STAFF SELECTION COMMISSION

REGISTRATION NUMBER : 94000257216

BASIC DETAILS
1a. AADHAAR NUMBER 431593159533
1b. TYPE OF ID -
1c. ID NUMBER -
2a. NAME BHAGYASHREE NANDA
2c. HAVE YOU EVER CHANGED NAME? NO
2d. NEW NAME -
3a. FATHER'S NAME SUNARAM NANDA
4a. MOTHER'S NAME ALOBATI NANDA
5a. DATE OF BIRTH (DD/MM/YYYY) 25/05/1996
6. MATRICULATION (10TH CLASS) EXAMINATION DETAILS :
(i). EDUCATION BOARD BOARD OF SECONDARY EDUCATION, ODISHA
(ii). ROLL NUMBER 01MD015
(iii). YEAR OF PASSING 2011
7a. GENDER FEMALE
8. LEVEL OF EDUCATIONAL QUALIFICATION DIPLOMA
9. MOBILE NUMBER 8339025842
10. EMAIL ID bhagyashree.nanda725@gmail.com

ADDITIONAL DETAILS

11a. CATEGORY SC

12. NATIONALITY CITIZEN OF INDIA

13. IDENTIFICATION MARKS MOLE ON EYEBROWS

14a. ARE YOU A PERSON WITH DISABILITY? (40% OR NO

MORE)?

14b. TYPE OF DISABILITY -

14c. DISABILITY CERTIFICATE NUMBER -

CONTACT DETAILS
15a. PERMANENT ADDRESS AT- DOCTORS COLONYY QR NO 1R 211
BURLA
15b. STATE/ UT ODISHA

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15c. DISTRICT SAMBALPUR
15d. PIN CODE 768017
16. IS PERMANENT ADDRESS SAME AS PRESENT YES
ADDRESS?

17a. PRESENT ADDRESS AT- DOCTORS COLONYY QR NO 1R 211

BURLA
17b. STATE/ UT ODISHA

17c. DISTRICT SAMBALPUR

17d. PIN CODE 768017
18. CONTACT DETAILS FOR OTHER NATIONALS -
PHOTO AND SIGNATURE

19. UPLOADED PHOTO

20. UPLOADED SIGNATURE

NOTE
THIS IS A DRAFT VIEW OF YOUR REGISTRATION.REGISTRATION PROCESS IS NOT YET COMPLETE.YOU
NEED TO DO 'FINAL SUBMIT' WITHIN 14 (FOURTEEN) DAYS OF GENERATION OF YOUR REGISTRATION
NUMBER, FAILING WHICH, YOUR REGISTRATION DATA WILL GET DELETED AUTOMATICALLY.

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DRAFT PRINT TAKEN ON 17/03/2019 7:47:31 PM