ODISHA PUBLIC SERVICE COMMISSION

Application for Recruitment to the Post of Junior Assistant in the Office of OPSC (Advt. No. 01 of 2022-23)

Zone of Examination : BHUBANESWAR

1. Registration ID 012223172405

2. Aadhar No. XXXX XXXX 7030

3. Name of the Candidate BADAL KUMAR SUBUDHI

4. Father's Name SUKANTA KUMAR SUBUDHI

5. Mother's Name CHHAILA SUBUDHI

6. Gender : Male 7(a). Category : SC (KAIBARTA)

7(b). Caste Cert. Issue Dt : 13/07/2021 7(c). Caste Cert. Misc Case No.: E-SCO/2021/144540

8. Date of Birth : 27-MAY-1989 9. In-service Government Servant : No

10(a). Ex-Service Man : No 10(b). Period of Service :

11. Odia Test Passed : Yes 12. Mother Tongue : ODIA

13. Nationality : INDIAN 14. Marital Status : UNMARRIED

15. Present Mailing Address AT-PATHARA

PO-PATHARA
VIA-KHALLIKOTE
GANJAM
ODISHA - 761029

16. Permanent Address AT-PATHARA

PO-PATHARA
VIA-KHALLIKOTE
GANJAM
ODISHA - 761029

17. Mobile No. : 9337134955 18. E-Mail : badalkumar.subudhi@gmail.com

Photograph Signature Left Thumb Impression

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 DATA SHEET OF REG. NO 012223172405

Application for Recruitment to the Post of Junior Assistant in the Office of OPSC (Advt. No. 01 of 2022-23)

Academic Qualification
Academics Exam Passed Board/Council/ University Institution from which Maximum Secured Passing Year
passed Marks Marks
10th Standard 10TH BSE ORISSA HHD HIGH SCHOOL 750 290 2007

+2/12th +2SCIENCE CHSE ORISSA KESHPUR COLLEGE 600 307 2009

KESHPUR

Bachelors Degree BSC BERHAMPUR UNIVERCITY R.C.M SCIENCE COLLEGE 1400 697 2014

KHA

Computer PGDCA MGIT MAHATMA GANGHI 800 657 2016

Qualification INSTITUTE

Experience

Name of The 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 BADAL KUMAR SUBUDHI, Son of Sh. SUKANTA KUMAR SUBUDHI Aged 32 Years resident of District GANJAM, 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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