NIC KOLLAM BIODATA FORM

Document Sample
NIC KOLLAM BIODATA FORM Powered By Docstoc
					                                        ANNEXURE - IV
                       ( To be filledup by each participant of the NIC)

                           GOVERNMENT OF INDIA
                        NEHRU YUVA KENDRA : KOLLAM
                 ALL INDIA NATIONAL INTEGRATION CAMP
                         FROM :           TO :




                      COMPLETE BIO-DATA
Name                                  :

Father / Husband Name                 :

Full Address with Pin Code        Village & Post Office :




                                  District :                       State :
                                  Pin Code :
                                  Tel. / Mob.:
Nationality                       :
Belongs to                        : Urban / Rural area

Whether attended NIC, if yes, When ?        :

Category                          : SC/ST/OBC/Minority/Disabled/General

Sex                               : Male / Female

Marital Status                    : Married / Unmarried

Age                               : Year         Month         Days

Educational Qualification         :

Occupation
Special Interest                 :                          Signature of Participant
Counter Signature of Team Leader
 With Name & Designation

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:139
posted:12/27/2010
language:English
pages:2