This document contains a biodata form for a job application. It requests personal details like name, age, address, education history, work experience, languages known, and a declaration of truth. The applicant is to provide details of their SSLC/10th, PDC/12th, graduation, post-graduation and any other degrees. They must also list their work experience periods, organizations, designations and responsibilities. A verification officer will then review, certify and verify the application details before approving or rejecting the candidacy.
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1. BIODATA
Post applied for :
Name ( in Blok letter) :
Age :
Date of birth (dd-mm-yy) :
Gender : Male/Female
Religion & Caste :
Name of Guardian :
Relationship with Guardian :
Marital status :
Languages known :
Address for communication :
(With pin code)
Permanent Address :
(With pin code)
Phone / Mobile :
Email :
Educational Qualifications:
Qualification Name of the Institution Name of the
University /
Board
Total %
marks
Year of
Passing
SSLC / 10th
PDC / 12th
Graduation in
..........................................
.
Post graduation in
...................................
Paste your recent
pass port size
photo
2. Any other degree ( mention in
detailed).............................
............................
Technical
Qualification..................
Work experience:
Period
Organisation Designation Job responsibilities
From To
DECLARATION
I am hereby declared that the above mentioned details are true and correct to the best of my
knowledge.
Name & Signature with date
---------------------------------------------------------------------------------------------------------
OFFICE USE
Certified Verified : YES / NO
Qualification Adequate : YES / NO
Reason for Rejection :
Date: Signature of verification officer