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Biodata format Full name Phone / Mobile Email : : : Attach attested recent passport size Photo with signature

PROFESSIONAL DETAILS

(A) Educational Qualifications: Year of passing Qualification Specialisation School / or Subjects College / University / Institute SSC / 10th / ___ HSC / 12th / ___ Graduation Post graduation B. Ed. Any other Total marks %/ CGPA Any other relevant information

Please explain gaps, if any _________________________________________________

(B) Extra Qualification : Year of passing Qualification Specialisation University / or Subjects Institute Total marks %/ CGPA Any other relevant information

(C) Achievements if any :

Details
Sr. No. 1 2 3 4 5

(D) Work experience: Last salary drawn: Gross (including PF, HRA, etc.) - Rs. _______________ (Start from last organization you were working With) No of Organisation Designation Job Reason for years responsibilities leaving (Give Month & Year) From To

Net salary

PERSONAL DETAILS 1) Date of birth 2) Age 3) Birth place 4) Gender 5) Marital Status : : : : :

6) Blood group

7) Height 8) Weight 9) Skin colour 10) Eye Sight

: : : :

11) Identification Mark On Body : 12) Category 13) Religion 14) Nationality : : : ST / SC/ OBC/ General

15) Correspondence Address:

16) Permanent Address:

17) Hobbies / interests

18) Languages known Language

: Read Write Speak

19) Do you have Insurance Policy ?

Yes_______ No________

If yes than give details ____________________________________________________ Name of the nominee___________________________ Do you have Driving License ? Yes_____ No_____

Details of family members: Total no. of family members: Sr. No. Name of member Candidates Age Relationship with member Educational Occupation Qualification of member of member

Any other information you would like to provide:

I hereby certify that the information provided above is accurate and recent to the date indicated below.

Date: Place:

Signature Name: