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MSME TOOL ROOM, INDORE

(Indo-German Tool Room, Indore)

BIO-DATA SPACE
FOR
PHOTOGRAPH
FOR OFFICE USE ONLY
Sl. No.
1. This Form to be filled only in English
2. Do attach all certificates and testimonials.

Post applied for : ____________________________________________

Advertisement No. : ____________________________________________


01. Name of the applicant : ____________________________________________

02. Father’s / Husband’s Name : ____________________________________________


03. Date of Birth(dd/mm/yy) :
____________________________________________

04. Present Address : ____________________________________________

____________________________________________
______________________ Pin Code ______________

Contact No. : ____________________________________________


E-mail ID :
____________________________________________

05. Permanent Address :


____________________________________________
____________________________________________
______________________ Pin Code ______________

06. Category : ____________________________________________


(Specify General/SC/ST/OBC)
07. Educational & Technical Qualifications :-
Sl. Examination Passed Trade/Main Subject Year of % of Marks Remarks
No. Passing /Grade
01.
02.
03.
04.
05.
08. Additional Qualification/ :
Training (if any) ____________________________________________

____________________________________________

09. Work Experience Details :-

Sl. Duration Nature of Reason for


Name of the Employer Post held Department From To
No. (dd-mm-yy) (dd-mm-yy)
work leaving

10. Extra-curricular activities : _______________________________________________________________

_____________________________________________________________________________________
_____________________________________________________________________________________

11. Marital Status : Married/Unmarried/Widow

12. Additional information, if any :


_____________________________________________________
____________________________________________________________________________________

13. Present Salary Basic Other allowances Total

14. Expected Salary : Rs. __________________

15. References: Name & Address of two Professional/Management/Administrative Persons who can give
reference about former employment.

(i) (ii)

16. DD No: ___________________ Amount: __________________

Dated: ___________________ Drawn On: __________________

Place :
Date : (Signature of Applicant)

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