2021

Registration Acknowledgement

Role OBSERVER
Registration No OBS2834282
Registration Status Registration Complete and Verified
Nominated State Chhattisgarh
Nominated District GARIABAND
Personal & Organization Details
Name KAMTA PRASAD SAHU Gender Male
Email Id davmcrn@gmail.com Mobile No: 9893849042
Organization Other Recognised Institutions Designation PGT
School Name GOVT.H.S.SCHOOL POND
Affiliation Code 151071 UDISE Code 22250502208
Applicant State Chhattisgarh Applicant District GARIABAND
Address GOVT.H.S.SCHOOL POND, BLOCK-CHHURA,DIST.-GARIYABAND (C.G.)
Pin Code 492109 Working Status Working
Language Known (Read/Write)
Hindi: 1-Yes English: 1-Yes
Language Known other than Hindi/English: Not Known (98)
Vaccination Details
Whether Vaccinated for COVID-19? 1-Yes
Photo & Signature
Photo Signature

DECLARATION

I hereby confirm that the details furnished by me are true, correct and authentic. I also confirm that I
have uploaded my own photo (recent) and my own scanned signature. The Bank details are also
checked. I confirm that all particulars are correct and final.

Registration No.OBS2834282
Generated Date & Time : 23 October 2021 05:19:14 PM