1. PROFORMA
SL
N
o
Name of the
Department
Name of the
Doctor& Designation/
Permanent Address
Date
of
Birth
Home
District
SC/ST/
General
Date of
Entry
Into
Govt.
Service
As per
Recommend
ation
Of OPSC
Date of Notification/Date of joining under OMES carder as Present
Place of
posting/
date of joining
PAN/
GPF No
Submiss
ion of
PAR for
Last
5 years
Junior
Teacher/Lecturer
Assistant
Professor
Associate
Professor
Professor
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Community
Medicine
Dr Sanjaya Kumar sahoo
Assistant Professor
At Sibarnapur
Po Ganeswarpur
PS Gop
Dist Puri
Odisha
752110
15/07/1986
Puri General 28/10/2016
As per govt
notification
no.
21215
HFW-MSI-
ESTT-0151-
2016
Dated-
7/10/2016
- -
DDMCH,
Keonjhar
19.04.2022
ETDPS5237P
Yes
Name
of
the
institution
From
To
Name
of
the
institution
From
To
Name
of
the
institution
From
To
Name
of
the
institution
From
To
