H A R YA N A S TA F F S E L E C T I O N C O M M I S S I O N

Application Form for Post(s) of Group C

ACKNOWLEDGEMENT
REGISTRATION ID : 810574 DATE & TIME : 02-05-2023 19:48:04

APPLICANT NAME : ABHISHEK BAGHEL

FATHER'S NAME : RAMESH KUMAR MOTHER'S NAME : SANGEETA

DATE OF BIRTH : 10-11-2000 GENDER : MALE

CATEGORY : BC (A) MARITAL STATUS : UNMARRIED

MOBILE NUMBER : 9315442352 EMAIL ADDRESS : ABHISHEKBAGHEL7678@GMAIL.COM

SKILLED IN STENOGRAPHY : NO PERSON WITH DISABILITY : NO

FAMILY MEMBER OF EX-SERVICEMAN : NO FAMILY MEMBER OF DISABLED EX-SERVICEMAN : NO

WHETHER DISABLED EX-SERVICEMAN : NO WHETHER EX-SERVICEMAN : NO

EDUCATIONAL QUALIFICATION DETAILS

SCHOOL/ UNIVERSITY/ BOARD/ YEAR OF CERTIFICATE PERCENTAGE OF
EXAM PASSED INSTITUTE EXAM ROLL NO NO DATE OF ISSUE SUBJECT MARKS/ GRADING
CENTRAL BOARD OF SECONDARY
10TH EDUCATION (CBSE) 2016 2108778 542875 28-05-2016 10TH WITH SCIENCE 82
CENTRAL BOARD OF SECONDARY
12TH EDUCATION (CBSE) 2018 2609985 1095143 26-05-2018 COMMERCE 90.6
INDIRA GANDHI NATIONAL OPEN
GRADUATION UNIVERSITY 2022 2101722772 0002972 17-03-2023 COMMERCE 54.42
OTHER INDIAN INSTITUTE OF CHARTERED ACCOUNTANT
CERTIFICATE CHARTERED ACCOUNTANTS 2019 630267 NRO0471851 03-02-2020 (INTERMEDIATE) 53

APPLIED POST(S)
SNO NAME OF THE DEPARTMENT NAME OF THE POST CATEGORY NO. GROUP NO.
DAKSHIN HARYANA BIJLI VITRAN NIGAM
1 (DHBVN) LOWER DIVISIONAL CLERK 66 6
HARYANA STATE WAREHOUSING
2 CORPORATION ACCOUNTS CLERK 79 6
HARYANA WOMEN DEVELOPMENT
3 CORPORATION, PANCHKULA ACCOUNTS CLERK 81 6
4 IRRIGATION & WATER RESOURCES ACCOUNTS CLERK 85 6
5 LOCAL AUDIT AUDITOR 87 6
6 REGISTRAR COOPERATIVE SOCIETIES JUNIOR AUDITOR 88 6
7 RURAL DEVELOPMENT, DEPARTMENT ACCOUNTS CLERK 90 6
8 UHBVNL LOWER DIVISIONAL CLERK 93 6
9 URBAN LOCAL BODIES ACCOUNTANT 94 6
10 REGISTRAR COOPERATIVE SOCIETIES INSPECTOR 96 6
11 HOUSING BOARD HARYANA ACCOUNTS ASSISTANT 97 6
HARYANA POWER GENERATION
12 CORPORATION LTD. ACCOUNTS CLERK 100 6

13 ECONOMIC & STATISTICAL ANALYSIS JUNIOR FIELD INVESTIGATOR 130 10

14 FOOD & SUPPLIES ASSISTANT FOOD AND SUPPLIES OFFICER 319 56
15 FOOD & SUPPLIES AUDITOR (DIRECTORATE) 322 56
16 FOOD & SUPPLIES AUDITOR (SUB OFFICES) 323 56
17 IRRIGATION & WATER RESOURCES CANAL PATWARI 324 56
18 EXCISE & TAXATION EXCISE INSPECTOR 327 56
19 FOOD & SUPPLIES INSPECTOR FOOD & SUPPLIES 330 56
20 URBAN LOCAL BODIES SECRETARY MUNICIPAL COMMITTEE 344 56
SOCIAL EDUCATION AND PANCHAYAT
21 DEVELOPMENT AND PANCHAYATS OFFICER 346 56

22 IRRIGATION & WATER RESOURCES SUB DIVISIONAL CLERK 350 56

23 EXCISE & TAXATION TAXATION INSPECTOR 353 56
24 REGISTRAR COOPERATIVE SOCIETIES SUB INSPECTOR GENERAL 379 57

ADDITIONAL POST(S) APPLIED

SNO NAME OF THE DEPARTMENT NAME OF THE POST CATEGORY NO. GROUP NO.

DECLARATION BY THE CANDIDATE

I HEREBY DECLARE THAT THE INFORMATION GIVEN ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF AND NOTHING HAS BEEN CONCEALED THEREIN. I AM
WELL AWARE OF THE FACT THAT IF THE INFORMATION GIVEN BY ME IS PROVED NOT TRUE, I WILL HAVE TO FACE THE CONSEQUENCES AS PER THE LAW. ALSO, ALL THE
BENEFITS AVAILED BY ME SHALL STAND WITHDRAWN

DATE : 02-05-2023 19:48:04

SIGNATURE ALREADY ON THE OTR FORM

CERTIFICATES UPLOADED
1 GRADUATION CERTIFICATE
2 PROFESSIONAL DEGREE CERTIFICATE
3 WRITTEN DECLARATION (HINDI & ENGLISH) (ANNEXURE-X) CERTIFICATE

CANDIDATE'S SIGNATURE ( MANDATORY)