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RECRUITMENT OF ASSISTANTS AS PER TO ADVERTISEMENT NO. 1 /ASST./2012-13

41031

Registration # : 1210892756

Full Name : SURANJIKA DALAI

Category : SC

If Person with Disability : NO

Type of Disability : -

Percentage of disability : -

Do you intend to use the services of a scribe (only for VH and OH candidateswhose writing speed is affected by cerebral palsy)? :

NA

Are you an Ex-Serviceman? : NO

Are you a Disabled Ex-Serviceman (DISXS)? : NO

Are you a dependent of an Ex-Serviceman (DXS)? : NO

Are you currently employee of Central Government/PSU/PSB in Group C or

D? :NA

Have you passed the matriculation or its equivalent examination

of the Armed Forces and rendered at least 15 years of defense service? :NA

Whether you belong to Minority Community ? : NO

Whether domiciled in Kashmir Division of the State of J&Kduring the period 1-1-1980 to 31-12-1989? :

NO

Are you seeking relaxation under w idow/divorced women/women

judicia lly Separated from their husbands and who are not re-married? :NO

Are you staff of RBI? : NO

If Yes, please specify the PF Index No :

Nationality / Citizenship : Indian

Select the Office you are applying for : Bhubaneswar

State / UT from which the candidate intends to appear : Odisha

Centre of Examination : Bhubaneshwar

Centre Code : 241

Are you proficient in the language of the state for which

you are applying for recruitment ? :YES

Personal Details :

Date of Birth : 13-07-1991

Age completed as on 01.05.2013 : 21

Gender : FEMALE

Husband's Name / Father's Name : PITABAS DALAI

Mother's Name : BAIJAYANTI MALA DALAI

Address for correspondence : INDRA NAGAR

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NANDAPUR ROAD

SIMILIGUDA

District : KORAPUT

State : ORISSA

Pin code : 764030

Permanent Address : INDRA NAGAR

NANDAPUR ROAD

SIMILIGUDA

District KORAPUT

State : ORISSA

Pin code : 764030

Contact Details :

Phone No. : -

Mobile No. : 9439402503

Email ID : seemasuranjika@gmail.com

Qualification Details (as on 01.05.2013) :

Exam Passed Subject /Stream Date of Passing % of Marks Name of University / Institute

Class / Grade

Graduation : MECHANICAL 01-05-2013 71.00SIKSHA O

ANUSHANDHANFirst Class

Working Knowledge of Computers : YES

Details of Computer Knowledge : C LANGUAGE BASIC

Languages Known Read Write Speak

English YES YES YES

HINDI YES YES YES

ODIA YES YES YES

Application Fee Details :

Payment In :NO

FEE

Amount : 0.00

DECLARATION:

I certify that the statements made by me in the application are true to the best of my knowledge and belief and understand that any willfully false

statement is sufficient cause for rejection of my candidature at any s tage of the selection process.

Place:

Date : 20-06-2013 Signature of Applicant

Please retain your Registration No. and Password emailed to you carefully for further reference

NOTE: Please DO NOT SEND application printout to IBPS

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