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1/20/22, 6:59 PM IARI Form 2021
https://www.digialm.com/EForms/SBINewAfterPaymentAction.do?74856ZZ1258ZZonline 1/5
NOTE : Your Application has submitted Successfully.Payment is done.
Applicant Details HelpDesk
Personal Details
Application Sequence No
IARI1783508
Candidate's Name/рдЙрдореНрдореАрджрд╡рд╛рд░ рдХрд╛ рдирд╛рдо
ANKITA DASH
Nationality/рд░рд╛рд╖реНрдЯреНрд░реАрдпрддрд╛
a citizen of India
Father's Name/рдкрд┐рддрд╛ рдХрд╛ рдирд╛рдо
ARABINDA DASH
Mother's Name/рдорд╛рддрд╛ рдХрд╛ рдирд╛рдо
SHIBANI DASH
Post Applied Details
Post Applied/рдкреЛрд╕реНрдЯ рдЕрдкреНрд▓рд╛рдИ
Technician (T-1)
Category/рд╡рд░реНрдЧ
UR
Gender/рд▓рд┐рдВрдЧ
Female
Date of Birth (DD-MM-YYYY) same as Matriculation/
Secondary Certificate/рдЬрдиреНрдо рддрд┐рдерд┐ (рдбреАрдбреА-рдПрдордПрдо-рд╡рд╛рдИрд╡рд╛рдИрд╡рд╛рдИ)
рдореИрдЯреНрд░рд┐рдХ/рдорд╛рдзреНрдпрдорд┐рдХ рдкреНрд░рдорд╛рдг рдкрддреНрд░ рдХреЗ рд╕рдорд╛рди
26/Jan/1999
Age as on 10.01.2022/рдЖрдпреБ 10.01.2022 рдХреЛ
1/20/22, 6:59 PM IARI Form 2021
https://www.digialm.com/EForms/SBINewAfterPaymentAction.do?74856ZZ1258ZZonline 2/5
22 Years 11 Months 15 Days
Are you Person with Benchmark Disabilities (PwBD)
(degree of disability 40% or above)?/рдХреНрдпрд╛ рдЖрдк рд╢рд╛рд░реАрд░рд┐рдХ
рд░реВрдк рд╕реЗ рд╡рд┐рдХрд▓рд╛рдВрдЧ (рдкреАрдПрдЪ) (рд╡рд┐рдХрд▓рд╛рдВрдЧрддрд╛ рдХреА рдбрд┐рдЧреНрд░реА рекреж% рдпрд╛ рдЙрд╕рд╕реЗ
рдКрдкрд░) рд╣реИрдВ?
No
Exam City Choice 1/рдкрд░реАрдХреНрд╖рд╛ рд╢рд╣рд░ рд╡рд┐рдХрд▓реНрдк 1
Vadodara
Exam City Choice 2/рдкрд░реАрдХреНрд╖рд╛ рд╢рд╣рд░ рд╡рд┐рдХрд▓реНрдк 2
Anand
Exam City Choice 3/рдкрд░реАрдХреНрд╖рд╛ рд╢рд╣рд░ рд╡рд┐рдХрд▓реНрдк 3
Surat
Exam City Choice 4/рдкрд░реАрдХреНрд╖рд╛ рд╢рд╣рд░ рд╡рд┐рдХрд▓реНрдк 4
Ahmedabad
Exam City Choice 5/рдкрд░реАрдХреНрд╖рд╛ рд╢рд╣рд░ рд╡рд┐рдХрд▓реНрдк 5
Rajkot
Are you an Ex-Service man?/рдХреНрдпрд╛ рдЖрдк рдПрдХ рднреВрддрдкреВрд░реНрд╡ рд╕реИрдирд┐рдХ
рд╣реИрдВ?
No
Are you serving Defence Person?
No
Are you a Employee of ICAR?/рдХреНрдпрд╛ рдЖрдк рдЖрдИрд╕реАрдПрдЖрд░ рдХреЗ рдХрд░реНрдордЪрд╛рд░реА рд╣реИрдВ?
