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    Edistrict Self Declaration Odiaportal - in

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    sarmap616
    1. Kuni Behera, son of Gouranga Behera, aged 48 years, declares that he is a resident of Komand village in Odagoan block of Nayagarh district of Odisha. 2. He declares that he belongs to the Scheduled Caste community and all information provided in the enclosed documents is true to the best of his knowledge. 3. He is aware that if any information is found to be false, he will be liable for legal action and any benefits availed based on false information will be withdrawn.

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    Edistrict Self Declaration Odiaportal - in

    Uploaded by

    sarmap616
    6K views1 page
    1. Kuni Behera, son of Gouranga Behera, aged 48 years, declares that he is a resident of Komand village in Odagoan block of Nayagarh district of Odisha. 2. He declares that he belongs to the Scheduled Caste community and all information provided in the enclosed documents is true to the best of his knowledge. 3. He is aware that if any information is found to be false, he will be liable for legal action and any benefits availed based on false information will be withdrawn.

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    Edistrict Self Declaration Odiaportal.in (1)

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    1. Kuni Behera, son of Gouranga Behera, aged 48 years, declares that he is a resident of Komand village in Odagoan block of Nayagarh district of Odisha. 2. He declares that he belongs to the Scheduled Caste community and all information provided in the enclosed documents is true to the best of his knowledge. 3. He is aware that if any information is found to be false, he will be liable for legal action and any benefits availed based on false information will be withdrawn.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    6K views1 page

    Edistrict Self Declaration Odiaportal - in

    Uploaded by

    sarmap616
    1. Kuni Behera, son of Gouranga Behera, aged 48 years, declares that he is a resident of Komand village in Odagoan block of Nayagarh district of Odisha. 2. He declares that he belongs to the Scheduled Caste community and all information provided in the enclosed documents is true to the best of his knowledge. 3. He is aware that if any information is found to be false, he will be liable for legal action and any benefits availed based on false information will be withdrawn.

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    SELF DECLARATION

     Kuni Behera
    ISmt/Sri/Kumari ____________________________________________

    Son/Daughter/Wife of Shri ___________________________________
    Gouranga Behera Age __________
    48

    Year __________,
    1975 Caste _____________
    Sc (SC/ST/OBC/SEBC), Sub Caste _____________,
    Keuta
    Komand
    Resident of village __________________, Komand
    PO: ______________, PS ________________,
    Odagoan
    Odagoan
    Tahasil: ________________, 752090
    Nayagarh State: Odisha, PIN:___________
    District ______________,
    do hereby declare that, the information given above and in the enclosed documents is
    true to the best of my knowledge and belief, and nothing has been concealed therein.
    I am well aware of the fact that, if the information given by me is proved false/ not
    true, I will be liable for action as per the law. Also, if any benefits availed by me shall be
    summarily withdrawn.

    Date: 12/06/2023
    Signature of the Candidate

    Place: Komand

    Downloaded from https://forms.odiaportal.in/

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