BIO-DATA FORM

Name of the post applied for: ____________________________________________

Advertisement No & date:

NAME

: ___________________________________________________

_________________________________________

Date of birth :
Qualification:

____________________________________________
____________________________________________

Paste a
recent
passport size
photo.

Present address
with Phone number: ________________________________________________
_______________________________________________
Permanent address
with phone number: _______________________________________________________________
_______________________E-mail:___________________________________
Married / unmarried
: ________________________________________________________
: ________________________________________________________
Sex (male / female)
Caste: SC/ST/OBC/GEN.
: ________________________________________________________
Father /husband's name
: ________________________________________________________
Employment registration no : ___________________ Place where registered _________________
Date of expiry _____________________________________________________________________

EDUCATIONAL QUALIFICATION (Class X onwards)

SI
Name of
Board/university
No. examination
1

Main
Subjects

Year of % of
division
passing marks

Main
Subjects

Year of % of
division
passing marks

Class X

2
3

ADDITIONAL QUALIFICATION
S.
Name of
Board/university
No.
examination
1
2
3
EXPERIENCE (Certificates should be produced)

S. No. NAME OF THE NSTITUTION

POST HELD

PERIOD

Monthly
Payment

I hereby declare that the information given above are true to the best of my
knowledge and if any wrong information found you may take any action. I also
clearly understood that this post is purely temporary part time period basis and no
right to claim for permanent or regular appointment.

Date: _________________
Place: ________________

(Sign. of the candidate)

Name:_______________________