No
Contact Details
Mobile Number/рдореЛрдмрд╛рдЗрд▓ рдирдВрдмрд░
7978661282 Email ID/рдИрдореЗрд▓ рдЖрдИрдбреА
ankitadash87100@gmail.com
Correspondence Address Details/рд╡рд░реНрддрдорд╛рди рдкрддрд╛ рд╡рд┐рд╡рд░рдг
Address Line 1/рдкрддрд╛ рд▓рд╛рдЗрди 1
CO Kshirod Kumar Sarangi
Address Line 2/рдкрддрд╛ рд▓рд╛рдЗрди 2
Near Kalakanhu Mandir Babaji Para Patnagarh
State/рд░рд╛рдЬреНрдп
1/20/22, 6:59 PM IARI Form 2021
https://www.digialm.com/EForms/SBINewAfterPaymentAction.do?74856ZZ1258ZZonline 3/5
Odisha
Country/рджреЗрд╢
India
City/рд╢рд╣рд░
Balangir
Pin code/рдкрд┐рди рдХреЛрдб
767025
Permanent Address Details/рд╕реНрдерд╛рдпреА рдкрддрд╛ рд╡рд┐рд╡рд░рдг
Is permanent address same as Correspondence address?/рдХреНрдпрд╛ рд╕реНрдерд╛рдпреА рдкрддрд╛ рд╡рд░реНрддрдорд╛рди рдкрддреЗ рдХреЗ рд╕рдорд╛рди рд╣реИ?
Yes
Address Line 1/рдкрддрд╛ рд▓рд╛рдЗрди 1
CO Kshirod Kumar Sarangi
Address Line 2/рдкрддрд╛ рд▓рд╛рдЗрди 2
Near Kalakanhu Mandir Babaji Para Patnagarh
State/рд░рд╛рдЬреНрдп
Odisha
Country/рджреЗрд╢
India
City/рд╢рд╣рд░
Balangir
Pin code/рдкрд┐рди рдХреЛрдб
767025
Matriculation (10th) Details/рдореИрдЯреНрд░рд┐рдХ (10рд╡реАрдВ) рд╡рд┐рд╡рд░рдг
Name of the Board/Council/рдмреЛрд░реНрдб/рдкрд░рд┐рд╖рдж рдХрд╛ рдирд╛рдо
Board Of Secondary Education Odisha
Institute Name/рд╕рдВрд╕реНрдерд╛рди рдХрд╛ рдирд╛рдо
Saraswati Sishu Vidya Mandir Kantabanji
Year Of Passing/рдЙрддреНрддреАрд░реНрдг рд╣реЛрдиреЗ рдХрд╛ рд╡рд░реНрд╖
2014
Marks Percentage/рдЕрдВрдХ рдкреНрд░рддрд┐рд╢рдд
85
1/20/22, 6:59 PM IARI Form 2021
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Intermediate (12th) Details
Name of the Board/Council/рдмреЛрд░реНрдб/рдкрд░рд┐рд╖рдж рдХрд╛ рдирд╛рдо
Council Of Higher Secondary Education
Institute Name/рд╕рдВрд╕реНрдерд╛рди рдХрд╛ рдирд╛рдо
Yuvodaya Junior College Balangir
Year Of Passing/рдЙрддреНрддреАрд░реНрдг рд╣реЛрдиреЗ рдХрд╛ рд╡рд░реНрд╖
2016
Marks Percentage/рдЕрдВрдХ рдкреНрд░рддрд┐рд╢рдд
70.83
Educational qualifications/рд╢реИрдХреНрд╖рд┐рдХ рдпреЛрдЧреНрдпрддрд╛
Degree Name/рдбрд┐рдЧреНрд░реА рдХрд╛ рдирд╛рдо
Bachelor in Science
Specialization/рд╡рд┐рд╢реЗрд╖рдЬреНрдЮрддрд╛
Chemistry hons
Institute Name/рд╕рдВрд╕реНрдерд╛рди рдХрд╛ рдирд╛рдо
