CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM - cmvedu.in filechikiti mahavidyalaya, chikiti, ganjam alumni...

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CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM ALUMNI MEET ON 20-12-2015 REGISTRATION FORM Name of the Participant : ISWARA MOHARANA Present Address : AT/PO-MADHABANDHA VIA-CHIKTI, DIST-GANJAM, ODISHA-761010 Permanent Address : AT/PO-MADHABANDHA VIA-CHIKTI, DIST-GANJAM, ODISHA-761010 Occupation/Profession : PRESS REPORTER Year of Graduation : 1996 Contact No.(Cell No):1 9439212047 2 7381995849 E-Mail Address : [email protected] Signature of the Participant

Transcript of CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM - cmvedu.in filechikiti mahavidyalaya, chikiti, ganjam alumni...

Page 1: CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM - cmvedu.in filechikiti mahavidyalaya, chikiti, ganjam alumni meet on 20-12-2015 registration form name of the participant : kabacha kamakshi

CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM

ALUMNI MEET ON 20-12-2015

REGISTRATION FORM

Name of the Participant : ISWARA MOHARANA

Present Address : AT/PO-MADHABANDHA

VIA-CHIKTI, DIST-GANJAM, ODISHA-761010

Permanent Address : AT/PO-MADHABANDHA

VIA-CHIKTI, DIST-GANJAM, ODISHA-761010

Occupation/Profession : PRESS REPORTER

Year of Graduation : 1996

Contact No.(Cell No):1 9439212047

2 7381995849

E-Mail Address : [email protected]

Signature of the Participant

Page 2: CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM - cmvedu.in filechikiti mahavidyalaya, chikiti, ganjam alumni meet on 20-12-2015 registration form name of the participant : kabacha kamakshi

CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM

ALUMNI MEET ON 20-12-2015

REGISTRATION FORM

Name of the Participant : DIBAKAR PANDA

Present Address : AT-NUAMAISANPUR

PO-MAISANPUR, VIA-PATRAPUR

DIST-GANJAM, ODISHA-761004

Permanent Address : AT-NUAMAISANPUR

PO-MAISANPUR, VIA-PATRAPUR

DIST-GANJAM, ODISHA-761004

Occupation/Profession : LECTURE IN EDUCATION,D.S.J R MAHAVIDYALAYA,

KHARIAGUDA

Year of Graduation : 1999-2001

Contact No.(Cell No):1 9437109075

2 9861166120

E-Mail Address : [email protected]

Signature of the Participant

Page 3: CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM - cmvedu.in filechikiti mahavidyalaya, chikiti, ganjam alumni meet on 20-12-2015 registration form name of the participant : kabacha kamakshi

CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM

ALUMNI MEET ON 20-12-2015

REGISTRATION FORM

Name of the Participant : UMASHANKAR PRADHAN

Present Address : DECAN JUNIOR COLLEGE

AT/PO-HILPATTNA, BERHAMPUR (GM

Permanent Address : AT/PO-TINIGHARIA

VIA-KHARIAGUDA, PS-JARADA

DIST-GANJAM (ODISHA)

Occupation/Profession : LECTURE IN EDUCATION

Year of Graduation : 1998-2000

Contact No.(Cell No):1 +91-9178860945

2

E-Mail Address : [email protected]

Signature of the Participant

Page 4: CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM - cmvedu.in filechikiti mahavidyalaya, chikiti, ganjam alumni meet on 20-12-2015 registration form name of the participant : kabacha kamakshi

CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM

ALUMNI MEET ON 20-12-2015

REGISTRATION FORM

Name of the Participant : DURYADHAN PRADHAN

Present Address : AT/PO-KARAPADA

VIA-BAMAKOYI, DIST-GANJAM,PIN-761042

Permanent Address : AT/PO-KARAPADA

VIA-BAMAKOYI, DIST-GANJAM,PIN-761042

Occupation/Profession : LECTURE IN EDUCATION

Year of Graduation : 1998

Contact No.(Cell No):1 9937816668

2

E-Mail Address :

Signature of the Participant

Page 5: CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM - cmvedu.in filechikiti mahavidyalaya, chikiti, ganjam alumni meet on 20-12-2015 registration form name of the participant : kabacha kamakshi

CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM

ALUMNI MEET ON 20-12-2015

REGISTRATION FORM

Name of the Participant : KABACHA KAMAKSHI PRASAD BRAHMA

Present Address : HIGH SCHOOL STREET, CHIKITI GADA, GANJAM ODISHA

Permanent Address : HIGH SCHOOL STREET, CHIKITI GADA, GANJAM ODISHA

Occupation/Profession : REALISTIC

Year of Graduation : 1999

Contact No.(Cell No):1 8099836456

2

E-Mail Address : [email protected]

Signature of the Participant

Page 6: CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM - cmvedu.in filechikiti mahavidyalaya, chikiti, ganjam alumni meet on 20-12-2015 registration form name of the participant : kabacha kamakshi

CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM

ALUMNI MEET ON 20-12-2015

REGISTRATION FORM

Name of the Participant : SUDAM PRADHAN

Present Address : SHAKTI NAGAR 1ST LANE, GOSANI NUAGAM,

BERHAMPUR

Permanent Address : AT/PO-KELUA, VIA-PATRAPUR,DIST-

GANJAM, ODISHA,

Occupation/Profession : TEACHER (HINDI)

Year of Graduation : 1998

Contact No.(Cell No):1 9437670766

2

E-Mail Address : [email protected]

Signature of the Participant

Page 7: CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM - cmvedu.in filechikiti mahavidyalaya, chikiti, ganjam alumni meet on 20-12-2015 registration form name of the participant : kabacha kamakshi

CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM

ALUMNI MEET ON 20-12-2015

REGISTRATION FORM

Name of the Participant : LAXMI NARAYAN NAYAK

Present Address : AT-CHUDALINI, PO-SAMANTIAPALI, DIST-GANJAM, -761004

Permanent Address : AT/PO-BHIMPUR,VIA-PATRAPUR,DIST-

GANJAM, ODISHA,

Occupation/Profession : BUSINESS

Year of Graduation : 1998

Contact No.(Cell No):1 9439258548

2

E-Mail Address : [email protected]

Signature of the Participant

Page 8: CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM - cmvedu.in filechikiti mahavidyalaya, chikiti, ganjam alumni meet on 20-12-2015 registration form name of the participant : kabacha kamakshi

CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM

ALUMNI MEET ON 20-12-2015

REGISTRATION FORM

Name of the Participant : SANATANA PRADHAN

Present Address : AT/PO-KHARANIPADA, VIA-SURANGI,

DIST-GANJAM, ODISHA, 761037

Permanent Address : AT/PO-KHARANIPADA, VIA-

SURANGI,DIST-GANJAM,ODISHA,761037

Occupation/Profession : TEACHERSHIP, CRCC-NUAPENTHO

Year of Graduation : 1996

Contact No.(Cell No):1 9438450137

2

E-Mail Address : [email protected]

Signature of the Participant

Page 9: CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM - cmvedu.in filechikiti mahavidyalaya, chikiti, ganjam alumni meet on 20-12-2015 registration form name of the participant : kabacha kamakshi

CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM

ALUMNI MEET ON 20-12-2015

REGISTRATION FORM

Name of the Participant : SUSHILA KUMAR PANIGRAHY

Present Address : AT/PO-MUNDAPOTA, VIA-

BAMAKOI,DIST-GANJAM, ODIHA,-761042

Permanent Address : AT/PO-MUNDAPOTA, VIA-

BAMAKOI,DIST-GANJAM, ODIHA,-761042

Occupation/Profession : LECTURE IN ECONOMICS

Year of Graduation : 1996

Contact No.(Cell No):1 9437885464

2

E-Mail Address :

Signature of the Participant

Page 10: CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM - cmvedu.in filechikiti mahavidyalaya, chikiti, ganjam alumni meet on 20-12-2015 registration form name of the participant : kabacha kamakshi

CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM

ALUMNI MEET ON 20-12-2015

REGISTRATION FORM

Name of the Participant : MOHAN KUMAR SAHU

Present Address : AT/PO-CHIKITI PENTHO,BRAHMA

NAGAR, DIST-GANJAM

Permanent Address : AT/PO-CHIKITI PENTHO,BRAHMA

NAGAR, DIST-GANJAM

Occupation/Profession : LECTURE IN IRPM

Year of Graduation : 1990

Contact No.(Cell No):1 9938022455

2

E-Mail Address :

