HARYANA STAFF SELECTION COMMISSION

One Time Registration Details CET-'C'-01/2025

Acknowledgement

CET-'C' ID 2025
89977

Full name as per matriculation YOGESH

Father's name RAJENDER SINGH

Mother's name SUNIL DEVI

Date of birth as per matriculation 02-06-2000

Gender MALE

Marital status UNMARRIED

Email ID y7405598@gmail.com
Mobile No. 9817941679
Aadhaar number 382328710837
Identification marks 1 A CUT ON MARK RIGHT HAND
Identification marks 2 A CUT ON MARK LEFT HAND
Have you participated in the CET 01/2022 YES
Previous CET 01/2022 Details
Registration No. as per previous CET 01/2022 89977
DOB as per previous CET 01/2022 2000-06-02
CET marks as per previous CET 01/2022 30.2405289
Category as per previous CET 01/2022 BCA
Form filled by candidate
Have you filled the form by yourself? YES
Address Information

Correspondence Address Permanent Address

Address 232 Address 232
Village/City/Sector SUMA KHERA Village/City/Sector SUMA KHERA
Post office GURIYANI Post office GURIYANI
State HARYANA State HARYANA
District REWARI District REWARI
Pin code 123401 Pin code 123401

Category Information
Are you a Domicile/ Bonafide resident of Haryana ? YES

Signature of the Candidate

 HARYANA STAFF SELECTION COMMISSION
One Time Registration Details CET-'C'-01/2025

Domicile certificate number 151372101008299

Domicile certificate issue date 2021-11-12
Domicile certificate issuing authority name NAIB TEHSILDAR
Category BCA
Category certificate number HRBC/2025/282682
Category certificate issue date 2025-06-08
Category certificate issuing authority name ADDITIONAL DEPUTY COMMISSIONER
Have you worked or presently working on
adhoc/contract/workcharged/ daily wages basis in any
Department/ Board Corporation of Haryana Government NO
including Government-aided lnstitutions under Haryana
Government ?
Are you an Ex-Serviceman/Family Member of Ex-
NO
Serviceman?
Are you a dependent of freedom fighter (DFF)? NO
Are you a PWD (Person with Benchmark Disability)
NO
Candidate
Are you an eligible sports person (ESP)? NO
Do you have any criminal case against you? NO
Education Qualification
% of
Examination Course Board/university Year of
Duration Stream Rollno Marks/
Passed Type Name passing
CGPA
BOARD OF
SCHOOL
10TH - - - 2017 2217835517 71.4
EDUCATION
HARYANA
BOARD OF
12TH SCHOOL
- - ARTS 2018 3018333718 72.4
COMPLETED EDUCATION
HARYANA
OTHER 3 AHIR COLLEGE, BACHELOR
OTHER 2022 181211101083 55.8
CERTIFICATE YEARS REWARI OF ARTS
Payment Details
Transaction ID Paid Amount Date & Time
134479876 250 12/06/2025 10:46:01

Uploaded Documents

Signature of the Candidate

 HARYANA STAFF SELECTION COMMISSION
One Time Registration Details CET-'C'-01/2025

• Photo Uploaded
• Signature Uploaded
• Aadhaar Uploaded
• Undertaking as per annexure -VII Uploaded
• Domicile Certificate Uploaded
• Category certificate Uploaded
• 10th or Matriculation certificate Uploaded
• 12th completed Uploaded
• Other certificate Uploaded
Declaration
I declare that all the information and particulars filled in this application are true, complete, and correct to the best of
my knowledge and belief. I understand 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

12-06-2025 10:46:37

Signature of the Candidate