HARYANA STAFF SELECTION COMMISSION

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

Acknowledgement

CET-C ID 2025
280685

Full name as per matriculation RAHUL

RAJ KUMAR
Father's name

Mother's name MURTI DEVI

Date of birth as per matriculation 19-11-2000

Gender MALE

UNMARRIED
Marital status
rahulraman1911@gmail.com
Email |D
Mobile No. 7988613446
312999154844
Aadhaar number
MOLE ON RIGHT HAND PALM
ldentification marks 1

ldentification marks 2
YES
|Have you participated in the CET 01/2022
Previous CET 01/2022 Details

Registration No. as per previous CET 01/2022 280685

2000-11-19
DOB as per previous CET 01/2022
67.5854536
CET marks as per previous CET 01/2022
GEN
|Category as per previous CET 01/2022
Form filled by candidate

YES
Have you filled the form by yourself?
Address Information

Permanent Address
Correspondence Address
HOUSE NO 439 STREET NO 17 HOUSE NO 439 STREET NO 17
VIKAS NAGAR, NEAR NFL Address VIKAS NAGAR, NEAR NFL
Address TOWNSHIP
TOWNSHIP
|Village/City/Sector|PANIPAT
|Village/City/Sector PANIPAT
NFL POST OFFICE Post office NFL POST OFFICE
Post office
HARYANA State HARYANA
|State
District PANIPAT
|District PANIPAT
Pin code |132103
Pin code 132103
Category Information
YES
Are you a Domicile Bonafide resident of Haryana ?

Signature of the Candidate

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

Domicile certificate number 140841801015303

Domicile certificate issue date 2018-06-08
Domicile certificate issuing authority name TEHSILDAR PANIPAT

Category GEN

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 Institutions 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

Doyou have any criminal case against you? NO

Education Qualification
% of
Examination
Duration CourseBoard/university Stream
Year of
Rolino Marks/
Passed Type Name passing CGPA
BOARD OF
SCHOOL
10TH 2016 2215647339 76
EDUCATION
HARYANA

BOARD OF
12TH SCHOOL NON
2018 3018311132 73.4
COMPLETED EDUCATION MEDICAL
HARYANA

OTHER 3
OTHER
KURUKSHETRA BACHELOR 2021 180071954 60
CERTIFICATE YEARS UNIVERSITY OF ART
CHAUDHARY BACHELOR
OTHER 2 RANBIR SINGH OF 2023
OTHER 8051516 67.3
CERTIFICATE YEARS UNIVERSITY EDUCATION

POST
GRADUATE
OTHER KURUKSHETRA
1YEAR DIPLOMA UNIVERSITY DIPLOMA IN 2024 2023265316 76.1
CERTIFICATE COMPUTER
APPLICATION

Payment Details
Transaction ID Paid Amount Date & Time

134124316 500 10/06/2025 20:25:36

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 -VIIUploaded
" Domicile 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
knowiedge 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 enployment, if appointed
Uploaded Signature Acknowledgement Generated Date &Time

10-06-2025 20:27:41

Signature of the Candidate