odishalogo
 Read the instruction manual carefully before filling the on-line form. No corrections shall be allowed after the form is submitted. Incomplete or wrongly filled form is liable to be rejected.
1 Advertisement No. * Post Name * Advertisement Date
2 Choice of district for appearing in the examination *
3 Full Name of the Applicant *
Capture Photo From   *
WebCam File

4 Father's Name * Mr.
5 Mother's Name * Mrs.
6 Name of the husband in case of Married female applicant
    Mr.
7 Personal Details
  a. Nationality * b. Sex * c. Date of Birth *
         
d. Whether passed minimum Seventh class exam. in Odia e. Reservation Category * f. NCC Certificate received, if any g. Physically Challenged(Yes/No) * h. Type of Physical disability
Yes No A B C Yes No
i. Whether Ex-Serviceman * j. Period of Service rendered k. Date / Likely date of Discharge l. Sports Person * m. ID card no. issued by Director of Sports
Yes No Yes No
8 Address for Correspondence   (All the Communication to the candidate from OSSC is to be made in this address)
  a. State * b. District *
c. PIN *
d. House No., Street/Lane, Village , Post Office, Police Stn, etc *
e. Telephone f. Mobile g. e-mail
9 Permanent Address    (Check this if permanent address is same as Address for Correspondence)
  a. State * b. District * c. PIN *
d. House No., Street/Lane, Village , Post Office, Police Stn, etc *
10 Educational Qualification
 
10th Standard Roll Number As Mentioned in the Certificate  *
Exam. Stream Board / University CGPA/Percentage Year Of Passing   Division Total Mark / CGPA Secured Mark / CGPA
10th *    
10+2 Equivalent   
Graduation  Pass / Dist
Hons
PG  
11 Treasury Challan Details (Original Challan has to be submitted along with the hard copy of the application) - (Candidates belonging to SC/ST Categories are exempted from paying the exam fees.)
  Treasury Challan Number * Date *
Name of the Treasury * Amount *