Download as DOCX, PDF, TXT or read online from Scribd
Download as docx, pdf, or txt
You are on page 1/ 2
Indian Institute of Technology Tirupati
Renigunta Road, Tirupati - 517 506, A.P.
DATA SHEET PASTE RECENT PASSPORT SIZE PHOTOGRAPH 1. Post Applied for : __________________________
2. Personal Details :
a) Name b) Father’s Name/ Husband’s Name c) Date of Birth d) Age as on date e) Sex f) Marital Status g) Category (SC/ST/OBC/GEN) h) Nationality
3. Address for Correspondence Permanent Address
Address
Tel. No. Mobile No. E-Mail
4 (a). Academic Qualifications in descending order
SI. No. Examination Passed Name of Institution / Year of % of Marks / Specialization University Passing Grade
(P.T.O) 2 4 (b). Professional Qualifications SI. Examination Passed Name of Institution / Year of % of Specialization No. University Passing Marks / Grade
5 (a). Employment Records (Current Employment Record)
Sl. Organization Designation Pay Band, Period Job Description No. Pay in pay Band, Grade From To Pay (dd/mm/ (dd/mm/yyyy) yyyy)
5 (b). Past Experience:
SI. Organization Designation Pay Band, Period Job Description No. Pay in pay Band, From To Grade Pay (dd/mm/yyyy) (dd/mm/yyyy)
6. Total Post Qualification Experience in years:
7. Any other information relevant to the job:
Note: 1. If the sheets above are not sufficient please attach extra sheets, wherever necessary. 2. Mentioned the list of documents attached along with the form.
