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Rohit Kumar Panda has applied for the Odisha Municipal Administrative Services Examination-2019, providing personal details such as his AADHAR number, educational qualifications, and preferences for posts. He holds a B.Tech degree and has completed a PGDCA, with a total application fee of 500. The declaration confirms the accuracy of the provided information and acknowledges the consequences of any false statements.

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42 views2 pages

031920175675_Form

Rohit Kumar Panda has applied for the Odisha Municipal Administrative Services Examination-2019, providing personal details such as his AADHAR number, educational qualifications, and preferences for posts. He holds a B.Tech degree and has completed a PGDCA, with a total application fee of 500. The declaration confirms the accuracy of the provided information and acknowledges the consequences of any false statements.

Uploaded by

Rohit Kumar Panda
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 Odisha Municipal Administrative Services Examination-2019[Advt. No 03 of 2019-20]

Zone of Examination : Bhubaneswar

1. Registration ID 031920175675

2. AADHAR No. 254835533312

3. Name of the Candidate ROHIT KUMAR PANDA

4. Father's Name PRAMOD KUMAR PANDA

5. Mother's Name PURNABASI PANDA

6. Category : UNRESERVED Subcaste : *********

Misc. Case No. : ******* Date : *******

7. Date of Birth : 01-MAY-1992 8(a). Ex-Service Man : No

9(a). PWD Category : No 8(b). Appointed as Ex-serviceman aganist a Civil Post : No

9(b). Scribe Required : Not Applicable 9(c). Type of Disability : Not Applicable

10. Mother Tongue : ODIA 11. Religion : HINDU

12. Gender : Male 13. Nationality : INDIAN


14. Marital Status : UNMARRIED
15. Present Mailing Address AT/PO-MADIKUNDA SALUNKI STREET
PHULBANI

KANDHAMAL
ODISHA - 762001
16. Permanent Address AT/PO-MADIKUNDA SALUNKI STREET
PHULBANI

KANDHAMAL
ODISHA - 762001
17. Mobile No. : 7504444142 18. E-Mail : [email protected]
19. Fee Amount : 500 20. Are You a Govt. Servant? : NO

Photograph Signature Left Thumb Impression


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DATA SHEET OF REG. NO 031920175675
Online Application for Odisha Municipal Administrative Services Examination-2019[Advt. No 03 of 2019-20]

Academic Qualification

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

10th Standard 10TH BSE,ODISHA POLICE HIGH SCOOL 750 490 2007

PHULBAN

+2/12th Standard DIPLOMA IN ENGG. SVTEVT,ODISHA BPIT,PHULBANI 3700 2840 2012

Graduation B.TECH BPUT KIT,BERHAMPUR 5300 4054 2016

Computer PGDCA KENSOFT.EDUCATION KENSOFT EDUCATION 600 516 2017

Qualification

DIPLOMA

Preference of Post / Service :

Preference -1 :Asst. Director, Municipal Administration / Asst. Commissioner Preference -2 :Chief Executive Officer

Preference -3 :Enforcement Officer Preference -4 :Executive Officer

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 ROHIT KUMAR PANDA, Son of Sh. PRAMOD KUMAR PANDA Aged 26 Years resident of District KANDHAMAL, 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)

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