Signature of the Participant

Page 11: CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM - cmvedu.in filechikiti mahavidyalaya, chikiti, ganjam alumni meet on 20-12-2015 registration form name of the participant : kabacha kamakshi

CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM

ALUMNI MEET ON 20-12-2015

REGISTRATION FORM

Name of the Participant : NARAYANA PRADHAN

Present Address : AT/PO-BAMAKOYI, DIST-GANJAM,

ODISHA, 761042

Permanent Address : AT/PO- BAMAKOYI, DIST-GANJAM,

ODISHA, 761042

Occupation/Profession : DEMONSTRATOR IN EDUCATION

Year of Graduation : 1997

Contact No.(Cell No):1 9937348097

2 7788925656

E-Mail Address :

Signature of the Participant

Page 12: CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM - cmvedu.in filechikiti mahavidyalaya, chikiti, ganjam alumni meet on 20-12-2015 registration form name of the participant : kabacha kamakshi

CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM

ALUMNI MEET ON 20-12-2015

REGISTRATION FORM

Name of the Participant : PRAHALAD GOUDA

Present Address : CHIKITI PENTHO, PADMA NAGAR,

Permanent Address : CHIKITI PENTHO, PADMA NAGAR,

Occupation/Profession : BUSINESS

Year of Graduation : 2000

Contact No.(Cell No):1 8457975021

2 9438862249

E-Mail Address : [email protected]

Signature of the Participant

Page 13: CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM - cmvedu.in filechikiti mahavidyalaya, chikiti, ganjam alumni meet on 20-12-2015 registration form name of the participant : kabacha kamakshi

CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM

ALUMNI MEET ON 20-12-2015

REGISTRATION FORM

Name of the Participant : G NANDESU

Present Address : QTR.NO-C-23/4A, OFFICERS COLONY.PO-

MTPS, DVC, DURLAVPUR, BANKURA(W.B)-722183

Permanent Address : AT/PO-MAISANPUR, VIA-PATRAPUR,

DIST-GANJAM, (ODISHA)761004

Occupation/Profession : DY, MANAGER (HR) DVC

Year of Graduation : 2001-2004

Contact No.(Cell No):1 9531757904

2

E-Mail Address : [email protected]

Signature of the Participant

Page 14: CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM - cmvedu.in filechikiti mahavidyalaya, chikiti, ganjam alumni meet on 20-12-2015 registration form name of the participant : kabacha kamakshi

CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM

ALUMNI MEET ON 20-12-2015

REGISTRATION FORM

Name of the Participant : P JAYA PRAKASH SUBUDHI

Present Address : A/P-CHIKITI PENTHO, MAIN ROAD

Permanent Address : A/P-CHIKITI PENTHO, MAIN ROAD

Occupation/Profession : BUSINESS

Year of Graduation : 1994

Contact No.(Cell No):1 9937077838

2 9840477838

E-Mail Address : [email protected]

Signature of the Participant

Page 15: CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM - cmvedu.in filechikiti mahavidyalaya, chikiti, ganjam alumni meet on 20-12-2015 registration form name of the participant : kabacha kamakshi

CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM

ALUMNI MEET ON 20-12-2015

REGISTRATION FORM

Name of the Participant : KRUSHNA MAJHI

Present Address : AT-JHAGADA, PO-RAMACHANDRAPUR,

PS-K NUAGAM

Permanent Address : AT-JHAGADA, PO-RAMACHANDRAPUR,

PS-K NUAGAM

Occupation/Profession : BUSINESS

Year of Graduation : 2013

Contact No.(Cell No):1 7873732143

2

E-Mail Address :

Signature of the Participant

Page 16: CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM - cmvedu.in filechikiti mahavidyalaya, chikiti, ganjam alumni meet on 20-12-2015 registration form name of the participant : kabacha kamakshi

CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM

ALUMNI MEET ON 20-12-2015

REGISTRATION FORM

Name of the Participant : SANJAYA KUMAR PADHY

Present Address : AT/PO-CHIKITI GADA,PS-K NUAGAM,

DIST-GANJAM

Permanent Address : AT/PO-CHIKITI GADA,PS-K NUAGAM,

DIST-GANJAM

Occupation/Profession : BUSINESS

Year of Graduation : 1998

Contact No.(Cell No):1 9439261194

2 985338470

E-Mail Address : [email protected]

