DECLARATION

(FORM – A)

I Shri/ Smt./ Kum./ Dr. Asit Kumar Parida son of Shri Dinabandhu Parida aged 33 years, resident of At:
Daripokhari, Po: Badapokhari, Via-Turigadia, Dist-Balasore, State-Odisha do

Hereby declare as follows:-

1. That I have filled my application for the post of Assistant Professor in the Department of
Mechanical Engineering

2. I have 0 (zero) (number) living children as on today. Out of which number of children born after
28th March 2005 is zero (mention dates of birth, if any)

3. I am aware that, if any total numbers of living children are more than two due to the children
born after 28th March 2005, I am liable to be disqualified for the same post.

Place : Balasore

Date : 15/11/2020 (signature)