2/25/24, 2:28 PM Haryana Staff Selection Commission : Registration Print
APPLICATION FORM | Haryana Staff Selection Commission (Advt. No. 5 / 2015 )
Registration Number 20009876
Post Applied For PGT Computer Science ([Link].1)
Applicant's Name RIMPLE RANI
Father's Name MOHAN LAL
Mother's Name NIRMALA RANI
Date of Birth 22/7/1988
Age as on 21.09.2015 27 Year 1 months 30 days
Gender Female
Marital Status Un 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 ?
QUALIFICATION
Marks Obtained /
Class Name/Qualification Passing Year University/Board Subject
Total Marks
HINDI, ENGLISH,
SST, SCT, MATHS,
Matric 2004 HBSE BHIWANI 489 / 600
PHYSICAL
EDUCATION
HINDI, ENGLISH,
10+2 (Senior Secondary) 2006 HBSE BHIWANI PHYSICS, 379 / 500
CHEMISTRY, MATHS
MCA (Regular three year CDLU SIRSA ALL COMPUTER
2013 579 / 800
course) DISTANCE SUBJECTS
CDLU SIRSA ALL COMPUTER
Post Graduation 2013 579 / 800
DISTANCE SUBJECTS
MATHEMATICS,
[Link]. 2010 KUK HARYANA 644 / 1000
COMPUTER SCIENCE
Experience
Name of Salary (in From To Experience
Designation
Institution/Organization Rupees) Date(dd/mm/yyyy) Date(dd/mm/yyyy) (In Months)
ASSISTANT
MM PG COLLEGE 12000 1/8/2013 5/4/2014 8
PROF. IN C Sc
ASSISTANT
MM PG COLLEGE 12000 1/8/2014 10/4/2015 8
PROF. IN C Sc
ASSISTANT
MM PG COLLEGE 12000 1/8/2015 20/9/2015 1
PROF. IN C Sc
HTET DETAIL
HTET Passing HTET Marks
HTET Roll No. HTET Subject HTET passing Month
Year Obtained
COMPUTER
3168505 2014 FEBRUARY 101
SCIENCE
OTHER
Birth Place and
Haryana Domicile YES FATEHABAD/ INDIA
Country
Whether Working as a NO
teacher in privately managed
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2/25/24, 2:28 PM Haryana Staff Selection Commission : Registration Print
Govt. aided, recognized and
Govt. Schools. Age
relaxation to the extent of
service rendered as a
teacher subject to a
maximum of 5 years.
Password 01A9F30D6B
ADDRESS
Permanent Address
SHOP NO 129-A, GRAIN MARKET, FATEHABAD, Fatehabad, Pin-125050, Telephone No -7357210179, Email ID-
arorarimple42@[Link]
Corresspondence Address
SHOP NO 129-A, GRAIN MARKET, FATEHABAD, Fatehabad, Pin-125050, Telephone No -7357210179
DECLARATION: I hereby declare that:-
[Link] 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
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