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| Address for correspondence with pin code |
| 5 | Permanent address with pin code |
| 6 | Date of Birth |
| 7 | Age as on date of publication of advertisement (Days, Months, Years) |
| 8 | Educational qualification |
| 9 | Rank last held just before retirement |
| 10 | Organisation / Force from where retired |
| 11 | Details of last three posts held, date and duration |
| 12 | Date of retirement |
| 13 | Nationality |
| 14 | Whether able to read, write and speak Odia |
| 15 | Whether any criminal case / vigilance enquiry / case / departmental proceeding was initiated during the service career; if yes, whether it led to conviction or imposition of punishment or is still pending, with details |
| 16 | Details of rewards / punishments (other than above) earned during the service career |
| 17 | Details of post-retirement engagements, if any |
| 18 | Physical measurement (Height and Weight) |
| 19 | Mobile No. |
| 20 | Alternate Mobile No. |
| 21 | Any other information the candidate wants to submit |
| Sl. No. | Detail Required |