| Sl. No. | Name of the Artist | Name of the Father/ Husband | Name of the Art Form | BKSS Reg. No./ date | Date of Birth copy enclosed | Gender | Present Address | Permanent Address | Education Qualifications (matric of Above copy enclosed) | Name of the Art Institution alongwith address | Whether the Institution Registered under Socity Reg. Act. 1860 Yes/ No (Certificate enclosed) | Head of the Institution/ Name of the Guru along with address & Mobile No. | Role of self In the Art form | Monthly Income | Whether received any Scholarship/ National Scholarship/ Research Philoship (details of copy encloed) | Whether Awarded District/ State/ National (Govt./ Non-Govt.) | Traininig in which institution | During of the Training | Received an assistance scholarship (Before/Now) | Present Proffession | Accrediation (If any) AIR/ DD (if yes, Certificate enclosed) | Aaddhar no. of the applicant | Voter list no. of the applicant |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | Ramesh Chandra Prusty | Gokhei Prusty | Palakara | 01/01/1939 | Male | Vill-Amrutamanohi, Po-Nikirai, Via-Indupur, PIN-754211 | Vill-Amrutamanohi, Po-Nikirai, Via-Indupur, PIN-754211 | 10th | |||||||||||||||
| 2 | Nirupama Pratap | Sridhar Nayak | Pala | 27/06/1971 | Female | Vill-Patia, Surya Bihar, Po-KITT-Fashionist Store, Khorda | Vill-Kakatapur, Po-Badihi, Via-Badapada, 754245 | Sri Sai Pala Parishad | Basudev Pani, Vill-Itakandia, Po-Balia | Palia | Yes | Sukarpada | Pala | ||||||||||
| 3 | Madan Mohan Mohanty | Brajananda Mohanty | Palakara | 27/03/1945 | Male | Vill-Badapada, Po-Badapada, Via-Patamundai, 754245 | Vill-Badapada, Po-Badapada, Via-Patamundai, 754245 | 9th | Palia | Yes | Yes | ||||||||||||
| Sl. No. | Name of the Artist | Name of the Father/ Husband | Name of the Art Form | BKSS Reg. No./ date | Date of Birth copy enclosed | Gender | Present Address | Permanent Address | Education Qualifications (matric of Above copy enclosed) | Name of the Art Institution alongwith address | Whether the Institution Registered under Socity Reg. Act. 1860 Yes/ No (Certificate enclosed) | Head of the Institution/ Name of the Guru along with address & Mobile No. | Role of self In the Art form | Monthly Income | Whether received any Scholarship/ National Scholarship/ Research Philoship (details of copy encloed) | Whether Awarded District/ State/ National (Govt./ Non-Govt.) | Traininig in which institution | During of the Training | Received an assistance scholarship (Before/Now) | Present Proffession | Accrediation (If any) AIR/ DD (if yes, Certificate enclosed) | Aaddhar no. of the applicant | Voter list no. of the applicant |
