HARYANA STAFF SELECTION COMMISSION
One Time Registration Details CET-'C'-01/2025
Acknowledgement
CET-'C' ID 2025
418109
Full name as per matriculation KAMAL
Father's name SHANTI SWAROOP
Mother's name KAMLESH
Date of birth as per matriculation 21-08-1994
Gender MALE
Marital status MARRIED
Email ID 1994kamal94@[Link]
Mobile No. 9896003451
Aadhaar number 588544303281
Identification marks 1 MOLE ON FACE
Identification marks 2 MOLE ON FACE
Have you participated in the CET 01/2022 YES
Previous CET 01/2022 Details
Registration No. as per previous CET 01/2022 418109
DOB as per previous CET 01/2022 1994-08-21
CET marks as per previous CET 01/2022 29.7442418
Category as per previous CET 01/2022 BCB
PARIVAR PEHCHAN PATRA (PPP) Details
PPP NO 7DTQ7999
Member ID FUQK5725
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 558/1 INDIRA COLONY Address 558/1 INDIRA COLONY
Village/City/Sector ROHTAK Village/City/Sector ROHTAK
Post office ROHTAK Post office ROHTAK
State HARYANA State HARYANA
District ROHTAK District ROHTAK
Pin code 124001 Pin code 124001
Category Information
Are you a Domicile/ Bonafide resident of Haryana ? YES
Domicile certificate number HR/2024/4923
Domicile certificate issue date 2024-07-25
Domicile certificate issuing authority name TEHSILDAR ROHTAK
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
CENTRAL
BOARD OF
10TH - - - 2010 2152554 4.2
SECONDARY
EDUCATION
ADDITIONAL
3
QUALIFICATION OTHER MDU BA 2018 8468817 51
YEARS
COMPLETED
Payment Details
Transaction ID Paid Amount Date & Time
Signature of the Candidate
HARYANA STAFF SELECTION COMMISSION
One Time Registration Details CET-'C'-01/2025
134586339 500 12/06/2025 14:58:05
Uploaded Documents
• Photo Uploaded
• Signature Uploaded
• Aadhaar Uploaded
• Undertaking as per annexure -VII Uploaded
• Domicile Certificate Uploaded
• 10th or Matriculation certificate Uploaded
• additional 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
12-06-2025 15:02:31
Signature of the Candidate