Odisha Sub-ordinate Staff Selection Commission (OSSSC) Page No.

1
Copy of the Provisional Re-Registration Form submitted online for the Post of
STATISTICAL FIELD SURVEYOR (SFS) -2021

Re-Registration Number : 00617245

Re-Registration Date and Time : 05/08/2021
22:03:53
Advertisement Details
Advertisement Number : IIE-33/2020/726(C)/OSSSC
Advertisement Date : 23/07/2021
Registered Username & Contact Details
Registered Username : Sanjkta505
Registered Password : As filled by you during registration
Mobile Number : 8144978411
Email ID : sanjuktasinku505@gmail.com
Post & Category Registration Details
Applied to : Odisha Sub-ordinate Staff Selection Commission (OSSSC)
Post Applied : STATISTICAL FIELD SURVEYOR
District opted to appear in the Test/Exam : KHORDHA

KU
District Cadre(s) applied, in order of : 1. MAYURBHANJ
personal Preference(s)
2. KEONJHAR

SIN
3. KHORDHA
4. ANGUL
5. DHENKANAL
JU FS
6. BHADRAK
7. BALASORE
8.
A BARGARH
AN - S
KT
9. BALANGIR
10. BOUDH
11. CUTTACK
- S C)

12. DEOGARH
13. GAJAPATI
45 SS

14. GANJAM
15. JAGATSINGHPUR
72 OS

16. JAJPUR
17. JHARSUGUDA
18. KALAHANDI
(

19. KANDHAMAL
20. KENDRAPARA
21. KORAPUT
22. MALKANGIRI
23. NUAPADA
61

24. NABARANGPUR
25. NAYAGARH
00

26. PURI
27. RAYAGADA
28. SAMBALPUR
29. SUBARNAPUR
30. SUNDARGARH
Category Applied : SCHEDULED TRIBE WOMEN (ST(W))
Sub-category of the applied Category : KOLHA
Personal Details
Name of the Applicant : SANJUKTA SINKU
Father's Name : GHASIRAM SINKU
Mother's Name : MUKHIANI SINKU
Gender : FEMALE
Date of Birth : 06/03/1998
Age (as on 01/01/2021) : 22 Years 9 Months 26 Days
Restrictions, if any, imposed by any Recruitment Commissions/Boards
Have you been debarred from appearing the : NO
recruitment examination of any
 Odisha Sub-ordinate Staff Selection Commission (OSSSC) Page No. 2
Copy of the Provisional Re-Registration Form submitted online for the Post of
STATISTICAL FIELD SURVEYOR (SFS) -2021

Commission/Board?
Odia Language Knowledge
What are the activities you can perform in : Speak , Read & Write
Odia language ?
Your Odia language Passing Standard : Passed Matriculation or equivalent Examination with Odia as the medium of
examination in non-language subjects
Undertaking
I do hereby solemnly declare that I have carefully gone through the Recruitment Advertisement of the Commission for the
post mentioned above and I fulfill all the conditions of eligibility prescribed for admission to the examination. I further declare that the
information furnished and the copies of the documents uploaded by me for registration/reregistration of my name for the recruitment
examination for the post mentioned above are true and relevant. If any such information or document or undertaking provided by me
is/are found false or irrelevant during or after selection, my candidature/selection shall be cancelled and I shall be liable to penal action as
per law. Further I declare that whenever required the information furnished and to be furnished by me during the course of Registration
and Application may be used by the Commission or may be shared for bonafide Government Purpose only.

KU
Signature of Applicant

SIN
This is a computer report generated through OSSSC portal (www.osssc.gov.in) and does not require any seal and signature of the issuing
authority. JU FS
A
AN - S
KT
- S C)
45 SS
72 OS
(
61
00