Acknowledgement Slip

Fill-up the following details to get registered with Nua O Magic card

NABIN ODISHA MAGIC CARD

Registration Acknowledgement Slip

Ack Receipt No: Registration Date: Aadhar No:

5606960167071507 05-05-2024 12:05:03 xxxxxxxx2733

Course Name: SAMS Barcode No:

Post Graduate 23P0131636

BASIC DETAILS

Student's Name: SUVASHREE SUVASMITA

Father's Name: PRAVAT KUMAR JENA

Mother's Name: BRAJESWARI JENA

Gender: Female Date of birth: 27-02-2002

Mobile: 9861451477 Email ID: SUVASHREEJENA98@GMAIL.COM

Address

Village: Lenkudipada GP/Ward: Lenkudipada

Block/ULB: Nayagarh District: Nayagarh

PIN Code: 752070

ACADEMIC DETAILS

Institute Name Stream Name Subject Name Admission Year

Fakir Mohan University, Vyasa Vihar, Balasore -- Biotechnology 2023

INTEREST & CAREER PREFERENCE

Interest Areas: Cooking, Reading, Science, Aspire to be: Educational Consultant, Indian
Technology, Travelling, Writing Administrative Services (IAS)
Officer, Odisha Administrative
Services (OAS) Officer

Prefer to upskill for -- Expectation from DISCOUNT IN EVERY ASPECT

better career: the card:

Part of any NGO: No Prefer to volunteer: No

I hereby declare that the information given above is true to the best of my knowledge and belief and nothing has been
concealed therein. I understand that if the information given by me is proved false/not true, I will have to face the
punishment as per the law. Also, all the benefits availed by me shall be summarily withdrawn.

Signature of the Student