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    Odisha Police - Print Form

    Uploaded by

    tungamalnhs1980

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Odisha Police - Print Form

    Uploaded by

    tungamalnhs1980
    7 views1 page

    Copyright

    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    7 views1 page

    Odisha Police - Print Form

    Uploaded by

    tungamalnhs1980

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Basic Details

    Full Name of the Candidate PITABAS NAYAK Application No. 20242375765


    Father's Name SASHIBHUSAN NAYAK Date of Birth 08/05/1997
    Age as on 01-01-2024 26 Years 7 Months 24 Days Religion HINDU
    Category SCHEDULED TRIBE (ST) Nationality INDIA
    Email [email protected] Mobile Number 9777535661
    Aadhaar Number 584372231784 Applied On 21/10/2024

    Applied For
    Post Applied For Sepoy/Constable in OSAP/IR Bn Battalions Applied For OSAP 1st Bn., Dhenkanal

    Permanent Address Present Address


    Address AT-PURUKUNDA PO- RAMBHEI Address AT-PURUKUNDA PO- RAMBHEI
    Country INDIA Country INDIA
    State ODISHA State ODISHA
    District DEBAGARH District DEBAGARH
    Village/Locality PURUKUNDA Village/Locality PURUKUNDA
    Pin Code 768108 Pin Code 768108

    Applicant Other Details


    Emergency Contact Person SASHIBHUSAN NAYAK Emergency Contact Person's Mobile Number 7328046415

    Educational Qualification
    Examination Passing type Name of Board School Name Year of Passing

    10th/Matriculation Pass BSE ODISHA GOVT HIGH SCHOOL KANSAR 2012

    Additional Information
    Have You Passed Odia Language? YES Has Special Category NO Special Cateory NA
    Marital Status NO Multiple Spouses 0 Are you presently in Govt. Service YES
    Sports ID Sports ID Card
    Card Number
    NA Issued Date
    NA Are you able to Speak,Read and Write Odia? Yes

    Has NCC NO Certificate NCC NA Has Driving Licence No


    Type Of DL NA DL Number NA DL Issue Date NA
    Name of RTO NA Has Criminal Offence NO Status Of The Case NA

    Choice of Center
    Preferred Center 1 SAMBALPUR Preferred Center 2 DEOGARH
    Preferred Center 3 ANGUL Preferred Center 4 SUNDARGARH
    Preferred Center 5 BOUDH

    Uploaded Document Details


    Documnet Description Status

    Aadhaar Card Attached


    10th Pass Board Certificate/DOB Certificate. Attached
    No Objection Certificate for Govt. Employee NA
    Odia passing Certificate Attached

    BIO

    Declaration
    I PITABAS NAYAK . Son of SASHIBHUSAN NAYAK do hereby declare that the above information given by me is true to the best of my
    knowledge. if any information is found to be false, my candidature is liable for rejection. if I selected, I agree to serve at any place of
    Odisha.

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