Add New Request For Secretariat Pass

Fill in the form to online requesting for a secretariat pass. The fields marked ' * ' are mandatory. Once you submit the form you will be provided with a Request No and Registration No. The request and registration no. is also communicated to you through e-mail. Please contact the concerned officer over phone if you do not have any e-mail id. Applying online for the pass does not entitle you to enter the Orissa secretariat premises. You need to obtain your admission pass from the reception counter once the concerned officer of the respective department approves your request.Please show your identity proof at the time of collecting your admission pass.
Your IP Address is: 38.107.179.214
Registration No. (If already registered for One day or Seven days Pass.)	:
		First Name Middle Name Last Name
Applicant Full Name *	:
Father's Name *	:
Mobile No. *	:	e.g. xxxxxxxxxx
Identity Proof *	:
Apply Pass For *	:
Office Type *	:
Department *	:
Whom To Meet *	:

Purpose of Visit *	:
Date of Visit *	:
In Time *	:	Out Time
Applicant's Address *	:
Designation	:
Organisation Name	:
Landline No.	:	e.g. [Area code]-[Phone no.], xxxx-xxxxxxxx
Email *	:
Details Purpose of Visit	:
Attach Photo *	: