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Annexure-I Bio-Data Form Advt - No.:BDL/C-P&A/PLG.&ED./2015-3: Page 1 of 4

This document is a bio-data form for an applicant applying for the post of [position title redacted]. It requests personal details such as name, date of birth, contact information, education history, work experience, and current pay. The applicant declares that the information provided is true and complete, and understands that any false information could result in termination of candidacy or appointment. The form is signed and dated by the applicant at the end.

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Venu Kinng
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179 views4 pages

Annexure-I Bio-Data Form Advt - No.:BDL/C-P&A/PLG.&ED./2015-3: Page 1 of 4

This document is a bio-data form for an applicant applying for the post of [position title redacted]. It requests personal details such as name, date of birth, contact information, education history, work experience, and current pay. The applicant declares that the information provided is true and complete, and understands that any false information could result in termination of candidacy or appointment. The form is signed and dated by the applicant at the end.

Uploaded by

Venu Kinng
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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ANNEXURE-I

BIO-DATA FORM
Advt.No.:BDL/C-P&A/PLG.&ED./2015-3
Name of the post applied for:
Online Registration No.:
In case of working in Govt/Quasi-Govt Organisations/PSU, whether applied through proper channel:
Yes

No

Not applicable

In case of Yes, Please attach a copy of the forwarding letter of the employer or NOC to be produced at the
time of Interview
1
2
3

Name of the Candidate


(In capital letters)
Date of Birth
(DD/MM/YYYY)
Fathers Name &
Occupation

Permanent Address

Present Address (for any


correspondence)

Phone No./Mobile No.

E-Mail ID (Mandatory)

Nationality

Religion

10

Place of Birth & State

11

Marital Status

12
13
14

Specify which category you


belongs to (tick)
Are you a person with
disability
(if yes, pl. specify)
Are you an Ex-Servicemen
(if yes, pl. specify no. of
years of service)

Single/Married
GEN / OBC / SC / ST
Yes
Yes

No
No

Page 1 of 4

Visually/Hearing/Orthopaedically
No. of years:

15. Educational Qualifications (Declare all the qualifications, which you posses and pursuing) :
S.No

Qualification
(SSC onwards)

Subjects

University/
Institution

Year of
passing

%age of
Marks

Duration of
the course

I hereby declare that I do not posses any other qualifications and also not pursuing any other
course. I may be terminated without notice if Management found that I have concealed any higher
qualification, which I have possessed before joining the Company and also pursuing higher qualification
at the time of joining the Company.
16. Experience details (Start from Present Employer) :
S.No

Full Address of
Office/Firm or
Institution

Central/
State/
PSU/
Private

Desgn.
of post
held

Page 2 of 4

Scale of Pay &


Gross Pay

Period of
service
From
To

Reasons for
leaving

16. Experience details starting from the present Company (Pl. attach additional sheet, if required) :
S.No.

Nature of Duties

Page 3 of 4

17
18

Any of your relative


working in BDL (tick) (if
yes, specify details)
Present Pay particulars

Yes

No

Yes

No

Scale of Pay
Basic
DA
HRA

(Enclose
copy)
19

Any other
(Pl. Specify)
latest
payslip

Have you ever attended for


Interview for any post in
BDL (if yes, pl. specify)

Name of the post:


Date when attended:

DECLARATION
I hereby declare that the information stated above by me is true, complete to the best of my
knowledge and belief. In case, the information stated above by me is found to be false or incorrect, my
candidature / appointment may be considered terminated without any notice.
Date:

Signature:

Place:

Name of the Candidate:

Page 4 of 4

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