Candidate User / Registration ID: OP00156141

Post Applied For: S.I. POLICE , S.I. POLICE (ARMED) , ASST. JAILOR,
STATION OFFICERS (FIRE SERVICE)

Personal Details
Candidate Name: AMULYA MUDULI

Date of Birth: 28/07/2001

Father’s Name: (As
recorded in 10th class BABAJEE MUDULI
certificate )
Mother’s Name : (As
SANTILATA MUDULI
recorded in 10th class
certificate )
Gender: MALE

Email ID: [email protected]

Mobile Number: 7205132851 Aadhar Card Number: 628466494830

SOCIALLY AND
ECONOMICALLY
Category: Special Category: NOT APPLICABLE
BACKWARD CLASSES
(SEBC)
Religion: HINDU Nationality: INDIAN

Permanent Address Present Address

AT- BALRAMPUR, PO- OLAVER, PS- RAJKANIKA, DIST- AT- BALRAMPUR, PO- OLAVER, PS- RAJKANIKA, DIST-
KENDRAPARA, ODISHA KENDRAPARA, ODISHA
VILLAGE-BALARAMPUR VILLAGE-BALARAMPUR

District: KENDRAPARA District: KENDRAPARA

Village/Town/City: Village/Town/City:
PIN code: 754227 PIN code: 754227
BALARAMPUR BALARAMPUR

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

Employment Details (if applicable)

Criteria Response

Are you presently in Govt. Service ? NO

Name of the Employer ? ---

Name of the Office ? ---

Selected status of availing “No Objection Certificate” ? ---

Selected Defence Services Wherein Served/Serving ? ---

Selected Defence Services Retirement Status ? ---

Date of Joining : ---

Date of Discharge : ---

Period of Service rendered in Armed Forces ? ---

Are you to retire within six months from the last date of submission of application ? ---

Reference No of your NOC ? ---

Date of issue : ---

Name of issuing Authority ? ---

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.
Other Information

Criteria Response

Whether the candidate possesses NCC Certificate? NO

Type of NCC certificate.

Marriage Details

Whether the candidate is married? NO

Whether he/she has more than one spouse living? ---

Is it permissible under the personal law ? ---

Whether the candidate is involved in any criminal case ? NO

Whether any FIR has been lodged or registered ? ---

Case Number ? ---

Name of the Police Station where case is registered ? ---

Name of the district ? ---

Under section ? ---

Whether any prosecution is pending in any court of law against you ? NO

Whether any charge-sheet has been filed against you ? ---

Have you convicted for any criminal offence ? ---

Sports Person Details (if applicable)

Criteria Response

Does the candidate possess the identity 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?
I Card reference Number : ---

Date of Issue : ---

Name of issuing Authority ? ---

Educational Details
Level of Education Name of the Passing Year Result Status
Subject/Stream
HIGH SCHOOL CERTIFICATE (CLASS HSC/EQUIVALENT 2017 PASS
10TH)/ EQUIVALENT
COUNCIL OF HIGHER SECONDARY SCIENCE 2021 PASS
EDUCATION (+2)/ EQUIVALENT
GRADUATION SCIENCE 2024 PASS

Have you passed Odia language subject ? YES

Have passed H.S.C. or
equivalent examinations
Selected Odia language eligibility standard as applicable. with Odia as a medium of
examination in non-
language subject
Language proficiency: Odia language Read, Write, Speak

Document Upload Details

Document Document Name
CASTE CERTIFICATE SC/ST/SOCIALLY AND ECONOMICALLY BACKWARD
CLASSES (SEBC)
Selected Preferred Post Option
Preferred Post Option 1 S.I. POLICE

Preferred Post Option 2 S.I POLICE (ARMED)

Preferred Post Option 3 STATION OFFICERS (FIRE SERVICE)

Preferred Post Option 4 ASST. JAILOR

Selected Preferred Test Center City Location

Preferred Test City Location 1 KENDRAPARA
Preferred Test City Location 2 BHADRAK
Preferred Test City Location 3 CUTTACK
Note : Please note that while allocating centers to appear the test, attempts shall be made to allocate you to the
centers of your preference. However, in case of emergencies or unavoidable circumstances and non-availability of the
sufficient test centers allocation shall be done in other centers based on availability of such centers at the sole
discretion of the board.

Declaration- I do hereby solemnly declare that I have carefully read the instructions and rules as mentioned in the
recruitment advertisement of the Board and I fulfill all the conditions of eligibility prescribed for admission to the
examination. I further declare that all the statements made in the application are true, complete and correct to the
best of my knowledge and belief. Copies of the documents uploaded are genuine and relevant. I undertake that in
case of any such information or uploaded documents are found to be incorrect, false or irrelevant during or after the
selection process, my candidature / selection for the post will be cancelled and I shall be liable to penal action as per
law. I accept all the terms and conditions as mentioned in the advertisement and the recruitment rules notified by
Government.

Place: BALARAMPUR
Date: 09-Feb-2025 21:37:40

AMULYA MUDULI