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Application-Cum-Addmission Form
2nd Half Yearly Departmental
Examination of Officers, 2022
To
The Secretary,
Board of Revenue,Odisha Cuttack.
(Through Head of Office / Next Higher
Authority)
Subject : Application for appearing at the 2nd Half Yearly
Departmental
Examination of Officers,2022 .
Sir/Madam,
I may kindly be allowed to appear at the 2nd Half Yearly
Departmental Examination of Officers 2022 .
Application Number : A2220180100
Name of service : CE
Designation : ASSISTANT EXECUTIVE ENGINEER
Full Name of
: LILI DEBATA
Applicant
Father/Husband
: RAMA CHANDRA DEBATA
Name
DOB : 20/05/1994
Hrms Id : 91343276
DOJ : 09/04/2021
Email Id : lili.dbta@gmail.com
Subject : 1.CANAL LAW PART-C (W)
Name Of the Office : MINOR IRRIGATION
O/O CHIEF ENGIN EER,MINOR I RR IG ATI ON, KESH ARI NAG AR, BH
Address of Office :
UBANES WAR
District : KHURDHA
Pin : 751001
Mobile No : 9658803589
Yours faithfully

IP: 117.239.20.25 Full Signature of Applicant

(Take a Printout of the above application, Get it Signed by your higher authority and upload it again
online.)

Office of the __________________________________ Memo No. ________ Dt ___________ Sri/Smt LILI

DEBATA is Permitted to appear 2nd Half Yearly Departmental Examination 2022

Seal Signature of Higher Authority

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