Saraswati Pluss Three Science College
Bhawanipatna
Year Of Passing/рдЙрддреНрддреАрд░реНрдг рд╣реЛрдиреЗ рдХрд╛ рд╡рд░реНрд╖
2019
Percentage of Marks/рдЕрдВрдХреЛрдВ рдХрд╛ рдкреНрд░рддрд┐рд╢рдд
75.4
Additional Educational qualification 1/рд╢реИрдХреНрд╖рд┐рдХ рдпреЛрдЧреНрдпрддрд╛ 1
Degree Name/рдбрд┐рдЧреНрд░реА рдХрд╛ рдирд╛рдо
PGDCA
Specialization/рд╡рд┐рд╢реЗрд╖рдЬреНрдЮрддрд╛
COMPUTER KNOWLEDGE
Institute Name/рд╕рдВрд╕реНрдерд╛рди рдХрд╛ рдирд╛рдо
ITCT LEARNING SYSTEMS PVT LTD
Year Of Passing/рдЙрддреНрддреАрд░реНрдг рд╣реЛрдиреЗ рдХрд╛ рд╡рд░реНрд╖
2020
Percentage of Marks/рдЕрдВрдХреЛрдВ рдХрд╛ рдкреНрд░рддрд┐рд╢рдд
80.14
Payment Details
Amount to be Paid
300
Payment Mode
online
1/20/22, 6:59 PM IARI Form 2021
https://www.digialm.com/EForms/SBINewAfterPaymentAction.do?74856ZZ1258ZZonline 5/5
Version 14.03.01
Payment Status
Successful
Payment Transaction No.
CPABIVOZJ4
Document Upload and Payment


Photo


Signature
Declaration
I hereby, solemnly declare that information provided by me in the form is true to the best of my
knowledge and belief. I understand that my candidature is subject to the conditions laid down in
the advertisement brochure. I further declare that I am not involved in any criminal case and/or no
such case is pending against me in any court of law./рдореИрдВ рдЗрд╕рдХреЗ рджреНрд╡рд╛рд░рд╛, рд╕рддреНрдпрдирд┐рд╖реНрдард╛ рд╕реЗ рдШреЛрд╖рдгрд╛ рдХрд░рддрд╛ рд╣реВрдВ рдХрд┐ рдореЗрд░реЗ рджреНрд╡рд╛рд░рд╛
рд░реВрдк рдореЗрдВ рдкреНрд░рджрд╛рди рдХреА рдЧрдИ рдЬрд╛рдирдХрд╛рд░реА рдореЗрд░реЗ рдЬреНрдЮрд╛рди рдФрд░ рд╡рд┐рд╢реНрд╡рд╛рд╕ рдХрд╛ рд╕рдмрд╕реЗ рдЕрдЪреНрдЫрд╛ рд╕рдЪ рд╣реИред рдореИрдВ рд╕рдордЭрддрд╛ рд╣реВрдВ рдХрд┐ рдореЗрд░реА рдЙрдореНрдореАрджрд╡рд╛рд░реА
рд╡рд┐рдЬреНрдЮрд╛рдкрди рдмреНрд░реЛрд╢рд░ рдореЗрдВ рдирд┐рд░реНрдзрд╛рд░рд┐рдд рд╢рд░реНрддреЛрдВ рдХреЗ рдЕрдзреАрди рд╣реИред рдореИрдВ рдЖрдЧреЗ рдШреЛрд╖рдгрд╛ рдХрд░рддрд╛ рд╣реВрдВ рдХрд┐ рдореИрдВ рдХрд┐рд╕реА рдЖрдкрд░рд╛рдзрд┐рдХ рдорд╛рдорд▓реЗ рдореЗрдВ рд╢рд╛рдорд┐рд▓ рдирд╣реАрдВ рд╣реВрдВ
рдФрд░/рдпрд╛ рдореЗрд░реЗ рдЦрд┐рд▓рд╛рдл рдХрд┐рд╕реА рднреА рдиреНрдпрд╛рдпрд╛рд▓рдп рдореЗрдВ рдРрд╕рд╛ рдХреЛрдИ рдорд╛рдорд▓рд╛ рд▓рдВрдмрд┐рдд рдирд╣реАрдВ рд╣реИ ред

