Odisha Staff Selection Commission (OSSC) Page 1

22 Oct 2023
Copy of the Online Application Form filled-in for the Post of
Combined Graduate Level Examination - 2023
Advertisement Details
Advertisement Number : 4004/OSSC Recruitment Year : 2023
Advertisement Date : 07/10/2023
Registration and Application Details
Applied to : Odisha Staff Selection Commission (OSSC)
Application Number : OD400423CGL-00040734
Application Initiation Date : 22/10/2023 10:35:56
& Time

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Application Submission : 22/10/2023 10:49:50
Date & Time

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Registration Number : 00194008

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Registered User Name : Deeptidas89

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Email Id : deeptidas99@gmail.com

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Mobile No. : 7381367029 04 0/ Ex
Alternate Mobile No. : 9776777131

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Post Applied for : Combined Graduate Level Examination
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Cadre : STATE CADRE

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Essential Compliance Details
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Restrictions, if any, imposed by any Recruitment Commissions/Boards

Have you been debarred from appearing the recruitment examination of any : NO
Commission/Board?
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NOC Details
Presently are you in Govt. : NO
Service ?
Gr

Odia Language Knowledge

Can you speak, read & write : Can Speak Odia, Read Odia & Write Odia
Odia?
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Odia Passout Standard : Passed a test in Odia in Middle English School Standard conducted by the School & Mass
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Education Department, Government of Odisha

Personal Details
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Name of Applicant : DEEPTI REKHA DAS

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Father's Name : NARENDRA KUMAR DAS

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Mother's Name : MANJUBALA DAS

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Gender : FEMALE
Date of Birth : 22/03/1989
Age as on (01/01/2023 ) : 33 Years 9 Months 10 Days
Category : UNRESERVED ( UR (W) )
Nationality : Indian
Religion : Hinduism
Personal Identificantion : LEFT HAND SIDE MARK
Mark
Marital Status : Married
No. of spouses : 1
Have any of your family members been working in the Odisha Staff Selection Commission : NO
(OSSC) ?
 Odisha Staff Selection Commission (OSSC) Page 2
22 Oct 2023
Copy of the Online Application Form filled-in for the Post of
Combined Graduate Level Examination - 2023
Address Details
Permanent Address NARENDRA KUMAR DAS, Village/ Street / Lane - AT- SAHAPUR, GABASAHI, City/Town -
BHADRAK, Post Office - BHADRAK, Police Station - BHADRAK, Tahasil - BHADRAK TAHASIL,
BHADRAK, ODISHA , Pincode - 756100
Address for NARENDRA KUMAR DAS Village/ Street / Lane - AT- SAHAPUR, GABASAHI, City/Town -
BHADRAK, Post Office - BHADRAK, Police Station - BHADRAK, Tahasil - BHADRAK TAHASIL,
Communication
BHADRAK, ODISHA, Pincode - 756100

Alternate Mobile No.9776777131

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Education Details
Qualification Passing Board/Council/University Secured Mark Total Mark Percentage Grade Passing

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Year (without extra (without extra (without extra Attempt
optional) optional) optional)

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CG 23 amin
10th (HSCE) or equivalent

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10th (HSCE) 2005 SUNSHINE MISSION 296 600 49.33333% --
SCHOOL, BHADRAK,

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CUTTACK 04 0/ Ex Third Division

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INDIAN CERTIFICATE
OF SECONDARY
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EDUCATION (ICSE)
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CR. No.6854638
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MS. No.3859947
+2 or 12th
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Diploma 2008 Barapada School of 3076 3750 82.02667% --

(DIPLOMA IN engineering and technology
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CIVIL First Division

ENGINEERING) STATE COUNCIL FOR
TECHNICAL
EDUCATION &
Gr

VOCATIONAL
TRAINING (SCTE&VT)
ed

CR. No.050201017
MS. No.050201017
in

+3 (Bachelor) degree
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B-TECH 2016 INDIC INSTITUTE OF 7.67 100 71.70000% --

(B-TECH IN ENGINEERING &
CIVIL TECHNOLOGY First Division
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ENGINEERING)
BIJU PATNAIK CGPA
00

UNIVERSITY OF
TECHNOLOGY,
ROURKELA

CR. No.D08160125767
MS. No.1321303010
: YES

CR. No. : Certificate Number, MS. No. : Marksheets No.

Test wise Centre Preference Details

1st Preference : BHADRAK DISTRICT

2nd Preference : KHORDHA DISTRICT

3rd Preference : CUTTACK DISTRICT

 Odisha Staff Selection Commission (OSSC) Page 3
22 Oct 2023
Copy of the Online Application Form filled-in for the Post of
Combined Graduate Level Examination - 2023
Miscellaneous Details
Language opted to answer the : English
Questions in all papers except the
Language papers
Document Details
Document Name Misc./Document No. Issuing Date Issuing Authority

10th (HSCE) Or Equivalent Certificate 6854638 INDIAN CERTIFICATE OF

SECONDARY EDUCATION

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(ICSE)

AADHAAR CARD 80xxxxxxxx25 UNIQUE IDENTIFICATION

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AUTHORITY OF INDIA

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Undertaking

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I do 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 ineligibility being detected before or after the examination, action can be

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taken against me by the Commission. I also hereby give my consent that whenever required the information furnished and to be
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furnished by me during the course of Registration/Re-registration and Application may be used by the Commission or may be shared for

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bonafide Government Purpose.

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I, DEEPTI REKHA DAS, D/O of NARENDRA KUMAR DAS, Aged 34 years resident of district of BHADRAK hereby declare that
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the information given above and in the enclosed documents is true to the best of my knowledge and belief and nothing has been
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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.
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I Accept the Terms and Conditions.

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Gr
ed

Uploaded LEFT THUMB Impression of Applicant Uploaded Signature of the Applicant

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Note : Application shall be valid after verification of (i) all uploaded documents.
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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.
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