Signature of the Participant

Page 17: CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM - cmvedu.in filechikiti mahavidyalaya, chikiti, ganjam alumni meet on 20-12-2015 registration form name of the participant : kabacha kamakshi

CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM

ALUMNI MEET ON 20-12-2015

REGISTRATION FORM

Name of the Participant : L VENKET PATRO

Present Address : CHIKTI PENTHO, CHIKITI, GANJAM,-

761010

Permanent Address : CHIKTI PENTHO, CHIKITI, GANJAM,-

761010

Occupation/Profession : BED COMPLET

Year of Graduation : 2012

Contact No.(Cell No):1 9776550031

2

E-Mail Address : [email protected]

Signature of the Participant

Page 18: CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM - cmvedu.in filechikiti mahavidyalaya, chikiti, ganjam alumni meet on 20-12-2015 registration form name of the participant : kabacha kamakshi

CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM

ALUMNI MEET ON 20-12-2015

REGISTRATION FORM

Name of the Participant : MUKESH PADHY

Present Address : AT-SATYA NAGR, KARABALUA,PO-

CHIKITI PENTHO,DIST-GANJAM, PIN-761010

Permanent Address : AT-SATYA NAGR, KARABALUA,PO-

CHIKITI PENTHO,DIST-GANJAM, PIN-761010

Occupation/Profession : STUDENT

Year of Graduation : 2013

Contact No.(Cell No):1 8984494298

2

E-Mail Address : [email protected]

Signature of the Participant

Page 19: CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM - cmvedu.in filechikiti mahavidyalaya, chikiti, ganjam alumni meet on 20-12-2015 registration form name of the participant : kabacha kamakshi

CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM

ALUMNI MEET ON 20-12-2015

REGISTRATION FORM

Name of the Participant : RADHAKANTA PADHY

Present Address : AT/PO-MAISANPUR,PS-K NUAGAM,DIST-

GANJAM,PIN-761004

Permanent Address : AT/PO-MAISANPUR,PS-K NUAGAM,DIST-

GANJAM,PIN-761004

Occupation/Profession : LECTURE IN POLITICAL SCIENCE,

CHIKITI MAHAVIDYALAYA, CHIKITI,

Year of Graduation : 2013

Contact No.(Cell No):1 8093175253

2 7205227152

E-Mail Address : [email protected]

Signature of the Participant

Page 20: CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM - cmvedu.in filechikiti mahavidyalaya, chikiti, ganjam alumni meet on 20-12-2015 registration form name of the participant : kabacha kamakshi

CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM

ALUMNI MEET ON 20-12-2015

REGISTRATION FORM

Name of the Participant : ALEKHA CHANDRA SETHI

Present Address : AT/PO-KRUSHNAPUR, VIA-CHIKITI,

DIST-GANJAM,PS- K NUAGAM,

Permanent Address : AT/PO-KRUSHNAPUR, VIA-CHIKITI,

DIST-GANJAM,PS- K NUAGAM,

Occupation/Profession : LECTURE IN EDUCATION DEPT,

Year of Graduation : 2013

Contact No.(Cell No):1 9178287089

2

E-Mail Address : [email protected]

Signature of the Participant

Page 21: CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM - cmvedu.in filechikiti mahavidyalaya, chikiti, ganjam alumni meet on 20-12-2015 registration form name of the participant : kabacha kamakshi

CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM

ALUMNI MEET ON 20-12-2015

REGISTRATION FORM

Name of the Participant : DIBAKARA PANIGRAHY

Present Address : AT/PO-CHIKITI PENTHO, DIST-GANJAM,

ODISHA, PIN-761010

Permanent Address : AT/PO-CHIKITI PENTHO, DIST-GANJAM,

ODISHA, PIN-761010

Occupation/Profession : LECTURE IN CHEMISTRY,

Year of Graduation : 2008-2011

Contact No.(Cell No):1 9778729803

2

E-Mail Address : [email protected]

Signature of the Participant

Page 22: CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM - cmvedu.in filechikiti mahavidyalaya, chikiti, ganjam alumni meet on 20-12-2015 registration form name of the participant : kabacha kamakshi

CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM

ALUMNI MEET ON 20-12-2015

REGISTRATION FORM

Name of the Participant : K BHAIRAB SUBUDHI

Present Address : CHIKITI PENTHO, GANJAM(ODISHA)

Permanent Address : CHIKITI PENTHO, MAINROAD

Occupation/Profession : BUSINESS,

Year of Graduation : 1983-85

Contact No.(Cell No):1 9437956637

2

E-Mail Address :

Signature of the Participant

Page 23: CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM - cmvedu.in filechikiti mahavidyalaya, chikiti, ganjam alumni meet on 20-12-2015 registration form name of the participant : kabacha kamakshi

CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM

ALUMNI MEET ON 20-12-2015

REGISTRATION FORM

Name of the Participant : NARASINHA BEHERA

Present Address : AT-CHITRAKAR STREET,PO-CHIKITI,

GANJAM-761010

Permanent Address : AT-CHITRAKAR STREET,PO-CHIKITI,

GANJAM-761010

Occupation/Profession : PRINCIPAL (EM SCHOOL )

Year of Graduation : 1996

Contact No.(Cell No):1 9853570593

2 9437113086

E-Mail Address : [email protected]

Signature of the Participant

Page 24: CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM - cmvedu.in filechikiti mahavidyalaya, chikiti, ganjam alumni meet on 20-12-2015 registration form name of the participant : kabacha kamakshi

CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM

ALUMNI MEET ON 20-12-2015

REGISTRATION FORM

Name of the Participant : RANJAN KUMAR BRAHMA

Present Address : HIGH SCHOOL STREET, CHIKITI GADA,

DIST-GANJAM, PIN-761010, ODISHA

Permanent Address : HIGH SCHOOL STREET, CHIKITI GADA,

DIST-GANJAM, PIN-761010, ODISHA

Occupation/Profession : TEACHERSHIP, UNDER SCHOOL AND

MASS EDN DEPT, ODISHA

Year of Graduation : 1995

Contact No.(Cell No):1 9437858788

2 9776125355

E-Mail Address : [email protected]

Signature of the Participant

Page 25: CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM - cmvedu.in filechikiti mahavidyalaya, chikiti, ganjam alumni meet on 20-12-2015 registration form name of the participant : kabacha kamakshi

CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM

ALUMNI MEET ON 20-12-2015

REGISTRATION FORM

Name of the Participant : K PRADEEP KUMAR SUBUDHI

Present Address : CHIKITI GADA, GANJAM, ODISHA, 761010

Permanent Address : CHIKITI GADA, GANJAM, ODISHA, 761010

Occupation/Profession : BUSINESS

Year of Graduation : 1995

Contact No.(Cell No):1 9437260690

2 9853260330

E-Mail Address : [email protected]

Signature of the Participant

Page 26: CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM - cmvedu.in filechikiti mahavidyalaya, chikiti, ganjam alumni meet on 20-12-2015 registration form name of the participant : kabacha kamakshi

CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM

ALUMNI MEET ON 20-12-2015

REGISTRATION FORM

Name of the Participant : PINKU PRADHAN

Present Address : AT/PO-BADAGAM, KRUSHNAPUR,

GANJAM,761010

Permanent Address : AT/PO-BADAGAM, KRUSHNAPUR,

GANJAM,761010

Occupation/Profession : LECTURE IN EDUCATION

Year of Graduation : 2013

Contact No.(Cell No):1 9124088166

2

E-Mail Address :

Signature of the Participant

Page 27: CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM - cmvedu.in filechikiti mahavidyalaya, chikiti, ganjam alumni meet on 20-12-2015 registration form name of the participant : kabacha kamakshi

CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM

ALUMNI MEET ON 20-12-2015

REGISTRATION FORM

Name of the Participant : DILLIP KUMAR PADHY

Present Address : AT-KARAN STREET, BERHAMPUR, 760009

Permanent Address : AT-KARAN STREET, BERHAMPUR, 760009

Occupation/Profession : LECTURE

Year of Graduation : 1994

Contact No.(Cell No):1 9861161225

2 06802250092

E-Mail Address : [email protected]

Signature of the Participant

Page 28: CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM - cmvedu.in filechikiti mahavidyalaya, chikiti, ganjam alumni meet on 20-12-2015 registration form name of the participant : kabacha kamakshi

CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM

ALUMNI MEET ON 20-12-2015

REGISTRATION FORM

Name of the Participant : BHAGIRATHI PANIGRAHY

Present Address : GOBINDA VIHAR, 13TH LANE, NEAR

RUBY EYE HOSPITAL, BERHAMPUR,

Permanent Address : AT/PO-BADABARANGA, VIA-PATRAPUR,

GANJAM (ODISHA),

Occupation/Profession : ASTROLOGER

Year of Graduation : 1994-1997

Contact No.(Cell No):1 9861164011

2 9438852711

E-Mail Address : [email protected]

Signature of the Participant

Page 29: CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM - cmvedu.in filechikiti mahavidyalaya, chikiti, ganjam alumni meet on 20-12-2015 registration form name of the participant : kabacha kamakshi

CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM

ALUMNI MEET ON 20-12-2015

REGISTRATION FORM

Name of the Participant : PRASANT KUMAR PRADHAN

Present Address : SWARAJ VIHAR, BERHAMPUR

Permanent Address : JAKARA, VIA-BAMAKOYI,

Occupation/Profession : CONTRACTOR

Year of Graduation : 1997

Contact No.(Cell No):1 9438041910

2

E-Mail Address : [email protected]

Signature of the Participant

Page 30: CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM - cmvedu.in filechikiti mahavidyalaya, chikiti, ganjam alumni meet on 20-12-2015 registration form name of the participant : kabacha kamakshi

CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM

ALUMNI MEET ON 20-12-2015

REGISTRATION FORM

Name of the Participant : ASHOK KUMAR PANIGRAHY

Present Address : AT/PO-CHIKITI GADA, CHYAU

PATTNAIK STREET, DIST-GANJAM, ODISHA

Permanent Address : AT/PO-CHIKITI GADA, CHYAU

PATTNAIK STREET, DIST-GANJAM, ODISHA

Occupation/Profession : H.M. BINOBA HIGH SCHOOL, AT/PO-

B.L.N PUR, VIA-NUAPADA

Year of Graduation : 1993

Contact No.(Cell No):1 9090712003

2

E-Mail Address : [email protected]

Signature of the Participant

Page 31: CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM - cmvedu.in filechikiti mahavidyalaya, chikiti, ganjam alumni meet on 20-12-2015 registration form name of the participant : kabacha kamakshi

CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM

ALUMNI MEET ON 20-12-2015

REGISTRATION FORM

Name of the Participant : SANTOSH KUMAR PRADHAN

Present Address : AT-LIAKHAI, PO-KOLATHIA, PS-K

NUAGAM, CHIKITI, DIST- GANJAM(ODISHA)

Permanent Address : AT-LIAKHAI, PO-KOLATHIA, PS-K

NUAGAM, CHIKITI, DIST- GANJAM(ODISHA)

Occupation/Profession : ADVOCATE

Year of Graduation : 1999

Contact No.(Cell No):1 9776085351

2

E-Mail Address :

Signature of the Participant

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CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM

ALUMNI MEET ON 20-12-2015

REGISTRATION FORM

Name of the Participant : AKHYAYA KUMAR SAHU

Present Address : AT/PO-CHIKITI PENTHO, L.N.PUR, ROAD

Permanent Address : AT-SANIBAR PENTHO, PO-CHIKITI

PENTHO, L.N. PUR, ROAD

Occupation/Profession : TEACHERSHIP

Year of Graduation : 1999

Contact No.(Cell No):1 9439960120

2

E-Mail Address :

Signature of the Participant

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CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM

ALUMNI MEET ON 20-12-2015

REGISTRATION FORM

Name of the Participant : S SATYA NARAYANA

Present Address : AT/PO-CHITRAKAR STREET, CHIKITI

GADA, GANJAM

Permanent Address : AT/PO-CHITRAKAR STREET, CHIKITI

GADA, GANJAM

Occupation/Profession : ACHARYA, SARASWATI SISHUMANDIR,

CHIKITI PENTHO

Year of Graduation : 1995

Contact No.(Cell No):1 9853484415

2 7064511932

E-Mail Address :

Signature of the Participant

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CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM

