HARYANA STAFF SELECTION COMMISSION
One Time Registration Details CET-'C'-01/2025
Acknowledgement
CET-'C' ID 2025
107268
Full name as per matriculation PRIYANKA
Father's name RAM KUMAR
Mother's name TARAWANTI
Date of birth as per matriculation 28-09-1996
Gender FEMALE
Marital status MARRIED
Email ID Priyankask.1996@[Link]
Mobile No. 7988237319
Aadhaar number 653192342708
Identification marks 1 CUT MARK ON FACE
Identification marks 2
Have you participated in the CET 01/2022 YES
Previous CET 01/2022 Details
Registration No. as per previous CET 01/2022 107268
DOB as per previous CET 01/2022 1996-09-28
CET marks as per previous CET 01/2022 60.1017717
Category as per previous CET 01/2022 BCB
PARIVAR PEHCHAN PATRA (PPP) Details
PPP NO 9HAC1228
Member ID NYEE5614
Form filled by candidate
Have you filled the form by yourself? YES
Address Information
Signature of the Candidate
HARYANA STAFF SELECTION COMMISSION
One Time Registration Details CET-'C'-01/2025
Correspondence Address Permanent Address
Address 297 Address 297
Village/City/Sector JATHLANA Village/City/Sector JATHLANA
Post office JATHLANA Post office JATHLANA
State HARYANA State HARYANA
District YAMUNANAGAR District YAMUNANAGAR
Pin code 135133 Pin code 135133
Category Information
Are you a Domicile/ Bonafide resident of Haryana ? YES
Domicile certificate number 2552
Domicile certificate issue date 2012-05-22
Domicile certificate issuing authority name TEHSILDAR
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 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 - - - 2011 2210615776 75.4
EDUCATION
HARYANA
BOARD OF
10+2
SCHOOL
EQUIVALENT 1 YEAR OTHER PCM 2013 3213332298 74.1
EDUCATION
COMPLETED
HARYANA
Payment Details
Transaction ID Paid Amount Date & Time
Signature of the Candidate
HARYANA STAFF SELECTION COMMISSION
One Time Registration Details CET-'C'-01/2025
0135391288 250 15/06/2025 22:25:21
Uploaded Documents
• Photo Uploaded
• Signature Uploaded
• Aadhaar Uploaded
• Undertaking as per annexure -VII Uploaded
• Domicile Certificate Uploaded
• 10th or Matriculation certificate Uploaded
• equivalent completed Uploaded
• Scanned copy of Parivar Pehchan Patra Uploaded
Declaration
I undertake that my category in CET 2022 is BCB. Now I am selecting GEN.
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
16-06-2025 10:35:16
Signature of the Candidate