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ODISHA PUBLIC SERVICE COMMISSION

Online Application for the Post of Lecturers in O. T. E. & T. Service Cadre [Advt. No 13 of 2017-18]

Discipline : MECHANICAL
Zone of Examination : BHUBANESWAR

1. Registration ID 131718447297

2. Name of the Candidate ANSUMAN SAHOO

3. Father's Name UMESH CHANDRA SAHOO

4. Mother's Name SUDHANSUBALA SAHOO

5. Category : UNRESERVED Subcaste : *********

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


6. Date of Birth : 01-JUN-1994 7. Gender : Male
8. Sports-Person :No 9. Ex-Service Man : No(Release Date : )
10. PWD Category : NA 11. Type of PWD : NA
12. Nationality : INDIAN 13. Whether Scribe is Required for Exam : NA
14. Odia Test Passed: Yes 15. Mother Tongue : ODIA
16. Marital Status : UNMARRIED
17. Present Mailing Address HOUSE NO-54 AT-INDRAHARINAGAR
PO-TURANG DIST-ANGUL STATE-ORISSA

ANGUL
ORISSA - 759123
18. Permanent Address HOUSE NO-54 AT-INDRAHARINAGAR
PO-TURANG DIST-ANGUL STATE-ORISSA

ANGUL
ORISSA - 759123
19. Mobile No. 7440147747
20. E-Mail ansumansahoo471@gmail.com
21. Fee Amount 300
22. Aadhar No. 712483448382

Photograph Signature Left Thumb Impression


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DATA SHEET OF REG. NO 131718447297

Online Application for the Post of Lecturers in O. T. E. & T. Service Cadre [Advt. No 13 of 2017-18]

Academic Qualification

Academics Exam Passed Board/Council/ University Institution from which passed Maximum Secured Marks Date of

Marks Passing

10th Standard. HSCE BSE SSVM,ANGUL 600 548 30-JUN-2009

Roll No. :02RB261

+2/12th / Diploma HSE CHSE BJB JUNIOR COLLEGE 600 521 30-MAY-2011

Bachelors Degree B.TECH BPUT PMEC,BERHAMPUR 10 7.7 18-AUG-2016

Masters Degree

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 ANSUMAN SAHOO, Son of Sh. UMESH CHANDRA SAHOO Aged 22 Years resident of District ANGUL, ORISSA, 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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