Professional Documents
Culture Documents
Application For Engagement of Video
Application For Engagement of Video
Fathers name : 3. Date of birth : 4. Age as on 01.01.2011 : DD/MM/YY 5. Category(UR/ST/SC/SEBC) : 6. Permanent address : 7. Present address for correspondence : 8. Educational Qualification
Sl. No. Name of Examination Board/University Year of passing Percentage of marks secured Division
1. 2. 3. 4. 5.
9. Jail/Court for which applied for : 10. Experience if any : 11. Documents attached : Place: Date: Full signature of the applicant Application in filled up manner should be addressed to the I.G. of Prisons & D.C.S, Orissa, Heads of Department Building, Southern Wing, 3rd floor, Bhubaneswar on or before 31.8.2011 up to 4.00 PM. Applications received after the due date & time will be rejected.