AFFIX
PASSPORT
SIZE PHOTO
BETKUCHI, N.H NO. 37, GUWAHATI
Website: www. rgs.edu.in
PERSONALDATA FORM
1. Postappliedfor :………………………………………………………………………………
2. Presentsalary :…………………………………….
3. Expectedsalary :……………………………………..
4. Time required to join :……………………………………….
5. Name (Mr./Miss/Mrs.):……………………………………………………………………………….
6. Caste (Gen/SC/ST/OBC): …………………… Height: ………………..Weight: ………….
7. Date of Birth :…………………………… Place of Birth:…………………………………………….
8. Contact No :……………………………
9. Martial Status: Married Unmarried Divorced Widowed
10. Educational & Professional Qualifications starting from class Xonwards:
Sr. Exam Year of Subjects Medium of School/ Board/Univ. % Div.
No. Passing offered instruction College
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11. Permanent Address with telephoneno:
12. Present Address with telephone no:
………………………………………………………………………………………………………………………………………………..
Email id: ………………………………………………………..
13. Previous experience in chronologicalorder:
Sr.No. From Full Address of institution/ Designation Pay- scale& Nature of job
(Date) Organisation Total salary
14. a)Father’sName :
• Occupation :
• Addresswithtel.no :
15. a)Mother’sName :
• Occupation :
• Addresswithtel.no :
16. a)Sibling’sName (1) :
• Occupation :
• Addresswithtel.no :
17. a)Sibling’sName (2) :
• Occupation :
• Addresswithtelno : …………………………………………………………………………………………………...
18. Classes & Subjecttaught
inschool :
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19. Mention specific areas of school activities where you can be helpful (Be specific, don’t just say yes orno)
a) Schooladministration :
b) Co-curricularactivities :
c) Cultural activities /Hobbies :
d) Gamesandsports :
e) Adventureactivities
Q. No. 20 and 21: Answer only if married/divorced /widow:
20 a) Spouse’sname:
b) Educational
Qualification :
c) Whether spouse looking for ajob
d) Occupation:
e) Designation:
21) No. of children, Name: age: Class:
names, age and
classes studying in Name: age: Class:
22. Give names, addresses and telephone numbers of two references under whom you have served:
1. 2
Declaration: I hereby declare that the above information is true to the best of my knowledge and I shall be solely
responsible for any false/ misleading information furnished by me.
A set of educational and professional credentials has been attached.
(Signature of candidate with date)
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