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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)