BIO-DATA FORM

1. Name

2. Category

3. Father’s Name

Mother’s Name

Husband’s Name

4. Date of Birth (Age Years)

5. Place of Birth Distt. State

6. Next of kin (Nominee) Relationship

7. Permanent Address :

PIN Code

Police Station Tehsil Distt. State

8. Address for correspondence:

_ PIN Code
Sr. Class Board/ Year of Marks M.O/M.M % age
No. Passed University Passing

1 Matric

2 10+2
Graduation
3
Post Graduation
4
Other
5

Telephone No. Mobile No.

Academic Qualifications :
9. Professional Qualification :

Sr. Degree/ Board/ Year of Marks M.O/M.M % age

No. Diploma University Passing

10. Experience:

Sr. Post Duration Name and Nature of Salary Reasons For

No. From ----to---- Address of work Drawn leaving
the
employer

12 Existing Salary :

13 Sports/Games you can play & coach :

14 Hobbies and interests :

The above details are true and correct to the best of my knowledge and belief.

Place

Date Signature of candidate