STATE SELECTION BOARD,ODISHA

GOVERNMENT OF ODISHA

ADV. NO. 001/2023 POST NAME POST GRADUATE TEACHER SUBJECT Mathematics(15)

FOR RECRUITMENT TO THE POSTS OF POST GRADUATE TEACHERS (PGT) IN NON-GOVT. AIDED
HIGHER SECONDARY SCHOOLS OF ODISHA UNDER THE ADMINISTRATIVE CONTROL OF SCHOOL
& MASS EDUCATION DEPARTMENT
Roll No : | Application ID : 6654 | Application Fee : ₹500
Aadhar number

220076671852

Choice of Zone for appearing in the examination

Balasore

Full Name Father's Name Mother's Name

DINABANDHU GIRI RUDRA CHANDRA GIRI SUBASINI GIRI

Marital status If married do you have more than one spouse living

No

Nationality Religion Sex

Indian Hindu Male

Whether passed minimum Seventh class exam. In Odia ?

Yes

Category Ex-Servicemen/Sportperson/PwD

SEBC NO

Date of Birth Age as on 01.01.2023

19/12/1996 26

Mobile E-mail

8249878307 [email protected]

Permanent Address.
Post Office
House No./ Apartment/Plot No. Village
JAGANNATH
10 KENDUDIHA
KHUNTA

City

BARIPADA

State District Pin

Odisha MAYURBHANJ 757030

Correspondence Address.
Post Office
House No./ Apartment/Plot No. Village
JAGANNATH
10 KENDUDIHA
KHUNTA

City

BARIPADA

State District Pin

Odisha MAYURBHANJ 757030

Category of Applicant.
Are you Person with Disability (PwD) ?

No
Are you an employee of Odisha Government?

No

Are you an Ex-Servicemen?

No

Are you an Esmcategory ?

No

Criminal Proceedings.
Whether any FIR has been lodged/registered against you?

No

Whether any prosecution is pending in any Court of Law against you?

No

Whether any Chargesheet has been filed against you?

No

Whether you have been convicted by any court of competent jurisdiction in any offence?

No

Was any Court Case been filed against you?

No

Whether any disciplinary action has been initiated by Government/Semi-Government Organisations against you?

No

Educational Qualification (Qualifications acquired on the date of apptication).

Matric Board Percentage of marks in 10th Standard Division/Class in 10th Standard

BSE 76.66 First

Year of Passing Marks obtained in 10th Standard Maximum Marks in 10th Standard

2012 460 600

Higher Secondary (+2) Percentage of marks in 12th Standard Division/Class in 12th Standard

CHSE 62.66 First

Year of Passing Marks obtained in 12th/ +2 Examination Maximum marks in 12th/ +2 Examination

2014 376 600

Graduation Degree Graduation Institution/University Percentage

BACHELOR OF SCIENCE SEEMANTA MAHAVIDYALAYA, JHARPOKHARIA 59.5

Division in Graduation Year of Passing Obtain Marks Maximum Marks Distinction

Second 2017 1071 1800 Yes

Post Graduation Post Graduation Institution/University Percentage/CGPA CGPA

MASTER IN SCIENCE NORTH ORISSA UNIVERSITY, BARIPADA CGPA 7.97

Division Year of Passing Subject Obtain Marks Maximum Marks

FIRST 2019 MATHEMATICS 7.97 10

Do you have B. Ed Degree
Examination University Subject Percentage/CGPA

B. Ed. ACHARYA NAGARJUNA UNIVERSITY, MATHEMATICS, CGPA

GUNTUR SCIENCE
Marks Obtained Maximum Marks CGPA Year of Passing

8.33 10 8.33 2022

Declaration.
I, solemnly declare that the entries made in this application are true, complete and correct to the best of my knowledge and
belief. In the event of information being found false or incorrect, or ineligibility being detected before or after the
examination/selection, action can be taken against me by the State Selection Board / Government of Odisha.

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