HARYANA CIVIL SERVICE (EXECUTIVE BRANCH) & OTHER

ALLIED SERVICES EXAMINATION 2021

Personal Details

Application Number

2155103

Post Name Advertisement Number

Haryana Civil Service (Executive Branch) and Other 3/2021
Allied Services Advertisement Date

26.02.2021
Name of the Applicant
ADAN HOODA
Date of Birth Age as on 01.01.2021

05/Dec/1991 29Years 0Months 27Days

Father's Name Mother's Name
AZAD SINGH HOODA SARITA HOODA
Gender Mobile Number
Male 9466124439
Email ID

adan.hooda@gmail.com
Nationality Are you domicile of Haryana?
Citizen of India Yes
Category Are you PwBD i.e. Person with Benchmark Disabilities of
Haryana with at least 40% disability ?
General (Unreserved)
No
Are you child or grand child of Freedom Fighter of Haryana? Have you ever been debarred by UPSC/HPSC/other State PSCs
or any other Government Department?
No
No
Have you ever been convicted by Criminal Court? Are you an employee of Govt. of Haryana?

No No
Have you worked or are you presently working on
adhoc/contract/work-charged/daily wages basis in any
Department/Board/Corporation of Haryana Government?
No

Correspondence Address

Address Line 1 Address Line 2

 H.NO 576 VPO ASSAN
State District

HARYANA ROHTAK
City/Town/Village Tehsil

ASSAN ROHTAK
Pincode Is Permanent Address same as Correspondence address?
124406 YES

Permanent Address

Address Line 1 Address Line 2

H.NO 576 VPO ASSAN
State District

HARYANA ROHTAK
City/Town/Village Tehsil

ASSAN ROHTAK
Pincode

124406

Qualification Details

Number of attempts availed after upper age limit of 42 years (if

Do you possess a Degree of Bachelor of Arts / Science
/Commerce or an equivalent degree from a recognized
University.
Yes
you are seeking age relaxation as an employee of Haryana
Government or High Court or any Court subordinate thereto).
0
Optional subject for Main written examination

Public Administration

Matriculation (10th) Details

Name of the Board School/Institute Name

CBSE UNIVERSITY CAMPUS SCHOOL
Subject Marks Obtained
ENGLISH HINDI MATHS S.ST SCIENCE I.T 416
Maximum Marks Percentage of Marks
600 69.33
Year of Passing Division
2005 First

Intermediate (12th) Details

Name of the Board School/Institute Name

CBSE UNIVERSITY CAMPUS SCHOOL
 Subject Marks Obtained
PHYSICS CHEMISTRY MATHS BIOLOGY ENGLISH 255
Maximum Marks Percentage of Marks
500 51.00
Year of Passing Division
2007 Second

Graduation Details

Qualification Degree Institute Passed from

B.A DR.C.V.RAMAN UNIVERSITY
Month and Year of Passing Subject
11/2016 ENGLISH PUBLIC ADMINISTRATION QUANTATIVE
TECNIQUES IT SOCIAL RESEARCH
Marks Obtained Maximum Marks
1680 2400
Percentage of Marks Division
70.0000 First

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 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, educational qualifications etc.
prescribed in the advertisement and relevant Rules.

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]