Pers-07/F-02

NORTH EASTERN ELECTRIC POWER CORPORATION LIMITED

( A Government of India Enterprise )
ISO 9001,14001 BROOKLAND COMPOUND :: LOWER NEW COLONY :: SHILLONG
OHSAS 18001
PERSONAL BIO-DATA OF CANDIDATE (FOR EXECUTIVES ONLY)

PLEASE AFFIX YOUR

1. Employment Advertisement No :
PASSPORT SIZE
PHOTOGRAPH HERE
2. Position Applied for :

3. Scale of Pay :

3. Name (BLOCK LETTERS)

SURNAME : NAME :
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a) Present Address : b) Permanent Address :

Pin Code :_________________________________

Nearest Railway Station : ______________________________
Telephone No: (Office)_____________ (Res)______________ (Mob.)_________________
email:__________________________________
4(a)
Date of Place of Birth State of Domicile with Nationality
Birth Mother Tongue

b) Age (Certificate to be attached) : .

5. Married/Unmarried
If Married, No. of Children : 1)__________________________(2)__________________________
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6. a) Father’s/Husband’s Name & Address :

b) Occupation : (State last Occupation)

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7. a) Do you belong to:-
Scheduled Caste. Scheduled Tribe. O.B.C. PwD. Ex. S.M.
    
 Tick whichever applicable.
Please attach attested copy of the Certificate in the Govt. of India prescribed form obtained from the District
Magistrate in support of your Sub-Caste Claim & for PwD category from Competent Authority.
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b) Religion :
c) Community :
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Contd…P-2
 (2)

8. Particulars of Educational and Professional Qualifications ( from High School Onwards)

Examination University/ Duration Year of Class/ % of Major subject/
Passed Institute of passing Divn. marks field of study
Course

9. Details of Research Work/ Papers/ Publication if any :

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10. Academic or Professional Award/Honours/Special Achievement :

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11. Any special Training Programmes attended :
Name of the Duration Name of the Institution Main contents of the course
Course

12. Membership of Professional Institutions & Associations :-

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13. Particulars of language which you can Read, Write or Speak. (Please Underline the language which is
your Mother Tongue)
Read Only Speak Only Read & Speak Read, Write & Exam passed/
Speak Standard proficiency
attained

14. Details of employment particulars in chronological order.(Separate Sheet may be attached if required)
Name of the Organis- Designation Period Scale Total Exact Reason
sation with complete of post of Of Emolu- Nature of of leaving
address (mention Held Employ- Pay ments duties
whether Public/Private ment. drawn
Sector

Contd…P-3
 (3)

15. Salary details of present position held as on the date of application.

Designation Grade Basic Special DA/ CCA HRA Bonus Any other Gross
of post Pay pay/ ADA cash earning
Allowance allowances P.M.

16. If presently on deputation,please indicate the present Office,Post held ,Basic Pay & Scale of pay.

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17. Minimum Gross Salary expected in the present position applied for:
18. If selected, how much time would you require to join :
19. Have you been outside India, if so please give details:
Country Date of
visited Visit Duration of visit Purpose of visit

20. Reference of two persons not related to you, who are well acquinted with your background and
Character.

Name Address Occupation .

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21. a) Have you ever been arrested ? Yes/No

b) Have you ever been prosecuted ? Yes/No

c) Have you ever been pond down ? Yes/No

d) Have you ever been kept under detention ? Yes/No

e) Have you ever been fined by a Court of Law ? Yes/No

f) Have you ever been arrested by a Court of Law of any Office ? Yes/No

g) Have you ever been debarred from any examination or restricted

by any University or any other excational Authority/Institution ? Yes/No

h) Have you ever been debarred/disqualified by the Public Service

Commission from appearing Examination/Institution ? Yes/No

i) If any case pending against you in any caourt of law at the time of
filling up this Attestation form ? Yes/No

Contd…P-4
 (4)

j) If any case pending against you in any University or any other

educational authority/institution at the time of filling up this Attestation ? Yes/No

If the answer to any of the above mentioned question is “YES” give full particulars of the case/
arrest/detention/conviction/sentence/Punishment etc. and or the nature of the case pending in the
Court/University/Educational Authority etc. at the time of filling up this form.

Note: Specific answer to each question should be given by striking our “ YES” or “NO” as the case
may be.

22. In case you have applied for any position in NEEPCO earlier, Please mention :
i) Position applied for & Date of Application :
ii) Scale of pay of the post applied for :
iii) Date of interview if called for :
_______________________________________________________________________________
23. Please attach a resume (not more than 150 words in own handwriting) as to why you consider your-
Self suitable for this post. Any other relevant details/information, not covered above, tha you wish to
furnish.

24. Additional information not covered by and which you wish to mention/bring out :

25. Extra curricular activities (Certificates in support thereof to be enclosed)

a) Drama/ Music/ Debate, etc. :
b) Games & Sports :

26. Are you related to any one in NEEPCO ?

I, do hereby certify that the particulars as furnished by me in this Bio-data from are true, correct and
complete in all respect. I agree and accept without reservation that at any time, if any of the particulars is
found to be untrue, incorrect and/or incomplete, my appointment in the Corporation may be terminated
without notice.

Date :_____________________

Place :____________________ Full Signature of the applicant

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 Bank account details

Name of the
candidate

Name of Bank
with Branch name and Address

Account No

IFSC Code