Eligibility Criteria
Candidate Photo
Application Number Candidate's Name
OSEPA230108143 MOHAMMAD FAJLUR
RAHEMAN
Date of Birth Gender Marital Status
07/Mar/1996 Male Unmarried
Father's Name Mother's Name Email ID
NOORUODIN KHAN GULNAR BEGUM [email protected]
Mobile Number Alternate Mobile Nu Please choose the st
7788949292 mber ream for which you
9040830818 are applying for
Science
Have you already ap
plied for Junior Teac
her (Schematic) CAT
EGORY-2 (For Classe
s VI to VIII) in this ad
vertisement?
No
Post Details
Are you Willing to a Post Name Post Code
pply for both Catego Junior Teacher (Sche 01
matic) CATEGORY-1 (F
ries?
or Classes I to V)
No
Test City Preferences
Preferred Test City 1 Preferred Test City 2 Preferred Test City 3
Cuttack Jagatsinghpur Bhubaneswar
Preferred Test City 4 Preferred Test City 5
Jajpur Kendrapada
Candidate Domicile and Category Details
Nationality
A citizen of India
Reservation Categor
y
UR
Additional Details
Are you an Ex Servic Are you a person wit Are you a Sportsper
emen (ESM) ? h minimum 40% dis son?
No ability? No
No
District Preference for joining
District preference 1 District preference 2 District preference 3
CUTTACK SUNDARGARH JAGATSINGHPUR
District preference 4 District preference 5 District preference 6
JAJPUR KHORDHA KENDRAPARA
District preference 7 District preference 8 District preference 9
KEONJHAR MAYURBHANJ BHADRAK
District preference 1 District preference 1 District preference 1
0 1 2
PURI BALASORE ANGUL
District preference 1 District preference 1 District preference 1
3 4 5
BARGARH BOLANGIR BOUDH
District preference 1 District preference 1 District preference 1
6 7 8
DEOGARH DHENKANAL GAJAPATI
District preference 1 District preference 2 District preference 2
9 0 1
GANJAM JHARSUGUDA KALAHANDI
District preference 2 District preference 2 District preference 2
2 3 4
KANDHAMAL KORAPUT MALKANGIRI
District preference 2 District preference 2 District preference 2
5 6 7
NABARANGPUR NAYAGARH NUAPADA
District preference 2 District preference 2 District preference 3
8 9 0
RAYAGADA SAMBALPUR SONEPUR
Correspondence Address
Address Line 1 Address Line 2 Country
KESHPUR KISHANNAGAR India
State City/District Pincode/Postal Code
Odisha Cuttack 754131
Is Permanent Addre
ss Same as Correspo
ndence address?
Yes
Permanent Address
Address Line 1 Address Line 2 Country
KESHPUR KISHANNAGAR India
State City/District Pincode/Postal Code
Odisha Cuttack 754131
Matriculation (10th) Details
Name of the Board/ Institute Name Please select any of
Council KALARABANK HIGH S the following
BSE ODISHA CHOOL KALARABANK Percentage
Marks Obtained Maximum Marks Percentage of Marks
354 600 (%)
59.00
Year of Completion Please select any of
2011 the following
Do you have Higher S
econdary (+2) or its e
quivalent and 2-year
Diploma in Elementar
y Education (by whate
ver name known)
lntermediate (12th) Details
Name of the Board/ Institute Name Subjects
Council ELITE INSTITUTE OF S MIL HINDI PCMC
CHSE ODISHA CI AND APPLICATION
Please select any of
S BIRIBATI
the following
Percentage
Marks Obtained Maximum Marks Percentage of Marks
342 600 57.00
Year of Passing
2013
Diploma Details
Diploma Institute passed fro Stream or Branch
DELED m DELED
URDU ST SCHOOL CU Month and Year of P
TTACK
assing
12/2016
Please select any of Marks Obtained Maximum Marks
the following 1099 1350
Percentage Percentage of Marks
81.41
Essential Details
Are you applying for Please select langua Do you Pass in the O
Urdu/Bengali/Telug ge disha Teacher Eligibi
u Junior Teacher (Sc Urdu lity Test-I (OTET-I)
hematic)? Yes
Yes Please enter you Rol
l Number of the OTE
T-l
1621201134
Declaration
I hereby declare that the above information is true to the best of my knowle
dge. I am aware that OSEPA will be sending important information on my re
gistered details. I agree that I have referred the advertisement and ensured
my eligibility before applying. Also, I agree that I have read and understood
all the instructions specified in the advertisement and agree to abide by the
same.
