1. NAME – BINITA DEEPAK GARNAIK

  2. DATE OF BIRTH – 15/05/1987

  3. FATHER’S NAME – BHUBAN MOHAN GARNAIK

  4. EDUCATIONAL QUALIFICATION – PGDBM

  5. RESIDENTIAL ADDRESS WITH PHONE NO.- OCC, NAGAR, BARINIPUT, KORAPUT, ORISSA-09582365511

  6. COPY OF PAN AND VOTER ID / PASSPORT – DRIVING LICENCE

  7. OCCUPATION – BUSINESS 

  8. OCCUPATION DETAILS COMPLETE ADDRESS – 

    OCC, NAGAR, BARINIPUT, KORAPUT, ORISSA-09582365511

  9. INCOME ANNUAL – Rs. 150000

  10. AFFILIATION TO ANY OTHER SOCIETY/TRUST/CHARITABLE COMPANY- NA

  11. SPOUSE NAME- NA

  12. SPOUSE OCCUPATION DETAILS – NA