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Iari form 2021

  • 1. 1/20/22, 6:59 PM IARI Form 2021 https://www.digialm.com/EForms/SBINewAfterPaymentAction.do?74856ZZ1258ZZonline 1/5 NOTE : Your Application has submitted Successfully.Payment is done. Applicant Details HelpDesk Personal Details Application Sequence No IARI1783508 Candidate's Name/рдЙрдореНрдореАрджрд╡рд╛рд░ рдХрд╛ рдирд╛рдо ANKITA DASH Nationality/рд░рд╛рд╖реНрдЯреНрд░реАрдпрддрд╛ a citizen of India Father's Name/рдкрд┐рддрд╛ рдХрд╛ рдирд╛рдо ARABINDA DASH Mother's Name/рдорд╛рддрд╛ рдХрд╛ рдирд╛рдо SHIBANI DASH Post Applied Details Post Applied/рдкреЛрд╕реНрдЯ рдЕрдкреНрд▓рд╛рдИ Technician (T-1) Category/рд╡рд░реНрдЧ UR Gender/рд▓рд┐рдВрдЧ Female Date of Birth (DD-MM-YYYY) same as Matriculation/ Secondary Certificate/рдЬрдиреНрдо рддрд┐рдерд┐ (рдбреАрдбреА-рдПрдордПрдо-рд╡рд╛рдИрд╡рд╛рдИрд╡рд╛рдИ) рдореИрдЯреНрд░рд┐рдХ/рдорд╛рдзреНрдпрдорд┐рдХ рдкреНрд░рдорд╛рдг рдкрддреНрд░ рдХреЗ рд╕рдорд╛рди 26/Jan/1999 Age as on 10.01.2022/рдЖрдпреБ 10.01.2022 рдХреЛ
  • 2. 1/20/22, 6:59 PM IARI Form 2021 https://www.digialm.com/EForms/SBINewAfterPaymentAction.do?74856ZZ1258ZZonline 2/5 22 Years 11 Months 15 Days Are you Person with Benchmark Disabilities (PwBD) (degree of disability 40% or above)?/рдХреНрдпрд╛ рдЖрдк рд╢рд╛рд░реАрд░рд┐рдХ рд░реВрдк рд╕реЗ рд╡рд┐рдХрд▓рд╛рдВрдЧ (рдкреАрдПрдЪ) (рд╡рд┐рдХрд▓рд╛рдВрдЧрддрд╛ рдХреА рдбрд┐рдЧреНрд░реА рекреж% рдпрд╛ рдЙрд╕рд╕реЗ рдКрдкрд░) рд╣реИрдВ? No Exam City Choice 1/рдкрд░реАрдХреНрд╖рд╛ рд╢рд╣рд░ рд╡рд┐рдХрд▓реНрдк 1 Vadodara Exam City Choice 2/рдкрд░реАрдХреНрд╖рд╛ рд╢рд╣рд░ рд╡рд┐рдХрд▓реНрдк 2 Anand Exam City Choice 3/рдкрд░реАрдХреНрд╖рд╛ рд╢рд╣рд░ рд╡рд┐рдХрд▓реНрдк 3 Surat Exam City Choice 4/рдкрд░реАрдХреНрд╖рд╛ рд╢рд╣рд░ рд╡рд┐рдХрд▓реНрдк 4 Ahmedabad Exam City Choice 5/рдкрд░реАрдХреНрд╖рд╛ рд╢рд╣рд░ рд╡рд┐рдХрд▓реНрдк 5 Rajkot Are you an Ex-Service man?/рдХреНрдпрд╛ рдЖрдк рдПрдХ рднреВрддрдкреВрд░реНрд╡ рд╕реИрдирд┐рдХ рд╣реИрдВ? No Are you serving Defence Person? No Are you a Employee of ICAR?