DVC Clerks (21.10.24)

Candidates are requested to bring following documents pertaining to
your case/claim for appointment to the post of Clerk & duly filled forms
(attached herewith).
Documents required.
a. Original academic certificates & other relevant documents.

b. A set of self-attested photocopies of all academic certificates &
other relevant documents.
c. Admit Card issued by HSSC
d. Character Certificate
e. Document Verification Proforma
f. Attestation Form
g. Self-Declaration cum Undertaking Proforma
CHARACTER CERTIFICATE
Certified that I have known Shri/Smt./Kum. ______________________________
________________ son/wife/daughter of Shri _______________________________
for the last* ______________ years ______________ months and that to the best
of my knowledge and belief he/she bears a reputable character and has no
antecedents which render him/her unsuitable for Government Employment.
Shri./Smt./Kum. __________________________________ is not related to me.
Place___________________________ Signature
Date____________________________ Designation _______________________
Office Stamp
*At least 6 months at the time of signing the certificate.

***********
Office of Director Secondary Education Haryana, Panchkula
Document Verification Proforma for the post of Clerk
Advt. No. ___________________Category No._______________________
Merit No. Roll No.
Name of candidate
Father’s Name
Mobile No.
Category (Gen/SC/BC etc.)
Male / Female
Date of Birth
Age of candidate as on date of
Advt. (Year, Month and Days)
10th (Yes / No)
Name of Board, Passing Year &
Percentage of Marks/Grade
Hindi/ Sanskrit up to Metric
(Yes / No)
12th (yes/No)
Name of Board, Passing Year &
Percentage of Marks/Grade
ESP Certificate (Yes/No)
EWS /ESM/ PwD certificate if
applicable (Yes/No)
Observation of DVC whether the candidate is eligible for appointment or not
Remarks (if any)
(Member) (Member) (Chairman)

UNDERTAKING
I, ………………………………………………….… S/o, D/o, W/o …………………………………… R/o

………………………………………………………………………………………… Roll No………………………… had been
selected for the post of CLERK against Advertisement No. ……………... .
I hereby undertake that:
i. The documents/ information provided/ submitted by me in the Secondary Education
Department, Haryana are true and correct to the best of my knowledge, information and
belief.
ii. I am presently not in any Government/ Semi-Government service.
Or
I am presently working in a Government/ Semi-Government service and shall produce a “No
Objection Certificate” from my present employer to the effect that he has no objection to my
joining this department.
iii. I am presently unmarried.
Or
I am presently married and do not have more than one living spouse.
iv. I was not on any previous occasion dismissed from service under any department of
Government.
v. I was not convicted by a competent court of law and no criminal case is pending against me in
any court of law.
Or
The following cases are pending against me:
……………………………………………………………….
…………………………………………………………….…
………………………………………………………………..
vi. I understand that if at any stage it is found that the above or any other information/
documents provided/ submitted by me are found to be false or forged, I shall be fully
responsible for that and my services shall be terminated and I shall be liable for criminal
action under the criminal laws.
(…………………….)
Signature
Name and Father Name …………………….……………….
Address: ……………………….……………………………………..
………………………………………………………….…………………
Mobile No. ………………………………………………………….
HSSC Roll No. ……………………………………………………..
Category…….………………………………………………………
Merit No…………………………………………………………….

DVC Clerks (21.10.24)

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Candidates are requested to bring following documents pertaining to

a. Original academic certificates & other relevant documents.

Certified that I have known Shri/Smt./Kum. ______________________________

son/wife/daughter of Shri _______________

of my knowledge and belief he/she bears a reputable character and has no

antecedents which render him/her unsuitable for Government Employment.

Shri./Smt./Kum. __________________________________ is not related to me.

Date______ Designation _

*At least 6 months at the time of signing the certificate.

Advt. No. _Category No._____

Merit No. Roll No.

Category (Gen/SC/BC etc.)

Observation of DVC whether the candidate is eligible for appointment or not

Remarks (if any)

(Member) (Member) (Chairman)

I, ………………………………………………….… S/o, D/o, W/o …………………………………… R/o

Name and Father Name …………………….……………….

Mobile No. ………………………………………………………….

HSSC Roll No. ……………………………………………………..

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