ODISHA PUBLIC SERVICE COMMISSION

Online Application for the Post of ASST. EXECUTIVE ENGINEER(MECHANICAL) [Advt. No 01 of 2019-20]

Zone of Examination : SAMBALPUR

1. Registration ID 011920263167
2. AADHAR No. 313606943831
3. Name of the Candidate ALOKA KUMARA NAYAK
4. Father's Name SIMANCHALA NAYAK
5. Mother's Name SANTILATA NAYAK
6. Category : UNRESERVED Subcaste : *********
Misc. Case No. : ******* Date : *******
7. Date of Birth : 30-MAY-1992 9(a). Ex-Service Man : No
8. Gender : Male 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
11(c). Opted for Scribe in Written Exam : 12. Religion : HINDU
13. Odia Test Passed: Yes 14. Mother Tongue : ODIA
15. Marital Status : MARRIED 16. Nationality : INDIAN
17. Present Mailing Address NR-17 AT-JAGDA
PO-JHIRPANI
ROURKELA
SUNDERGARH
ODISHA - 769042
18. Permanent Address CHEDA BHUMI ROAD
PO-LALSING
BHANJANAGAR
GANJAM
ODISHA - 761125
19. Mobile No. : 7655099024 20. E-Mail : makeinvention.00@gmail.com
21. Fee Amount : 500 22. In-Service Candidate Claiming Age Relaxation: NO

Photograph Signature Left Thumb Impression

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 DATA SHEET OF REG. NO 011920263167

Online Application for the Post of ASST. EXECUTIVE ENGINEER(MECHANICAL) [Advt. No 01 of 2019-20]

Academic Qualification

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

10th Standard HSC BSE ODISHA PATTAPUR HIGH SCHOOL 750 620 2007

+2/12th Standard HSEC CHSE ODISHA K S U B COLLEGE 600 356 2009

DEGREE IN B TECH MECHANICAL CUTM ODISHA CUTM ODISHA 10 7.11 2013

MECHANICAL

ENGINEERING

Experience

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

CAST PROFILE P LTD ASST. NEGINEER 01-SEP-2014 20-JAN-2016 MAINTENANCE BETTER OPTION

BASU ENGINEERING PROJECT MANAGER 15-MAR-2016 06-JUL-2019 PROJECT MANAGER

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 ALOKA KUMARA NAYAK, Son of Sh. SIMANCHALA NAYAK Aged 26 Years resident of District SUNDERGARH, 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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