ODISHA PUBLIC SERVICE COMMISSION

Online Application for the Post of Asst. Section Officer [Advt. No 10 of 2018-19]

Zone of Examination :BHUBANESWAR

1. Registration ID 101821150184
2. AADHAR No. 504617259575
3. Name of the Candidate ABHISEK PATTANAIK
4. Father's Name HARISH CHANDRA PATTANAIK
5. Mother's Name RAJALAXMI PATTANAIK
6. Category : UNRESERVED Subcaste : *********
Misc. Case No. : ******* Date : *******
7. Date of Birth : 25-NOV-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
12. Odia Test Passed: Yes 13. Religion : HINDU
14. Mother Tongue : ODIA 15. Nationality : INDIAN
16. Marital Status : UNMARRIED
17. Present Mailing Address AT CHANDESWAR SAHI PO RAJ RANPUR
PS RANPUR

NAYAGARH
ODISHA - 752026
18. Permanent Address AT CHANDESWAR SAHI PO RAJ RANPUR
PS RANPUR

NAYAGARH
ODISHA - 752026

19. Mobile No. : 7381967739 20. E-Mail : abhisek.pattanaik43@gmail.com

21. Fee Amount : 300 22. Are You a Govt. Servant? : NO

Photograph Signature Left Thumb Impression

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 DATA SHEET OF REG. NO 101821150184
Online Application for the Post of Asst. Section Officer [Advt. No 10 of 2018-19]

Academic Qualification

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

10th Standard HSC BSE ODISHA B C HIGHSCHOOL 600 424 2008

+2/12th Standard HSE CHSE ODISHA R N COLLEGE 600 343 2010

Graduation B TECH BPUT UNIVERSITY MIT BHUBANESWAR 10 7.11 2014

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 ABHISEK PATTANAIK, Son of Sh. HARISH CHANDRA PATTANAIK Aged 25 Years resident of District NAYAGARH, 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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