Scribd
Upload
31 views

ISTRAC Form 2024

This document contains an application for the post of Fireman. It summarizes the applicant's personal details such as name, date of birth, contact information, as well as test city and category preferences. It also includes educational qualifications, physical fitness confirmation, payment details and uploaded documents like 10th certificate and marksheet, medical fitness certificate. The applicant declares that the information provided is true.

Uploaded by

jenaashish2009
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
31 views

ISTRAC Form 2024

This document contains an application for the post of Fireman. It summarizes the applicant's personal details such as name, date of birth, contact information, as well as test city and category preferences. It also includes educational qualifications, physical fitness confirmation, payment details and uploaded documents like 10th certificate and marksheet, medical fitness certificate. The applicant declares that the information provided is true.

Uploaded by

jenaashish2009
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/ 3

Eligibility Criteria

Candidate Photo
Application Status Application Number Candidate's Name
PaymentSuccess ISTRAC24069445 BIJAYA KUMAR JENA
Date of Birth Gender Father's Name
26/Nov/2001 Male RAJKISHORE JENA
Mother's Name Email ID Mobile Number
RANJU JENA [email protected] 9556536127
m

Post Details

Post Name Post Code


Fireman 029

Test City Preferences

Preferred Test City 1 Preferred Test City 2 Preferred Test City 3


Bhubaneswar Kolkata Visakhapatnam

Candidate Domicile and Category Details

Nationality Category
A citizen of India UR

ExServicemen Details/ Deparmental Employee Details

Are you an Ex Service Are you a departmen


men (ESM) ? tal candidate ?
No No

PWbD Details

Are you a person wit


h minimum 40% disa
bility?
No

Bank Details
Do you want the appl
ication fee to be refu
nded in the original p
ayment mode?
Yes

Other Details

Are you a meritoriou Are you Central Gove


s sports person? rnment Employee ?
No No

Correspondence Address

Address Line 1 Country State


AT-GUNTHABANDHAK India Odisha
ERA , BASUDEVPUR,PU City/District Pincode/Postal Code
RI
Puri 752013
Is Permanent Addres
s Same as Correspon
dence address?
Yes

Permanent Address

Address Line 1 Country State


AT-GUNTHABANDHAK India Odisha
ERA , BASUDEVPUR,PU City/District Pincode/Postal Code
RI
Puri 752013

Matriculation (10th) Details

Have you completed Name of the Board/C School/Institute Nam


the Matriculation suc ouncil e
cessfully? BOARD OF SECONDAR KANAK DURGA HIGH S
Yes Y EDUCATION ODISHA CHOOL BASUDEVPUR
Subject Combination Please select any of t
MIL ,SLE,TLS,MTH,SSC, he following
GSC Percentage
Marks Obtained Maximum Marks Percentage of Marks
413 600 (%)
68.83
Year of Completion
04/2017

Other Details
Whether you meet pr
escribed Physical Fit
ness Standard and En
durance Test Standar
d?
Yes

Payment Details

Amount Payment Mode Payment Status


500 online Payment Success
Payment Transaction
No.
4884562059327

Documents Upload

Signature

Document View / Download

To view your copy of scanned 10th class certificate: Click here.

To view your copy of scanned 10th class Marksheet: Click here.

To view your scanned copy of Medical fitness Certificate Click here.

Declaration

I hereby certify that the information given by me in this Application Form is tru
e to the best of my knowledge. I certify that I fulfill the eligibility criteria stipulat
ed in the Employment Notification and undertake to produce original documen
ts whenever necessary and I will not demand any reschedule of exam. I agree t
o abide by the declaration of the authorities regarding the eligibility of my appli
cation and understand that any misrepresentation or omission of facts in my a
pplication may justify cancellation of my candidature.

You might also like