byjd.odisha@gmail.com
0674-2391807
Admin
Home
About
About BJD
About Biju Patnaik
About Naveen Patnaik
About BYJD
News & Events
Gallery
Photos
Videos
Office Bearers
BYJD
BYJD State Committee
BYJD District Committee
BYJD Block/NAC/Municipality Committee
BCJD
BCJD District Committee
BCJD Block/NAC/Municipality Committee
Contact
Submit Your Details
Home
Submit Your Details
*
Indicates Mandatory Fields
[A] Personal Details
Attach Your Photo
*
1. Full Name
*
2. Designation
*
3. Date of Birth
*
4. Gender
*
-----Select-----
Male
Female
Transgender
5. Email
*
6. Mobile
*
7. District
*
Select Your District
Anugul
Balasore
Bargarh
Bhadrak
Boudh
Cuttack
Deoghar
Dhenkanal
Gajapati
Ganjam
Jagatsinghpur
Jajpur
Jharsuguda
Kalahandi
Kandhamal
Kendrapara
Keonjhar
Khordha
Koraput
Malkangiri
Mayurbhanj
Nabarangpur
Nayagarh
Nuapada
Puri
Rayagada
Sambalpur
Subarnapur
Sundargarh
Balangir
9. Constituency
*
7. Address
[B] Education & Profession
1. Education
*
Under Matric
10th Pass
ermediate(+2)
Graduate
Post Graduate
2. Profession
*
Farmer
Lawyer
Chartered Accountant
Medical Practitioner
Engineer
Self Employed
Other
[C] Social Media ID
1.
facebook.com/
2.
twitter.com/
3.
instagram.com/