STAFF SELECTION COMMISSION

REGISTRATION NUMBER : 40005814249

BASIC DETAILS
1a. AADHAAR NUMBER 256190401659
1b. TYPE OF ID -
1c. ID NUMBER
2a. NAME DEBESH KUMAR GUNTHA
2c. HAVE YOU EVER CHANGED NAME? NO
2d. NEW NAME -
3a. FATHER'S NAME KARTIKA CHANDRA GUNTHA
4a. MOTHER'S NAME URMILA GUNTHA
5a. DATE OF BIRTH (DD/MM/YYYY) 29/06/1995
6. MATRICULATION (10TH CLASS) EXAMINATION DETAILS :
(i). EDUCATION BOARD BOARD OF SECONDARY EDUCATION, ODISHA
(ii). ROLL NUMBER 27MK104
(iii). YEAR OF PASSING 2010
7a. GENDER MALE
8. LEVEL OF EDUCATIONAL QUALIFICATION DIPLOMA
9. MOBILE NUMBER 8249397103
10. EMAIL ID devdebesh100@gmail.com

ADDITIONAL DETAILS

11a. CATEGORY OBC

12. NATIONALITY CITIZEN OF INDIA

13. IDENTIFICATION MARKS MOLE ON LEFT HAND SHOULDER

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

MORE)?

14b. TYPE OF DISABILITY -

14c. DISABILITY CERTIFICATE NUMBER -

CONTACT DETAILS
15a. PERMANENT ADDRESS BARGAON
15b. STATE/ UT ODISHA
15c. DISTRICT SUNDARGARH

DRAFT PRINT TAKEN ON 16/12/2022 1:11:51 PM

15d. PIN CODE 770016
16. IS PERMANENT ADDRESS SAME AS PRESENT YES
ADDRESS?

17a. PRESENT ADDRESS BARGAON

17b. STATE/ UT ODISHA

17c. DISTRICT SUNDARGARH

17d. PIN CODE 770016
18. CONTACT DETAILS FOR OTHER NATIONALS -

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.

DRAFT PRINT TAKEN ON 16/12/2022 1:11:51 PM