Odisha Education Academy

Contact No: +91 9090 570 560

(Online Admission Form)

OS-CIT A Plus

Course Fee: ₹19,000.00

1. Personal Details (As per Educational Certificate)

First Name *

Middle Name

Last Name / Surname *

Date of Birth *

Marital Status *

Single Married

2. Contact Details

Mobile No. (Own) *

Mobile No. (Other)

Gender *

Male Female Transgender

Aadhaar Number

E-Mail

3. Address for Correspondence

House No. / Building No. *

Street / Colony *

City / Village / Suburb *

Tehsil / Block *

District *

PIN Code *

4. Educational Qualification

Educational Qualification *

1st - 4th Std. 5th Std. 6th Std. 7th Std. 8th Std. 9th Std. 10th Std. 11th Std. 12th Std. Diploma FY to TY Graduate Post Graduate Other

ABC ID

5. Current Profile of Applicant

Current Profile of Applicant *
You may select multiple options.

School Student Collegian Teacher Employee Self-Employed Housewife Unemployed Retired Farmer Govt. / Semi Govt. Employee Industrial Worker Building Construction Worker Applicant of Competitive Exams Senior Citizen Trader Other

6. Physically Challenged

Are you Physically Challenged?

No Yes

Nature of Disability

7. Proof of Identity

Proof of Identity (Photocopy) *

School / College ID Voter ID Passport License Aadhaar Card

8. Applicant Photograph, Signature & 10th Certificate

Applicant Photograph

No Photo Selected

Optional — JPG, JPEG, PNG or WEBP, maximum 3 MB.

Applicant Signature

No Signature Selected

Optional — JPG, JPEG, PNG or WEBP, maximum 3 MB.

10th Marksheet or Certificate

No Document Selected

Required — JPG, JPEG, PNG, WEBP or PDF, maximum 3 MB.

9. Declaration by Applicant

I hereby solemnly affirm that my name, photograph and signature on this application form matches with the copy of proof of identity attached herewith by me. I undertake to carry this proof in original for final online examination. I have read and understood the information about course and instructions and I will abide by them.

I agree to the above declaration. *

Important Notice:
After submitting the application, you will receive a call on the mobile number provided by you within 10 minutes. Your Login ID and Password will be provided through the call and SMS. Any further information, instructions, or assistance related to your application will also be provided to you.