Student Print Form
BOARD OF SCHOOL EDUCATION HARYANA, BHIWANI
HARYANA OPEN SCHOOL
Secondary (ADDITIONAL)-EXAM. SEP.-2025
के वल अतिरिक्त विषय (Additional) की हार्ड कापी बोर्ड कार्यालय में जमा करवानी होगी।
Personal Details
Registration HOSA10- District: HISAR
No 00617210
Roll No: 2215464074 Applying ADDITIONAL
For:
Student's Father's Photograph
Name: SAHIL Name: MITTERPAL
Mother's SANTOSH Date of
Name : DEVI Birth : 23/06/2000
Gender : MALE Category GENERAL
PH Catagory : SELECT Email Id: SAHILSANGWAN100@GMAIL.COM
Mobile No : 7015062230 Class : 10 Signature
Session/Year : MAY/ 2016
Correspondence Address
Address Address
Line 1 : VPO KAIMRI HISAR Line 2:
District HISAR State : HARYANA
Pincode : 125001
Permanent Address
Address VPO KAIMRI HISAR Address VPO KAIMRI HISAR
Line 1 : Line 2:
District HISAR State : HARYANA
Pincode : 125001
Choosen Exam Center
District HISAR Tehsil Centre Choice HISAR
Fee Status
Fee Status SUCCESS Merchant Transaction ID 1400247448 Amount 1200.00
Transaction Date 03-07-2025
Sr. No Alpha Code Subject Name
1 PUN PUNJABI
Declaration
It is certified that the information given on the form is correct and has been
checked by me.
Note: Candidates are advised to submit self attested hard copy of application and
document, to Asstt. Secretary (Haryana Open School), Board of School Education
Haryana, Bhiwani-127021 by post or in person within 07 days of application form
submission only for ADDITIONAL Candidates.
paste your
passport size student's signature
photograph here
For Office Use Only
It is certified that the information given in the application form has been
sertinized/check.
Eligible/Not Eligible:........................
Reason for not being eligible:................
D.E.Op./Clerk Assistant Superintendant
