Odisha Staff Selection Commission (OSSC) Page No.

1
Copy of the Provisional Registration Form submitted online for the Post of
Combined Graduate Level Examination -2022

Registration Number : 00155349

Registration Date and Time : 26/11/2022
19:57:59
Advertisement Details
Advertisement Number : IIE-119/2022-6490/OSSC
Advertisement Date : 02/11/2022
Registered Username & Contact Details
Registered Username : DebRath95
Registered Password : As filled by you during registration
Mobile Number : 7847805882
Email ID : debasishrath29@gmail.com
Post & Category Registration Details
Applied to : Odisha Staff Selection Commission (OSSC)
Post Applied For : COMBINED GRADUATE LEVEL EXAMINATION
Post Preference : 1) Asst CT & GST Officer

TH
: 2) Inspector of Cooperative Societies
: 3) Auditor
: 4) Inspector of Supplies

RA
: 5) Gram Panchayat Extension Officer
Category Applied For : UN-RESERVED (UR)
Personal Details
AS L
Name of Applicant : DEBASISH RATH
ISH
EB C G

Father's Name : MRUTYUNJAYA RATH

Mother's Name : PRATIBHA RATH
Gender : MALE
- D C) -

Date of Birth : 03/08/1995

Age (as on 01/01/2022) : 26 Years 4 Months 29 Days
Restrictions, if any, imposed by any Recruitment Commissions/Boards
S

Have you been debarred from appearing the : NO

recruitment examination of any
53 (OS

Commission/Board?
NOC Details
Are you presently in Govt. Service ? : NO
49

Odia Language Knowledge

What are the activities you can perform in Odia : Speak , Read & Write
language ?
Your Odia language eligibility Standard : Passed in Odia as a language subject in the final examination of Class VII or above
15

Undertaking
00

In spite of being given adequate facilities of previewing and editing the online Registration and Application data for recruitment
examination to the Post mentioned above, I have submitted some incorrect data. I undertake that I shall at my own risk want to rectify the wrong entries
once for all. I further agree that the modified data and the uploaded documents to be submitted by me now are true, relevant and shall be final as well as
binding upon me. I also do hereby undertake that I have not applied for any other district than the one now being applied for this Post. If any such
information or document or undertaking 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 the online Registration and Application if submitted by me earlier hereby stands cancelled. 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.

Left Thumb Impression Signature of Applicant

This is a computer report, generated through OSSC portal (www.ossc.gov.in) and does not require any seal and signature of the issuing authority.