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Haryana Clerk Form Umed 2022

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sarveshkmr71
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44 views4 pages

Haryana Clerk Form Umed 2022

please see

Uploaded by

sarveshkmr71
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Personal Details

Application Number Post Name


4028575 RECRUITMENT FOR THE
POST OF CLERK IN
SUBORDINATE COURTS
OF HARYANA

Photo
Advertisement Number Advertisement Date Candidate's Name
32C/SSSC/HR/2022 14.10.2022 UMED SINGH
Date of Birth Age as on 01.01.2022 Gender
(DD/MM/YYYY) 27 years 11 months 24 Male
08/01/1994 days Nationality
a citizen of India
Whether you are Marital Status Mother's Name
domicile of Haryana? Unmarried RESHAM DEVI
Yes Father's Name Mobile No
PRAHLANAND 8279343162
Alternate Mobile No Email ID
9306383823 vikramkasana987@gmail
.com

Category Details

Category
Backward Class (BC-B)
I undertake that I possess the latest Caste certificate issued by the competent
authority and does not fall in Creamy layer.

Ex-Serviceman Details

Are you an Ex- Are you Lineal


Serviceman (ESM) of Descendant of Ex-
Haryana ? Serviceman (LDESM) of
No Haryana ?
No

Physically Handicapped Category

Are you PHC of


Haryana with at least
40% disability?
No

Departmental Employee Details


Are you an Regular
Employee of
Punjab/Haryana
Government, other
State Government, or
the Government of
India, High Court, other
Subordinate Courts
and Union Territory,
Chandigarh ?
No
Have you ever worked
or presently working
on
adhoc/contract/work-
charged/daily wages
basis in any
Departmental/Board/Corporation
of Haryana
Government ?
No
Whether you are ever
dismissed or removed
from service of any
state Govt. or Govt. of
India or any public
sector undertaking?
No

Other Details

Whether any Have you ever been Have you ever been
FIR/Complaint or named as accused in convicted for any
Criminal case(s) has any criminal case? criminal offence
ever been registered No involving moral
against you? turpitude?
No No

Correspondence Address

Address Line 1 Address Line 2 Country


VILL KARIRA DISTT MAHENDER GARH India
State City/District Pincode/Postal Code
Haryana Mahendragarh 123027
Is Permanent Address
Same as
Correspondence
address?
Yes

Permanent Address

Address Line 1 Address Line 2 Country


VILL KARIRA DISTT MAHENDER GARH India
State City/District Pincode/Postal Code
Haryana Mahendragarh 123027

Qualification Details
Have you passed Do you possess the
Matriculation with requisite qualifications
Hindi as one of the as on date duly
subject? mentioned in
Yes advertisement?
Yes

Matriculation (10th) Details

Name of the Board School/ lnstitute Name Marks/Grade/CGPA


HARYANA B0ARD OF RANI LAXMI BAI HIGH Obtained
SCHOOL EDUCATION SCHOOL KARIRA 223
BHIWANI
Maximum Percentage of
Marks/Grade/CGPA Marks/Grade/CGPA
500 44
Year of Completion
2009

Graduation Details

Qualification Degree Institute passed from Institute recognised or


B.A. (Bachelor of Arts) SUNRISE UNIVERSITY not
ALWAR Yes
Month and Year of Marks/Grade/CGPA Maximum
Passing Obtained Marks/Grade/CGPA
07/2016 1444 2300
Percentage of
Marks/Grade/CGPA
62

Test City Preferences

Preferred State 1 Preferred Test City 1


Delhi NCR New Delhi
Preferred State 2 Preferred Test City 2
Haryana/Chandigarh Faridabad
Preferred State 3 Preferred Test City 3
Punjab Mohali
Preferred State 4 Preferred Test City 4
Himachal Pradesh Hamirpur
Preferred State 5 Preferred Test City 5
Jammu and Kashmir Jammu

Payment Details

Amount Payment Mode Payment Status


535 online Payment Success
Payment Transaction
No.
16135425592

Declaration
I undertake to work anywhere in the State of Haryana where I may be posted, if
selected
I hereby declare that all the statements made in this application form are true,
complete and correct to the best of my knowledge & belief. In the event of any
information being found false or incorrect, or any ineligibility being detected at any
time during or after the recruitment process, my candidature may be cancelled and
action can be taken against me by the competent authority.
I have read the advertisement and the relevant Service Rules related to this
recruitment carefully and I hereby undertake to abide by them. I fulfil all the
conditions of eligibility regarding age limit, educational qualifications etc. prescribed in
the advertisement and relevant Rules.
I undertake that I shall not cause any disruption in the Recruitment Process and shall
refrain from indulging in any anti-social, unlawful activities during the entire
recruitment process. If I am found indulging in any such activities at any time during
the Recruitment Process, my Candidature may be cancelled and I shall be liable for
any Departmental or Legal Proceedings consequent upon such act/activity.

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