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Application

Ranjan Behera has applied for the position of Fireman in the Gajapati district. He was born in 2003 and is currently a resident of Paralakhemundi, Odisha. Ranjan has passed the SSC and HSC exams through the boards of Odisha and speaks Odia. He has provided his personal details, current and permanent addresses, and educational qualifications in his application.
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0% found this document useful (0 votes)
18 views

Application

Ranjan Behera has applied for the position of Fireman in the Gajapati district. He was born in 2003 and is currently a resident of Paralakhemundi, Odisha. Ranjan has passed the SSC and HSC exams through the boards of Odisha and speaks Odia. He has provided his personal details, current and permanent addresses, and educational qualifications in his application.
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
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Post Applied For: FIREMAN

District Applied For: GAJAPATI


Candidate User ID: OFS0069074

Personal Details
Candidate
RANJAN BEHERA
Name:
Date of Birth: 19/09/2003
Father’s Name: SUBASH CHANDRA BEHERA
Gender: MALE
Email ID: [email protected]
Mobile Number: 7847933743
Alternate
Identity Card No: 601106729910
Mobile Number:
Category: UNRESERVED (UR) Other Category: NOT APPLICABLE
Religion: HINDU Nationality: INDIAN

Permanent Address Present Address

BAGATI SAHI BAGATI SAHI

District: GAJAPATI District: GAJAPATI

Village/Town/City: Village/Town/City:
PIN code: 761200 PIN code: 761200
PARALAKHEMUNDI PARALAKHEMUNDI

State: ODISHA Country: INDIA State: ODISHA Country: INDIA

Ex-Serviceman Details (if applicable)


Criteria Response
Joining Date
Discharge Date
Period of Service rendered in Armed Forces
I hereby declare that I have not utilized the benefit of Ex-Serviceman for
employment purpose till date either in State Govt./Central Govt. or any Govt.
undertaking organization.
OR
I hereby declare that at present I am under employment under State
Govt./Central Govt. or any Govt. undertaking organization and I have already
utilized under the benefit of Ex-Serviceman. My candidature for the said post
may be considered on merit under own category i.e UR / SEBC / SC / ST if
applicable.

Home Guard Details (if applicable)


Criteria Response
Whether passed +2 or equivalent Examination?
Whether has completed 3 years of enrollment without any interruption on the
date on which the advertisement is publish?
Whether undergone the Basic course of Training for Home Guards?
Whether not more than 30 years of age as on 01.01.2023?

Sports Person Details (if applicable)


Criteria Response
Does the candidate possess the identify card for Sports person issued by
director of Sports, as per Resolution No. 24808 / Gen.Dt.18th Nov.1985 of G.A
Department, as amended from time to time?
Card Number
Date of Issue

Other Information
Criteria Response
NCC Details
Whether the candidate possesses NCC Certificate? NO
Type of NCC certificate. (if Yes above)
Marriage Details
Whether the candidate is married? NO
Driving License Details
Whether the candidate for recruitment of Fireman Driver must possess a valid
Heavy Motor Vehicle Driving License for the last one year (excluding learning
period ) or more, prior to the date of advertisement ?

Educational Details
Level of Education Name of Board/Council Result Status
BSE, Odisha
SSC/10th PASS
()
CHSE, Odisha
HSC/DIPLOMA PASS
()
Have you passed Odia as one of the subjects in the High School Certificate YES
Examination?
Have you passed an examination in Odia language equivalent to M.E.
standard recognized or conducted by the School and Mass Education
Department, Govt. of Odisha? (If Yes, Please attach scan copy of Odia
Language passing certificate)
Read, Write,
Language proficiency: Odia language
Speak

Please retain a copy of the downloaded application form for reference during the
entire examination process.

Place: PARALAKHEMUNDI

Date: 07-Sep-2023 10:44:43

RANJAN BEHERA

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