Jayaswal Neco Industries Ltd.

Siltara, Raipur

BIO-DATA FORM
1.
2.
3.
4.
5.
6.

Name
Sex
Nationality
Date of Birth
Marital Status
Mailing Address

:
: Male/Female
:
:
:
:
e-mail:
Tel:

7.

Educational Background:
Degree/
Diploma/
Certificate

8.

; Mobile:

Year

School/
College/
Institute

Board/
University/
Institute

Subject(s)

Division/
Marks

Training Exposure:
Nature of Training

Organizing Agency

Year

9.

Work Experience: (from first job onwards)

Year
(from - to)

Organization

Designation and Nature of Assignment (s)

Undertaken

10. References:
Name

Address

Telephone No.:
e-mail:

Telephone No.:
e-mail:

Telephone No.:
e-mail:
11. Any Other Information that the Applicant May Like to Add:

12.

I declare that all the particulars furnished above are true and correct to the best of my
knowledge and belief and there is no mis-statement or willful concealment of facts.
Date: _____________
Place: ________________________

Signature: _________________________
Name:
_________________________