Https Www.onlinesubmit.in Mha RegisteredUsers CompleteApplication
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7/14/13 https://www.onlinesubmit.in/mha/RegisteredUsers/CompleteApplication.aspx https://www.onlinesubmit.in/mha/RegisteredUsers/CompleteApplication.aspx 1/1 Ministry of Home Affairs,Govt. of India Print Back Post Applied For : ACIO GRADE-II/EXECUTIVE Applicant's Registration No :MHA300017934 Personal Information: Applicant's Name: AJIT KUMAR JENA Your Photo Father's /Mother's Name: BIPINBIHARI JENA Relationship: FATHER Gender: MALE Date Of Birth: 2/3/1990 Category: GENERAL Religion: HINDU Others Religion: Are you a Central Govt. Employee with 3 or more years of Continuous Service? : NO Nationality: INDIAN State of Domicile: ORISSA Are you an Ex-Serviceman? NO Domicile of J&K during the period 01.01.1980 to 31.12.1989 : NO Qualification Details: Name of Graduation Degree: BA Month & year of Passing: Month: JUNE Year: 2011 Duration of the Course: Years: 3 Months: 0 Final Result Declared as on closing date: YES Division/Class of Passing: SECOND College/Institute Name MAHARISHI COLLEGE Name of University affiliated: UTKAL UNIVERSITY Additional Qualification (if any) : YES Name of Qualification : POST GRADUATION Details : PERSONNEL MANAGEMENT & INDUSTRIAL RELATION Additional Information: Contact No. (Only Digits): 919090985484 Alternate Mobile No. (if any): 91 Email ID: [email protected] Alternate Email ID (optional): Choice of Examination Center: BHUBANESHWAR Address Line 1: PLOT NO 828P Address Line 2: LAXMISAGAR Address Line 3: City/Town: BHUBANESWAR PIN: 751006 State: ORISSA Home State to which candidate belong to: ORISSA Are you prepared to serve anywhere in India? YES Declaration I hereby declare that the the information given above is true and correct to the best of my knowledge and I fulfill the eligibility conditions for appearing in the recruitment test conducted by Ministry of Home Affairs(MHA) for the post of ACIO-II/Exe. I further declare that in case any of the above information is found to be false/incorrect or any ineligibility being detected before, during or after the test, my candidature for the post of ACIO-II/Exe is liable to be forfeited. (Applicant's Signature)
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Transcript of Https Www.onlinesubmit.in Mha RegisteredUsers CompleteApplication
7/14/13 https://www.onlinesubmit.in/mha/RegisteredUsers/CompleteApplication.aspx
https://www.onlinesubmit.in/mha/RegisteredUsers/CompleteApplication.aspx 1/1
Ministry of Home Affairs,Govt. of India Print Back
Post Applied For : ACIO GRADE-II/EXECUTIVE Applicant's Registration No :MHA300017934
Personal Information:
Applicant's Name: AJIT KUMAR JENA Your Photo
Father's /Mother's Name: BIPINBIHARI JENA
Relationship: FATHER Gender: MALE Date Of Birth: 2/3/1990
Category: GENERAL Religion: HINDU Others Religion:
Are you a Central Govt. Employee with 3 or more years of Continuous Service? : NO
Nationality: INDIAN State of Domicile: ORISSA
Are you an Ex-Serviceman? NO
Domicile of J&K during the period 01.01.1980 to 31.12.1989 : NO
Qualification Details:
Name of Graduation Degree: BA
Month & year of Passing: Month: JUNE Year: 2011 Duration of the Course: Years: 3 Months: 0
Final Result Declared as on closing date: YES Division/Class of Passing: SECOND
College/Institute Name MAHARISHI COLLEGE
Name of University affiliated: UTKAL UNIVERSITY
Additional Qualification (if any) : YES
Name of Qualification : POST GRADUATION Details : PERSONNEL MANAGEMENT & INDUSTRIAL RELATION
Additional Information:
Contact No. (Only Digits): 919090985484 Alternate Mobile No. (if any): 91
Email ID: [email protected] Alternate Email ID (optional):
Choice of Examination Center: BHUBANESHWAR
Address Line 1: PLOT NO 828P
Address Line 2: LAXMISAGAR
Address Line 3:
City/Town: BHUBANESWAR PIN: 751006 State: ORISSA
Home State to which candidate belong to: ORISSA
Are you prepared to serve anywhere in India? YES
Declaration
I hereby declare that the the information given above is true and correct to the best of my knowledge and I fulfill the eligibility conditionsfor appearing in the recruitment test conducted by Ministry of Home Affairs(MHA) for the post of ACIO-II/Exe. I further declare that in caseany of the above information is found to be false/incorrect or any ineligibility being detected before, during or after the test, mycandidature for the post of ACIO-II/Exe is liable to be forfeited.
(Applicant's Signature)
