APPLICATION FORMAT

Name of Post : Farm Tele Advisor(FTA)

1. Name in full (in block letters) -- PRADEEP SAHU
2. Father’s/Husband’s name -- MR. RAVISHANKAR SAHU
3. Address :
(i) Present address (for correspondence) : -- VIll.- Damru, P.O. - Damru, Tehl. - Baloda Bazar ,
Dist. - Baloda Bazar, (C.G.)493332
E-mail address -- pradeep.sahu.3257@gmail.com Mobile No. - 7389257937
(ii) Permanent home address : -- VIll.- Damru, P.O. - Damru, Tehl. - Baloda Bazar ,
Dist. - Baloda Bazar, (C.G.)493332 -
4. Date of birth ---09/ 10/ 1997 Age -- 23 years
5. Mother tongue -- Chhattisgarhi
6. Category - OBC (Non- Creamy Layer)
7. Examination passed :

Examinations Name of Subject (s) Division Year of % of

the (Major) obtained Passing marks
University/ /OGPA
Institute obtained
(i) HSSC exam C.B.S.E. BIOLOGY FIRST 2015 82.60

(ii) B.Sc (Ag.) IGKV RAIPUR AGRICULTURE FIRST 2020 71.60

(iii) M.Sc (Ag.)

(iv) P.hd
(v) Any other

DECLARATION
I declare that the entries made in this application form are true and correct to the best
of my knowledge and belief.

Place - RAIPUR
Date -- 21/ 01/ 2021 Signature of the candidate

Desktop/ Placement /IFFCO