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BOARD OF SCHOOL EDUCATION HARYANA, BHIWANI

HARYANA TEACHER ELIGIBILITY TEST (HTET) - 2024


APPLICATION FORM

NAME OF THE
MOTHER'S NAME :
REGISTRATION NO : 4208889 CANDIDATE : VIPIN
JAGRATI DEVI
KUMAR PHOTO

FATHER'S NAME : VIKRAM DATE OF BIRTH : 20- CASTE CATEGORY :


SINGH 12-1993 BCB

EMAIL :
MOBILE NUMBER : 9518495663
VIPIND1320@GMAIL.COM

APPLIED FOR : , LEVEL 3 (PGT)

LEVEL 3 SUBJECT : MATHEMATICS

DIFFERENTLY ABLED AADHAR : SIGNATURE


GENDER : MALE
(DIVYANG) : NO 307716885056

HOME STATE : HOME DISTRICT :


HARYANA DOMICILE : YES
HARYANA REWARI

THUMB

EXAM CENTER
MARK OF IDENTITY : SMALL TYPE OF AREA :
PREFERENCE :
CUT O NOSEN RURAL
REWARI

WHETHER EMPLOYED / ENGAGED IN EDUCATIONAL INSTITUTION WITHIN HARYANA : NO

ACCOUNT NAME : VIPIN BANK NAME : ACCOUNT NO :


IFSC : CNRB0002037
KUMAR CANARA BANK 2037101012325
EXAMINATION LEVEL PASSING MARKS / GRADE % OF DIVISION /
ROLL NO BOARD
PASSED YEAR SECURED MARKS GRADE

SECONDARY 2208775714 B.S.E.H 2009 407/500 81.40 1ST

SR.SEC 2641662 C.B.S.E 2011 415/500 83.00 1ST

HIGHER /
PROFESSIONAL

MARKS /
EXAMINATION PASSING % OF DIVISION
ROLL NO INSTITUTE BOARD GRADE
LEVEL PASSED YEAR MARKS / GRADE
SECURED

K.L.P
M.D.U
B.SC 2227161 COLLEGE 2014 1913/2900 65.97 1ST
ROHTAK
REWARI

I.G.U.
M.SC 1501211005 I.G.U. REWARI 2017 1592/2000 79.60 1ST
REWARI

VIVEKANAND
I.G.U.
B.ED 172220404021 COLLEGE 2019 951/1450 65.58 1ST
REWARI
DAHINA

PERMANENT ADDRESS CORRESPONDENCE ADDRESS

HOUSE NO. 153 HOUSE NO. 153

WARD NO. 07 WARD NO. 07

VILLAGE / CITY REWARI VILLAGE / CITY REWARI

POST OFFICE RAMPURI POST OFFICE RAMPURI

TEHSIL DAHINA TEHSIL DAHINA

DISTRICT REWARI DISTRICT REWARI

STATE HARYANA STATE HARYANA

PIN 123411 PIN 123411

PAYMENT DETAILS

TRANSACTION ID AMOUNT DATE & TIME

280f0fa5-c079-4fcc-8591-f3aa33bc562f 1000.00 14-11-2024 12:35:18

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