Odisha Staff Selection Commission (OSSC) Page No.

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Copy of the Provisional Re-Registration Form submitted online for the Post of
Combined Graduate Level Examination -2023

Re-Registration Number : 00114014

Re-Registration Date and Time : 24/10/2023
20:30:13
Advertisement Details
Advertisement Number : 4004/OSSC
Advertisement Date : 07/10/2023
Registered Username & Contact Details
Registered Username : Sushree_1994
Registered Password : As filled by you during registration
Mobile Number : 7609838013
Email ID : ssephalisethy@gmail.com

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Post & Category Registration Details
Applied to : Odisha Staff Selection Commission (OSSC)
Post Applied For : COMBINED GRADUATE LEVEL EXAMINATION

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Category Applied For : SCHEDULED CASTE WOMEN (SC(W))

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Sub-category of the applied Category : Dhoba
Personal Details
Name of Applicant : SUSHREE SEPHALI SETHY

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Father's Name : PRAFULLA KUMAR SETHY

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Mother's Name : SMITA SETHY
Gender : FEMALE
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Date of Birth :
PH24/04/1994
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Age (as on 01/01/2023) : 28 Years 8 Months 7 Days

Restrictions, if any, imposed by any Recruitment Commissions/Boards
Have you been debarred from appearing the : NO
HR ) -

recruitment examination of any

Commission/Board?
US SC

NOC Details
Are you presently in Govt. Service ? : NO
- S (OS

Odia Language Knowledge

What are the activities you can perform in Odia : Speak , Read & Write
language ?
Your Odia language eligibility Standard : Passed High School Certificate Examination or equivalent examination with Odia
as a subject/medium of examination in non-Language subject
Undertaking
I do hereby solemnly declare that I have carefully gone through the Recruitment Advertisement of the Commission for the post mentioned
above and I fulfill all the conditions of eligibility required to apply for this post. I further declare that the information given above and in the uploaded
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documents are true to the best of my knowledge and belief and nothing has been concealed therein. I am well aware of the fact that in the event of
information being found false or incorrect, or ineligibility being detected, before or after the examination, action can be taken against me by the
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Commission and I will have to face the punishment as per the law. Also, my candidature/selection shall be cancelled and all the benefits availed by me
shall be summarily withdrawn. I also hereby give my consent that whenever required the information furnished and to be furnished by me during the
course of Registration/Re-registration and Application may be used by the Commission or may be shared for bonafide Government Purpose.
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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.