ALUMNI MEET ON 20-12-2015

REGISTRATION FORM

Name of the Participant : INDIRA MOHAN APATA

Present Address : AT/PO-BRAHMAN CHHAI , VIA-PITALA,

DIST-GANJAM,761103

Permanent Address : AT/PO-BRAHMAN CHHAI , VIA-PITALA,

DIST-GANJAM,761103

Occupation/Profession : LECTURE IN EDUCATION, K.D. JR

SCIENCE COLLEGE, POCHILIMA, GANJAM

Year of Graduation : 1998-2000

Contact No.(Cell No):1 9776037963

2

E-Mail Address : [email protected]

Signature of the Participant

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CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM

ALUMNI MEET ON 20-12-2015

REGISTRATION FORM

Name of the Participant : SNEHASIS PATTNAYAK

Present Address : AT/PO-CHIKITI GADA,

Permanent Address : AT/PO-CHIKITI GADA,

Occupation/Profession : B.Ed STUDENT

Year of Graduation : 2012-2015

Contact No.(Cell No):1 09658156033

2 09439106400

E-Mail Address : [email protected]

Signature of the Participant

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CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM

ALUMNI MEET ON 20-12-2015

REGISTRATION FORM

Name of the Participant : NABA KISHOR PANIGRAHY

Present Address : RATHADANDA STREET,AT/PO-CHIKITI

GADA,

Permanent Address : RATHADANDA STREET,AT/PO-CHIKITI

GADA,

Occupation/Profession : MEDICINE DISTRIBUTER

Year of Graduation : 1995

Contact No.(Cell No):1 9439150779

2 9583823425

E-Mail Address :

Signature of the Participant

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CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM

ALUMNI MEET ON 20-12-2015

REGISTRATION FORM

Name of the Participant : BALARAM MAHARANA

Present Address : AT/PO-BHANJA BIHAR, BERHAMPUR,

UNIVERSITY, BERHAMPUR

Permanent Address : AT/PO-KALABADA, DIST-GANJAM, -

761010

Occupation/Profession : STUDENT

Year of Graduation : 2011-2014

Contact No.(Cell No):1 7750953505

2

E-Mail Address : [email protected]

Signature of the Participant

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CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM

ALUMNI MEET ON 20-12-2015

REGISTRATION FORM

Name of the Participant : KURAMANI SAHU

Present Address : BAHUDA HOSTEL, BERHAMPUR,

UNIVERSITY,(BHANJA BIHAR)

Permanent Address : AT-BHOLASINGI,PO-CHIKITI,PS-K

NUAGAM, GANJAM,

Occupation/Profession : STUDENT

Year of Graduation : 2014

Contact No.(Cell No):1 7873653062

2 7064821223

E-Mail Address : [email protected]

Signature of the Participant

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CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM

ALUMNI MEET ON 20-12-2015

REGISTRATION FORM

Name of the Participant : RABINDRA NATH BRAHMA

Present Address : AT-CHITRAKAR STREET,PO-CHIKITI,

(GM-761010)

Permanent Address : AT-CHITRAKAR STREET,PO-CHIKITI,

(GM-761010)

Occupation/Profession : AGENTSHIP

Year of Graduation : 93

Contact No.(Cell No):1 8763656665

2

E-Mail Address :

Signature of the Participant

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CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM

ALUMNI MEET ON 20-12-2015

REGISTRATION FORM

Name of the Participant : BISWANATH DAS

Present Address : AT-SUBASHNAGAR, PO-CHIKITI (GM-

761010)

Permanent Address : AT-SUBASHNAGAR, PO-CHIKITI (GM-

761010)

Occupation/Profession : JR. CLERK

Year of Graduation : 2006

Contact No.(Cell No):1 9439187022

2 7789911944

E-Mail Address : [email protected]

Signature of the Participant

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CHIKITI MAHAVIDYALAYA, CHIKITI, GANJAM

ALUMNI MEET ON 20-12-2015

REGISTRATION FORM

Name of the Participant : KANHU CHARAN BEHERA

Present Address : AT-CHIKITI PENTHO, PO-CHIKITI (GM-

761010)

Permanent Address : AT-CHIKITI PENTHO, PO-CHIKITI (GM-

761010)

Occupation/Profession : DATA ENTRY CLERK (CHIKITI MAHAVIDYALAYA)

Year of Graduation : 2014

Contact No.(Cell No):1 9776466806

2

E-Mail Address : [email protected]

Signature of the Participant