Board of School Education Haryana, Bhiwani

Haryana Teacher Eligibility Test (2022)

Confirmation Form for HTET-2022

You have successfully completed Step-1 to Step-3 of Online Application for HTET - 2022
Kindly take the PRINT-OUT of this confirmation page

Registration No.: 2002097594 Apply For: LEVEL 2 - TGT ,LEVEL 3 - PGT

Candidate Name: DHEERAJ SHARMA Date Of Birth: 12/09/1996

Mother's Name: SEEMA Gender: MALE

Father's Name: HANSRAJ Category: GENERAL

Physically No Home State: HARYANA

Challenged:

Identity Type: AADHAR CARD Home District: JHAJJAR

Identification No.: XXXX XXXX 0732

Structure and Content

LEVEL 2 - TGT ,LEVEL 3 - PGT Level 2 (ENGLISH) ,Level 3 (ENGLISH)

Correspondence Address Details

Correspondence VPO-BAKRA TEH-BERI DIST-JHAJJAR PIN-124201 HARYANA JHAJJAR 124201

Address:

Email Id: DHEERAJSHARMA1703@GMAIL.COM Mobile No.: 9953607435

DECLARATION
I hereby solemnly and sincerely affirm that all the particulars stated by me in this Application Form are true and correct and I have verified my eligibility to apply for HTET-2022. I have not
concealed any information. However, if any information furnished herein is found false, wrong, incorrect or inaccurate, I understand that my candidature for HTET-2022 will be cancelled and lead
to cancellation of the result, forfeiture of certificate and even prosecution. I agree to abide by the Rules and regulations governing the Examination as contained in the HTET-2022 Information
Bulletin, which I have duly gone through.

Paste a passport size

photograph inside this
box

Put your signature in running hand (within Affix your left thumb impression inside the
the box only) box

e-Payment Details

Amount: 1800.00 Transaction Id: HH200209759409105537 Transaction date: 9/26/2022 10:55:37

AM

Payment Method: DEBIT CARD Level(s): LEVEL 2 - TGT LEVEL 3 - PGT

Note: 1. A copy of confirmation page will be submitted at the examination centre with same colored photograph as uploaded at the time of registration. Candidate shall affix their
thumb immpression and put his/her signature on confirmation page In front of invigilator / supervisor. No candidate will be allowed without this.

2. It is verified that candidate affixed left thumb impression and put his/her signature on confirmation page in front of me

invigilator / supervisor Name Roll No. Signature