Guru Kelu Charan Mohapatra Odissi Research Centre
Application Form for Admission
Personal Information
Candidate Name
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Father's Name
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Mother's Name
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Date of birth
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Gender
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Select Gender
Male
Female
Other
Phone Number
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Email
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Photo
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(Maximum file size: 3 MB)
Present Address
Sub Division
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District
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Address
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Permanent Address
Sub Division
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District
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Address
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Educational & Professional Qualifications
Teacher's Name
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Educational Qualification
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Professional Qualification
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Duration of Education
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Guru / Institution Recommendation
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Details of Dance Performance Requirements and Financial Assistance
List of items required for the performance of dance (items) / Total cost (in words and figures).
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Has the applicant received assistance from the Government of Odisha earlier? If yes, provide details (amount in words and figures).
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Signature
*
(Maximum file size: 3 MB)
Submit Application