/рдХреНрдпрд╛ рдЖрдк рдЖрдИрд╕реАрдПрдЖрд░ рдХреЗ рдХрд░реНрдордЪрд╛рд░реА рд╣реИрдВ? No Contact Details Mobile Number/рдореЛрдмрд╛рдЗрд▓ рдирдВрдмрд░ 7978661282 Email ID/рдИрдореЗрд▓ рдЖрдИрдбреА ankitadash87100@gmail.com Correspondence Address Details/рд╡рд░реНрддрдорд╛рди рдкрддрд╛ рд╡рд┐рд╡рд░рдг Address Line 1/рдкрддрд╛ рд▓рд╛рдЗрди 1 CO Kshirod Kumar Sarangi Address Line 2/рдкрддрд╛ рд▓рд╛рдЗрди 2 Near Kalakanhu Mandir Babaji Para Patnagarh State/рд░рд╛рдЬреНрдп
  • 3. 1/20/22, 6:59 PM IARI Form 2021 https://www.digialm.com/EForms/SBINewAfterPaymentAction.do?74856ZZ1258ZZonline 3/5 Odisha Country/рджреЗрд╢ India City/рд╢рд╣рд░ Balangir Pin code/рдкрд┐рди рдХреЛрдб 767025 Permanent Address Details/рд╕реНрдерд╛рдпреА рдкрддрд╛ рд╡рд┐рд╡рд░рдг Is permanent address same as Correspondence address?/рдХреНрдпрд╛ рд╕реНрдерд╛рдпреА рдкрддрд╛ рд╡рд░реНрддрдорд╛рди рдкрддреЗ рдХреЗ рд╕рдорд╛рди рд╣реИ? Yes Address Line 1/рдкрддрд╛ рд▓рд╛рдЗрди 1 CO Kshirod Kumar Sarangi Address Line 2/рдкрддрд╛ рд▓рд╛рдЗрди 2 Near Kalakanhu Mandir Babaji Para Patnagarh State/рд░рд╛рдЬреНрдп Odisha Country/рджреЗрд╢ India City/рд╢рд╣рд░ Balangir Pin code/рдкрд┐рди рдХреЛрдб 767025 Matriculation (10th) Details/рдореИрдЯреНрд░рд┐рдХ (10рд╡реАрдВ) рд╡рд┐рд╡рд░рдг Name of the Board/Council/рдмреЛрд░реНрдб/рдкрд░рд┐рд╖рдж рдХрд╛ рдирд╛рдо Board Of Secondary Education Odisha Institute Name/рд╕рдВрд╕реНрдерд╛рди рдХрд╛ рдирд╛рдо Saraswati Sishu Vidya Mandir Kantabanji Year Of Passing/рдЙрддреНрддреАрд░реНрдг рд╣реЛрдиреЗ рдХрд╛ рд╡рд░реНрд╖ 2014 Marks Percentage/рдЕрдВрдХ рдкреНрд░рддрд┐рд╢рдд 85
  • 4. 1/20/22, 6:59 PM IARI Form 2021 https://www.digialm.com/EForms/SBINewAfterPaymentAction.do?74856ZZ1258ZZonline 4/5 Intermediate (12th) Details Name of the Board/Council/рдмреЛрд░реНрдб/рдкрд░рд┐рд╖рдж рдХрд╛ рдирд╛рдо Council Of Higher Secondary Education Institute Name/рд╕рдВрд╕реНрдерд╛рди рдХрд╛ рдирд╛рдо Yuvodaya Junior College Balangir Year Of Passing/рдЙрддреНрддреАрд░реНрдг рд╣реЛрдиреЗ рдХрд╛ рд╡рд░реНрд╖ 2016 Marks Percentage/рдЕрдВрдХ рдкреНрд░рддрд┐рд╢рдд 70.83 Educational qualifications/рд╢реИрдХреНрд╖рд┐рдХ рдпреЛрдЧреНрдпрддрд╛ Degree Name/рдбрд┐рдЧреНрд░реА рдХрд╛ рдирд╛рдо Bachelor in Science Specialization/рд╡рд┐рд╢реЗрд╖рдЬреНрдЮрддрд╛ Chemistry hons Institute Name/рд╕рдВрд╕реНрдерд╛рди рдХрд╛ рдирд╛рдо Saraswati