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POST APPLIED FOR: JUNIOR TYPIS .1. Name of the CandidateFathers nameNUR ALLI2. Sex ( Male/Female)MALE3. Marital Status (Married/ Unmarried: UNMARRIED4. Permanent AddressAt- ward no-09 , near Masjid, po- Patnagarh, Dist- Bolangir Pin-7670255. Present AddressAt- ward no-09 , near Masjid, po- Patnagarh, Dist- Bolangir Pin-767025 6. Date of Birth ( Age as on 15.06.2014) : Date of Birth: , Age as on 15.06.2014:___________7.

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