FORMAT FOR BIO-DATA FOR THE POST (Ayush Physician)

1. Name:

--------- --------------------------

2. Fathers/ Husbands Name:

--------------------------------------

3. DOB:

-------------------------------- (Age as on 31.08.2011)

4. Sex:

--------------------------------

5. Address:

-----------------------------------------------------------------------------------------------------------------------------------------------------------------------6. Contact No (with STD code)/Mobile No.: ------------------------------7. Permanent Address:

----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------8. Registration No.:

------------------------------------

9. Category. Gen/SC/ST/OBC/Minority/Govt. Servant

-----------------------

10. Educational Qualification:

Sr.
No.

Qualification

Year of
passing

Board/University

% age
of
Marks
obtd.

No of
Attempt

Other
Information/
Remarks

11. Experiences :
Sr. No.

Post Held

Hospital/ Institution

(Signature of Candidate)