Recruitment of Probationary Officers

ECGC Ltd.
100126
Recruitment of Probationary Officers
Registration Number : 513031814
Full Name : Kampila Naik
Category : SC
Are you a person with benchmark disability of 40% and : NO

above ?
Type of Disability : -
Sub-Type of Disability for 4th category : -
Sub-Type of Disability : -
Sub-Type of Multiple Disability : -
Are you as per PWBD guidelines eligible to use : -

compensatory time at the time of examination ?
Are you suffering from cerebral palsy and your writing : -

speed is affected : ?
If Yes, Do you need compensatory time at the time of : -

examination?
Whether your dominant (Writing) hand is affected? : -

examination?
Do you intend to use the services of a scribe ? : -
Are you a person with specified disabilities covered : NO

under the definition of Section 2(s) of the RPwD Act,
2016 but not covered under the definition of Section
2(r) of the said Act, i.e. persons having less than 40%
disability and having difficulty in writing ?

examination?
Do you intend to use the services of a scribe ? : -
I certify that, I will produce the certificate from : -

competent medical authority of a Government
healthcare institution as per Ministry of Social Justice
and Empowerment, Department of Empowerment of
Persons with Disabilities (Divyangjan) circular no F. No.
29-6/2019-DD-III dated 10.08.2022.
Religion to which you belong : Hindu
Do you belong to Religious Minority Community ? : NO
Are you an Ex-Serviceman including Emergency : NO

Commissioned Officers(ECOs)/Short Service
Commissioned Officers (SSCOs) ?
Actual Period of service rendered in defence services : -

as an Ex-serviceman (in months)
Please mention the date of retirement/discharge from : -
the services
Have you joined a Government job on the civil side after : -
availing of the benefits given as an ex-serviceman?
Do you hold Aadhaar Card ? : YES
Aadhaar Card No. : XXXXXXXX4256
Nationality / Citizenship : Indian
Examination Center (Preference 1) : Bhubaneshwar
Examination Center (Preference 2) : Kolkata
Examination Center (Preference 3) : Delhi/Noida/Gurgaon
Application Fee / Intimation charges

Payment In : ONLINE
Fees : 148.30
Tax : 26.70 (IGST)
Amount : 175.00
Payment Status : PAID
Reference ID : YHD42442878486
Transaction Date : 23-09-2024
Personal Details
Date of Birth : 15-01-2001
Age completed as on 01.09.2024 : 23
Gender : MALE
Do you have twin brother / sister ? : NO
Gender of the twin : -
Name of the twin : -
Marital Status : Unmarried
Father's Name : Ujala naik
Mother's Name : Khajurmati naik
Spouse's Name : -
Address for Correspondence

Address 1 : At D.koral Po
kucheipadar
Address 2 : Bo Kashipur Ps
Doraguda
District : Rayagada
State : ODISHA
Pincode : 765015
Permanent address
Address 1 : At D.koral Po
kucheipadar
Address 2 : Bo Kashipur Ps
Doraguda
District : Rayagada
State : ODISHA
Pincode : 765015
State for GST invoicing : Permanent Address

(ODISHA)
Contact Details
Mobile No : +91 7749038119
Alternative Number : -
(Mobile No/Landline No)
Email ID : naikkapil39@gmail.com
Educational Qualification(as on 01.09.2024)
Exam Passed Degree/Subject /Stream Date of % of Marks Class/Grade

Passing
Graduation / Equivalent Commerce 06-09-2021 54.19 Second Class
Other Details :
Whether desirous of taking Pre-Examination : NO

Training (Applicable only for SC/ST/OBC)
Languages Known Read Write Speak
English YES YES YES
Hindi YES YES YES
Odia YES YES YES
Uploaded Document Details :
1. Left thumb impression
2. Hand written declaration

Declaration:
I hereby declare that all the statements made in this application are true, complete and correct to the best of my knowledge
and belief. I understand that in the event of any information being found untrue or incorrect at any stage or I am not
satisfying any of the eligibility criteria stipulated, and also in case of creating influence/undue pressure regarding
recruitment shall tantamount to cancellation of my candidature.
Date: 23-09-2024
Left thumb impression
Hand written declaration

Recruitment of Probationary Officers

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ECGC Ltd.

Registration Number : 513031814

Full Name : Kampila Naik

Are you a person with benchmark disability of 40% and : NO

Sub-Type of Disability for 4th category : -

Sub-Type of Multiple Disability : -

Are you as per PWBD guidelines eligible to use : -

Are you suffering from cerebral palsy and your writing : -

If Yes, Do you need compensatory time at the time of : -

Whether your dominant (Writing) hand is affected? : -

If Yes, Do you need compensatory time at the time of : -

Do you intend to use the services of a scribe ? : -

Are you a person with specified disabilities covered : NO

If Yes, Do you need compensatory time at the time of : -

I certify that, I will produce the certificate from : -

Are you an Ex-Serviceman including Emergency : NO

Actual Period of service rendered in defence services : -

Aadhaar Card No. : XXXXXXXX4256

Nationality / Citizenship : Indian

Examination Center (Preference 1) : Bhubaneshwar

Examination Center (Preference 2) : Kolkata

Examination Center (Preference 3) : Delhi/Noida/Gurgaon

Application Fee / Intimation charges

Tax : 26.70 (IGST)

Payment Status : PAID

Transaction Date : 23-09-2024

Date of Birth : 15-01-2001

Age completed as on 01.09.2024 : 23

Do you have twin brother / sister ? : NO

Gender of the twin : -

Name of the twin : -

Marital Status : Unmarried

Father's Name : Ujala naik

Mother's Name : Khajurmati naik

Address for Correspondence

State for GST invoicing : Permanent Address

Educational Qualification(as on 01.09.2024)

Exam Passed Degree/Subject /Stream Date of % of Marks Class/Grade

Graduation / Equivalent Commerce 06-09-2021 54.19 Second Class

Whether desirous of taking Pre-Examination : NO

Languages Known Read Write Speak

English YES YES YES

Hindi YES YES YES

Odia YES YES YES

Uploaded Document Details :

1. Left thumb impression

2. Hand written declaration

Left thumb impression

Hand written declaration

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