCI,S.S,PHY.EDU. 390 / 600
10+2 (Senior
2002 HBSE PHY.CHEM.BIO,HINDI,ENG. 210 / 400
Secondary)
MCA (Regular three year AS PER SYLLABUS IN DISTANCE
2011 M.D.U. ROHTAK 2711 / 3700
course) MODE
AS PER SYLLABUS OF M.D.U
Post Graduation 2011 M.D.U. ROHTAK 2711 / 3700
ROHTK
B.Ed. 2008 C.C.S.MEERUT AS PER SYLLABUS 623 / 1000
Ph.D. 2013 M.D.U. ROHTAK PURSUING /
Experience

Experience
Name of Salary (in To
Designation From Date(dd/mm/yyyy) (In
Institution/Organization Rupees) Date(dd/mm/yyyy)
Months)
PHARMACY COLLEGE ASSIATANT
400RS.LECT 1/8/2010 31/7/2013 36
P.G.I.M.SROHTAK PROFESSOR
EXTENSION
G.C.W. ROHTAK 250RS.LECT 2/8/2014 28/9/2015 10
LECTURER
HTET DETAIL

HTET HTET Passing HTET Marks


HTET Roll No. HTET passing Month
Subject Year Obtained

OTHER

Haryana Domicile YES Birth Place and Country HARYANA/ INDIA


Whether Working as a NO
teacher in privately
managed Govt. aided,
recognized and Govt.
Schools. Age

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2/25/24, 2:12 PM Haryana Staff Selection Commission : Registration Print
relaxation to the
extent of service
rendered as a teacher
subject to a
maximum of 5 years.
Password 3D9542D13D
ADDRESS

Permanent Address
H.NO 600/9, NEAR HAFED GATE, SUKHPURA, ROHTAK, ROHTAK, Rohtak, Pin-124001, Telephone No
-8901334735, Email ID-anjunarwal024@gmail.com
Corresspondence Address
H.NO 600/9, NEAR HAFED GATE, SUKHPURA, ROHTAK, ROHTAK, Rohtak, Pin-124001, Telephone No
-8901334735
DECLARATION: I hereby declare that:-

1.All statements made in this application form regarding age limit,educational qualifications & experience etc.
are true, correct and complete to the best of my knowledge, belief, record and nothing has been concealed
therein.
In the event of any information being found/detected false, incorrect, incomplete and ineligible before or after
the interview/selection/appointment then my candidature may be cancelled and any legal action as per law can
be intiated/taken against me.
2. I have read the terms and conditions prescribed in advertisement carefully and accordingly, I hereby
undertake to abide by them. I, also, fulfill all the conditions of eligibilty as per relevant rules and instructions
prescribed by Government of Haryana from time to time.
3. I have never been convicted by any competent court of law.

SIGNATURE

Copyright © 2015
Home | Haryana Staff Selection Commission | Contact Us Designed by Haryana Staff Selection
Commission

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