Basic Details Click here to print
Post Applied For : Jr. Clerk in DPO Cadre
Full Name of the Candidate SANDIP SWAIN Application No. 2024314012
Father's Name SURESH KUMAR SWAIN Date of Birth 17/11/2002
SOCIALLY AND EDUCATIONALLY BACKWARD
Age as on 01-01-2024 21 Years 1 Months 15 Days Category
CLASSES (SEBC)
Nationality INDIA Email swainsandip7787@[Link]
Mobile Number 9861446853 Aadhar Number 688745455531
Applied On 24/09/2024
Present Address Permanent Address
Address AT-KHALERI,PO-ADHANGA-PS-BALIKUDA Address AT-KHALERI,PO-ADHANGA-PS-BALIKUDA
Country INDIA Country INDIA
State ODISHA State ODISHA
District JAGATSINGHPUR District JAGATSINGHPUR
Office ADHANGA Post Office ADHANGA
Village/Locality JAGATSINGHAPUR Village/Locality JAGATSINGHAPUR
Police Station BALIKUDA Police Station BALIKUDA
Pin Code 754119 Pin Code 754119
Applicante Other Details
Emergency Contact Person's Name 9658833554 Emergency Contact Person's Mobile Number 9658833554
Emergency Contact Person's Address ATKHALERIPOADHANGADISTJAGATSINGHPUR
Educational Qualification(+2 Examination or its equivalent)
Qualification Name of Board Institution Name Month Of Passing Year of Passing
10th Standard BSE, ODISHA NILAKANTHESWAR BIDYAPITHA BHODA 05 2018
Qualification Name of Board Institution Name Month Of Passing Year of Passing
12th or Equivalent CHSE, ODISHA HARISPUR BALDEV H S SCHOOL, BORIKINA 09 2020
Additional Information
Has Computer Knowledge YES Special Category NA At [Link] NA
Marital Status No Multiple Spouses NA Do you need scribe for PwD NA
Date Of
Sports ID Number NA NA Name Of Sports Authority NA
Issue
Have you Convicted for any criminal offence NA Do you intend to avail the benefit of compensatory time NA
Choice of Center
Preferred Center 1 JAGATSINGHPUR
Preferred Center 2 CUTTACK
Preferred Center 3 KHORDHA
Uploaded Document Details
Documnet Description Status
Candidate Photo Attached
Candidate Signature Attached
Thumb Impression Attached
Certificate of 10th standard showing date of birth Attached
Certificate of 12th standard Attached
Aadhar Card Attached
Odia Language Eligibility Attached
Caste certificate showing candidate belongs to Reservation category Attached
Computer knowledge Certificate Attached
Declaration
I SANDIP SWAIN . Son/Daughter of SURESH KUMAR SWAIN 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 selected, I agree to serve at any place in Odisha.
Sep 24 2024 7:19PM
Submission date & time
Thumb Impression :
Signature :SANDIP SWAIN