Pluss Three Science College Bhawanipatna Year Of Passing/рдЙрддреНрддреАрд░реНрдг рд╣реЛрдиреЗ рдХрд╛ рд╡рд░реНрд╖ 2019 Percentage of Marks/рдЕрдВрдХреЛрдВ рдХрд╛ рдкреНрд░рддрд┐рд╢рдд 75.4 Additional Educational qualification 1/рд╢реИрдХреНрд╖рд┐рдХ рдпреЛрдЧреНрдпрддрд╛ 1 Degree Name/рдбрд┐рдЧреНрд░реА рдХрд╛ рдирд╛рдо PGDCA Specialization/рд╡рд┐рд╢реЗрд╖рдЬреНрдЮрддрд╛ COMPUTER KNOWLEDGE Institute Name/рд╕рдВрд╕реНрдерд╛рди рдХрд╛ рдирд╛рдо ITCT LEARNING SYSTEMS PVT LTD Year Of Passing/рдЙрддреНрддреАрд░реНрдг рд╣реЛрдиреЗ рдХрд╛ рд╡рд░реНрд╖ 2020 Percentage of Marks/рдЕрдВрдХреЛрдВ рдХрд╛ рдкреНрд░рддрд┐рд╢рдд 80.14 Payment Details Amount to be Paid 300 Payment Mode online
  • 5. 1/20/22, 6:59 PM IARI Form 2021 https://www.digialm.com/EForms/SBINewAfterPaymentAction.do?74856ZZ1258ZZonline 5/5 Version 14.03.01 Payment Status Successful Payment Transaction No. CPABIVOZJ4 Document Upload and Payment Photo Signature Declaration I hereby, solemnly declare that information provided by me in the form is true to the best of my knowledge and belief. I understand that my candidature is subject to the conditions laid down in the advertisement brochure. I further declare that I am not involved in any criminal case and/or no such case is pending against me in any court of law./рдореИрдВ рдЗрд╕рдХреЗ рджреНрд╡рд╛рд░рд╛, рд╕рддреНрдпрдирд┐рд╖реНрдард╛ рд╕реЗ рдШреЛрд╖рдгрд╛ рдХрд░рддрд╛ рд╣реВрдВ рдХрд┐ рдореЗрд░реЗ рджреНрд╡рд╛рд░рд╛ рд░реВрдк рдореЗрдВ рдкреНрд░рджрд╛рди рдХреА рдЧрдИ рдЬрд╛рдирдХрд╛рд░реА рдореЗрд░реЗ рдЬреНрдЮрд╛рди рдФрд░ рд╡рд┐рд╢реНрд╡рд╛рд╕ рдХрд╛ рд╕рдмрд╕реЗ рдЕрдЪреНрдЫрд╛ рд╕рдЪ рд╣реИред рдореИрдВ рд╕рдордЭрддрд╛ рд╣реВрдВ рдХрд┐ рдореЗрд░реА рдЙрдореНрдореАрджрд╡рд╛рд░реА рд╡рд┐рдЬреНрдЮрд╛рдкрди рдмреНрд░реЛрд╢рд░ рдореЗрдВ рдирд┐рд░реНрдзрд╛рд░рд┐рдд рд╢рд░реНрддреЛрдВ рдХреЗ рдЕрдзреАрди рд╣реИред рдореИрдВ рдЖрдЧреЗ рдШреЛрд╖рдгрд╛ рдХрд░рддрд╛ рд╣реВрдВ рдХрд┐ рдореИрдВ рдХрд┐рд╕реА рдЖрдкрд░рд╛рдзрд┐рдХ рдорд╛рдорд▓реЗ рдореЗрдВ рд╢рд╛рдорд┐рд▓ рдирд╣реАрдВ рд╣реВрдВ рдФрд░/рдпрд╛ рдореЗрд░реЗ рдЦрд┐рд▓рд╛рдл рдХрд┐рд╕реА рднреА рдиреНрдпрд╛рдпрд╛рд▓рдп рдореЗрдВ рдРрд╕рд╛ рдХреЛрдИ рдорд╛рдорд▓рд╛ рд▓рдВрдмрд┐рдд рдирд╣реАрдВ рд╣реИ ред