STATE SELECTION BOARD,ODISHA

GOVERNMENT OF ODISHA

ADV. NO. 006/2022 POST NAME LECTURER SUBJECT History(13)

APPLICATION FOR THE POST OF LECTURER IN

NON GOVT. AIDED COLLEGES OF ODISHA

Roll No : 6BM13-000220
| Application ID : 7608 | Application Fee : 200₹

Aadhar number

764251359234

Choice of Zone for appearing in the examination

Berhampur

Full Name Father's Name Mother's Name

Sandhyarani Kanhar Debeswar Kanhar Sabitri Kanhar

Marital status If married do you have more than one spouse living

No

Name of the husband in case of Married Female applicant Husband District Husband Address

N/A N/A N/A

Nationality Religion Sex

Indian Hindu Female

Whether passed minimum Seventh class exam. In Odia ?

Yes

Category Ex-Servicemen/Sportperson/PwD

ST NO

Date of Birth Age as on 01.01.2022

12/06/1988 33

Mobile E-mail

9438092973 kanhar11@gmail.com

Permanent Address.
House No./ Apartment/Plot No. Village Post Office

112 Budugudari Chhaka Tikabali

City

Phulbani

State District Pin

Odisha KANDHAMAL 762010

Correspondence Address.
House No./ Apartment/Plot No. Village Post Office

112 Budugudari Chhaka Tikabali

City

Phulbani

State District Pin

Odisha KANDHAMAL 762010

Category of Applicant.
Are you Person with Disability (PwD) ?

No

Are you an employee of Odisha Government?

No

Are you an Ex-Servicemen?

No

Are you an Esmcategory ?

No

Are you an Sportperson ?

No

Criminal Proceedings.
Whether any FIR has been lodged/registered against you?

No

Whether any prosecution is pending in any Court of Law against you?

No

Whether any Chargesheet has been filed against you?

No

Whether you have been convicted by any court of competent jurisdiction in any offence?

No

Was any Court Case been filed against you?

No

Whether any disciplinary action has been initiated by Government/Semi-Government Organisations against you?

No

Educational Qualification (Qualifications acquired on the date of apptication).

Matric Board Matric Percentage Year of Passing Obtain Marks Maximum Marks

HSC 44 2004 332 750

Graduation Degree Graduation Institution/University Percentage Year of Passing

B.A Berhampur University 44 2009

Obtain Marks Maximum Marks

681 1400
Examination University Subject Year of Passing Percentage of mark

Post Graduation Berhampur Unversity History 2013 65%

M.Phill Berhampur University History 2015

Declaration.
I, solemnly declare that the entries 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/selection, action can be taken against me by the State Selection Board / Government of Odisha.

Thumb Impression Full name signature