Scribd
Upload
118 views2 pages

Form PDF

This document is an online application submitted by Mitali Mayuree for the post of Assistant Section Officer in Odisha Public Service Commission. The application provides her personal details like name, father's name, date of birth, address, contact information, educational qualifications and employment history. Mitali declares that the information provided is true and she is aware of legal consequences if any information is found to be false.

Uploaded by

M SRINIVAS RAO
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
118 views2 pages

Form PDF

This document is an online application submitted by Mitali Mayuree for the post of Assistant Section Officer in Odisha Public Service Commission. The application provides her personal details like name, father's name, date of birth, address, contact information, educational qualifications and employment history. Mitali declares that the information provided is true and she is aware of legal consequences if any information is found to be false.

Uploaded by

M SRINIVAS RAO
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 2

ODISHA PUBLIC SERVICE COMMISSION

Online Application for the Post of Asst. Section Officer [Advt. No 10 of 2018-19]

Zone of Examination :BERHAMPUR

1. Registration ID 101819623025
2. AADHAR No. 423192622844
3. Name of the Candidate MITALI MAYUREE
4. Father's Name KAPIL CHARAN MAHARANA
5. Mother's Name KALYANIBALA BISWAL
6. Category : UNRESERVED Subcaste : *********
Misc. Case No. : ******* Date : *******
7. Date of Birth : 07-APR-1996 9(a). Ex-Service Man : No
8. Gender : Female 9(b). Appointed to any Civil Post after Retirement(For Ex-SM): NA
10(a). Sports Person : No 10(b). Identity Card No. of Sports Person : NA
11(a). PWD Category : No 11(b). Type of Disability : Not Applicable
12. Odia Test Passed: Yes 13. Religion : HINDU
14. Mother Tongue : ODIA 15. Nationality : INDIAN
16. Marital Status : UNMARRIED
17. Present Mailing Address AT GILTIPETTA STREET
PO CHATRAPUR

GANJAM
ODISHA - 761020
18. Permanent Address AT GILTIPETTA STREET
PO CHATRAPUR

GANJAM
ODISHA - 761020

19. Mobile No. : 8342905972 20. E-Mail : [email protected]

21. Fee Amount : 300 22. Are You a Govt. Servant? : NO

Photograph Signature Left Thumb Impression


Page 1/2
DATA SHEET OF REG. NO 101819623025
Online Application for the Post of Asst. Section Officer [Advt. No 10 of 2018-19]

Academic Qualification

Academics Exam Passed Board/Council/ University Institution from which passed Maximum Marks Secured Marks Passing Year

10th Standard H.S.E B.S.E ODISHA SSVM,CHATRAPUR 600 508 2011

+2/12th Standard +2 SCIENCE C.H.S.E, ODISHA PRATIVA 600 452 2013

COLLEGE,CHATRAPUR

Graduation +3 SCIENCE BERHAMPUE UNIVERSITY GOVT.SC.COLLEGE,CHATR 1800 1280 2016

APUR

Experience

Name of Employer Designation From (Service) To (Service) Nature of Duty Reason for Leaving

Debaring from any post/service/examination by OPSC/any PSC/UPSC

Name of P.S.C. Name of POST/Service/Exam Year of Exam Period of Debarment

Relation, if any with any staff of the Commission

Name of the Staff Designation Relation

Declaration
I hereby declare that all statements made in this application are true, complete and correct to the best of my knowledge and
belief.In the event of information being found false or incorrect, or intelligibility being detected before or after the examination, action can
be taken against me by the Commission.
I MITALI MAYUREE, Daughter of Sh. KAPIL CHARAN MAHARANA Aged 21 Years resident of District GANJAM, ODISHA, hereby
declare that the information given above and in the enclosed documents is true to the best of my knowledge and belief and nothing has
been concealed therein. I am well aware of the fact that if the information given by me is proved false/not true, I will have to face the
punishment as per the law. Also, all the benefits availed by me shall be summarily withdrawn

Date :
Place :
Signature of the Candidate
(N.B: Application not signed by the candidate is liable to rejection)

Page 2/2

You might also like