B.S.

ABDUR RAHMAN UNIVERSITY

B.S. Abdur Rahman Institute of Science & Technology (Estd. u/s 3 of the UGC Act, 1956) (Formerly B. S. Abdur Rahman Crescent Engineering College e) Seethakathi Estate, Vandalur, Chennai 600 048, Tamilnadu, India BIO-DATA
APPLICATION for the post of .. 1. NAME (In Block Letters) 2. Phone / Mobile Number 3. Email ID 4. Address : : : : Communication Address Permanent Address

Pin Code 5. Date of Birth : 7. State : 6. Age :

Pin Code

8. Religion:

9. Marital Status : 10. Academic & Technical Qualifications: Qualifica tions % of Marks & Class obtained Month & Year of Passing

Specialization

Name of the Institution

University

11. Experience: Sl. No Name of the Post Employer Pay Drawn Period of Employment
From To Number of Years Months

12. Present post, basic and total emoluments/month Present Post Basic & Scale of Pay Total Emoluments

13. Joining time required

14. Name and address of the persons to whom reference can be made about the applicant 1. 2.

15. Any other information the applicant wishes to state:

Place Date

: : Signature of the Candidate