BIO – DATA PERSONAL INFORMATION: Contact Ph. No: Full Name: Father/Husband's Name: His occupation: Address: Date of Birth: Age: Marital Status: Nationality: Religion: Caste: No. of dependents: < 15yrs: 15-30 Yrs: 30-50 Yrs: > 50Yrs : Hobbies: ACADEMIC ACHIEVEMENTS: Exam Institution Year Class Marks % SSC Intermediate Degree Post Graduation PROFESSIONAL / TECHNICAL ACHIEVEMENTS : Exam Institution Year Class Marks % OTHER ACHIEVEMENTS PHYSICAL HEALTH: Perfectly Alright: Yes / No Specify debility, if any : Eye sight: Normal / Need glasses Height: Weight: Post applied: State your suitability for the post applied: Salary expected : Initially : After confirmation: If selected, when can you join: PREVIOUS EXPERIENCE: Name of the firm Designation / Period Salary drawn Reason for and address Nature of work From To starting last leaving it REFERENCE: 1. 2. Anything else you may want to convey with regard to your application: I solemnly affirm and state that the information furnished in this form is true and correct to the best of my knowledge and belief. Date: Signature.
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