BIO DATA FORMAT FOR RECRUITMENT OF EXECUTIVES AT E1 LEVEL

1. Personal Details
. !"ali#i$ation %Class X an& a'o(e)
S.No E*a+.
Passe&
Na+e o# t,e
Uni(.-Instt.-Boar& an&
.ear o# /assin0
Bran$, -S"'1e$t%s)
(Please indicate specialization if
applicable)
Per$enta0e -
Di(ision
Re+ar2s
1.
2.
3.
4.
5.
De$laration3 I hereby declare that the particulars furnished above are true & correct to best of my knowledge
and belief. I also declare that I am fulfilling the reuisite criteria of ualifications for !ecruitment of "#ecutives at
"1 $evel in %&'(. In case of information provided by me being found incorrect or false or I suppressed any
relevant information) my candidature may be cancelled at any time.
*ate+
,lace+ -.ignature of the (andidate/
SNo. Parti$"lars Details
1. &ame (As written in 10
th
class certificate )
2. 0ather1s name(As written in 10
th
class certificate )
3. *ate of birth -**23324444/
(As written in 10
th
class certificate )
4. 5ge as on *ate of Interview ( Years, Months ,
Days)
5.. (ategory as per central govt. rules
(Gen/OBC(Non creamy or Creamy layer)/C/!)
6. 'ender -3ale20emale/
7. !eligion
8. &ationality
9. 3ailing address
1:. ,ermanent 5ddress
11. ,hone no.("ermanent)
12. 3obile no
13. ";mail address
5ffi# self
5ttested
latest colour
photograph
List o# En$los"res re4"ire& %Please en$lose& &o$"+ent as /er Sl. No. in&i$ate& 'elo5)3
S.NO. DOCUMENT NAME
1. (ertificates showing date of birth
2. <ualification -*egree2(ertificate as well as marks sheets/
-(lass 1:
th
onwards/
3. (aste (ertificate such as .(2.=2%>(-&on (reamy $ayer /) if
applicable