Department of Higher Education
Application Format
Panchayati Raj, Government of Odisha
Home
1. Post Applied for *   A.P.D. (Scheme) A.P.D. (Training) A.P.D. (Credit)
2. District Applied for * 
3. Applicant's Name *
4. Father's Name *
5. Mother's Name *
Space for Image
6.    Present Address for Correspondence
 
a. State * b. District * c. Block / ULB *
d. House No., Street/Village,Post Office, Police Station Name * e. PIN Code 
f. Telephone No.   - 
Area Code  -  Phone No		 g. Mobile No. h. e-Mail
7.    Permanent Address for Correspondence
 
a. State * b. District * c. Block / ULB *
d. House No., Street/Village,Post Office, Police Station Name * e. PIN Code 
f. Telephone No.   - 
Area Code  -  Phone No		 g. Mobile No. h. e-Mail
8. Personal Details
 
a.
Blood Group Gender * Religion * Date of Birth * Nationality *
c. Are you Married Yes No  If yes, Spouse Name
9.   Academic Performance Information
Examination Institution/ Board/ University Degree / Diploma with Specialisation Year of Passing / % of Marks upto two decimals Mark Secured
H.S.C.
Graduation
Post Graduation
PGOthers (Please specify)
10.   Computer Skill Level
Computer Skills High Medium Low
MS-Word
MS-Excel
MS-Power Point
Web/ E-mail