Date of Interview : Date :

PROFILE

Sri/Smt/Kum :

Post applied for :

(with branch)
Institution :

1) Name : Date of Birth & Age :

2) Father’s/ Husband’s Name : Nationality :
3) Address : Religion :
: Caste :
Sub-Caste :
Reservation Group :
Phone No. with STD code : Mobile No :
Email Id : Blood Group :
4) Educational Qualification :
Institute Board/University Year of Passing Class Obtained % of Marks
Obtained
a. SSLC or Equivalent

b. PUC / Diploma or
Equivalent
c. Bachelor’s Degree
d. Master’s Degree
e. Other Qualification

5) Experience: Organization Designation DOJ Date of relieving No. of Years

6) Reference of two important persons :

Name Designation Organization Mobile no Email

7) Salary last drawn :

I hereby declare and confirm that the above information is true and correct.
Signature
Place: Date: