HARYANA CIVIL SERVICE (JUDICIAL BRANCH)

EXAMINATION - 2021

Personal Details

Application Number

1012525

Post Name Advertisement Number

Civil Judge (Junior Division) in Haryana Civil 1/2021
Service (Judicial Branch) Advertisement Date

13.01.2021
Name of the Applicant Date of birth

SHARIQUE RAZA 30/Jan/1991

Age as on 15.02.2021 Gender

30Years 0Months 16Days Male

Mobile Number Email ID

8130239531 shariquealig2000@gmail.com
Nationality Father's Name

Citizen of India NASIM UDDIN

Mother's Name

NAZMA KHATOON
Are you domicile of Haryana? Category

No General (Unreserved)
Have you been whole time Cadet Instructor in the N.C.C. ?

No
Are you child or grand child of Freedom Fighter of Have you ever been debarred by UPSC/HPSC/other State
Haryana? PSCs or any other Government Department?
No No
Have you ever been convicted by Criminal Court?
No

Correspondence Address

Address Line 1 Address Line 2

J 17 4TH FLOOR,KHALILULLAH MASZID, BATLA JAMIA NAGAR
HOUSE, JAMIA NAGAR NEW DELHI State
DELHI
District

NEW DELHI /
 City/Town/Village Tehsil

SOUTH EST DELHI NEW DELHI

Pincode Is Permanent Address same as Correspondence address?

110025 NO

Permanent Address

Address Line 1 Address Line 2

HOUSE NO 2 WARD 1 VILL BHAGWANPUR PO ARARIA BAIRGACHI

State District

BIHAR ARARIA
City/Town/Village Tehsil

ARRIA JOKIHAT
Pincode

854311

Qualification Details

Do you possess a Degree of Bachelor of Law from

University established by the Law and approved
/recognized by Bar Council of India

Yes

Candidate Documents/Images Upload Details

Signature

Declaration By The Candidate

I hereby declare that all the statements made in this application form are true, complete and correct to the
best of my knowledge & belief. In the event of any information being found false or incorrect, or any
ineligibility being detected before or after the examination (Preliminary, Main or on selection), my candidature
may be cancelled and action can be taken against me by the Commission.

I have read the advertisement including detailed instructions and the relevant Services Rules related to this
examination carefully and I hereby undertake to abide by them. I fulfill all the conditions of eligibility regarding
age limit, eductional qualifications etc. prescribed for admission to the examination in the advertisement and
relevant Rules / Instructions.

I'm in possession of all the Certificates / documents in support of my claim made above in the application
form.

Date : /
Place :

[Signature of the Candidate]