9/13/23, 9:43 AM X1 Form

X-1 Form
Personal Details
Registration No. OD01120233154
Registration Type ONLINE Registration
Application Date 3 Mar 2023
1. Name RUNI MIRDHA
2. Father's Name
SURAMANI MIRDHA Spouse Name KUNA PRADHAN
/Guardian's Name
3. Mother's Name PURNI MIRDHA
4. Date of Birth 18 Oct 2001
5. Place of Birth NA
6. Gender Female
7. Urban/Rural RURAL
8. Marital Status MARRIED
9. Email kunapradhan3949@gmail.com
10. Phone Number Mobile Number 9556963509
11. Caste SCHEDULE TRIBE
12. Religion HINDUISM
13. Language Details
Language Known Proficiency
ENGLISH READ AND WRITE AND SPEAK
HINDI READ AND WRITE AND SPEAK
KANNAD SPEAK ONLY
ODIA READ AND WRITE AND SPEAK
14. Physical Standards
Weight
Height (in Cms) 0 0
(in Kgs)
Wear
Chest (in Cms) 0 Yes
Glasses
Disability (More than
40%)
Blood Group NA
15. Address AT/PO-KUKURPETA
VIA/PS-CHHENDIPADA
CHHENDIPADA
ANGUL
ODISHA
PIN code - 759124
16. Qualification Details
School/Institute
Exam Passed Board Division PassYear MediumInstruction Percentage Subje
Name
COUNCIL OF HIGHER kishore nagar h s ENGLISH
12TH/INTERMEDIATE ARTS SECONDARY 2019 kishorenagar ODIA 39.00% ,ECONOMIC
EDUCATION,ODISHA angul ,HISTORY ,O
17. NCO Details
Not Available

18. Exclude NCO Details

Not Available
19. Trade

20. Relocation Option

21. Salary Details
Local Min Salary
Out Min Salary
22. Experience Details
From- Type-of- Pay-On-
Name-Of-Employer Designation To-Date NCO Nature-of-Work
Date Job Leaving(Rs
No Experience Details.
23. Ex-Serviceman Details
No Exserviceman Details.

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9/13/23, 9:43 AM X1 Form

24. License
Not Available

25. NCC and Others

Not Available

26. Sports
Not Available
27. Remarks

28. Passport Number 29. Identification Mark

All the above information is based on my inputs and is true to the best of my knowledge. If any information furnished by me turns o
false subsequely,my registation may be cancelled.

(Employment Of
District Employment Excha

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