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ANNEXURE-I

BIO-DATA FORMAdvt.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 thetime of Interview

1 Name of the Candidate(In capital letters)

2 Date of Birth(DD/MM/YYYY)

3 Fathers Name &Occupation

4 Permanent Address

5 Present Address (for anycorrespondence)

6 Phone No./Mobile No.

7 E-Mail ID (Mandatory)

8 Nationality

9 Religion

10 Place of Birth & State

11 Marital Status Single/Married

12 Specify which category youbelongs to (tick) GEN / OBC / SC / ST

13Are you a person withdisability(if yes, pl. specify)

Yes No Visually/Hearing/Orthopaedically

14Are you an Ex-Servicemen(if yes, pl. specify no. ofyears of service)

Yes No No. of years:

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15. Educational Qualifications (Declare all the qualifications, which you posses and pursuing) :

S.No Qualification(SSC onwards)

Subjects University/Institution

Year ofpassing

%age ofMarks

Duration ofthe course

I hereby declare that I do not posses any other qualifications and also not pursuing any othercourse. I may be terminated without notice if Management found that I have concealed any higherqualification, which I have possessed before joining the Company and also pursuing higher qualificationat the time of joining the Company.

16. Experience details (Start from Present Employer) :

S.No Full Address ofOffice/Firm or

Institution

Central/State/PSU/

Private

Desgn.of post

held

Scale of Pay &Gross Pay

Period ofservice

Reasons forleaving

From To

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16. Experience details starting from the present Company (Pl. attach additional sheet, if required) :

S.No. Nature of Duties

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17 Any of your relativeworking in BDL (tick) (ifyes, specify details)

Yes No

18 Present Pay particulars

Scale of Pay

Basic

DA

HRA

Any other(Pl. Specify)

(Enclose latest payslipcopy)

19 Have you ever attended forInterview for any post inBDL (if yes, pl. specify)

Yes No

Name of the post:

Date when attended:

DECLARATIONI 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, mycandidature / appointment may be considered terminated without any notice.

Date: Signature:

Place: Name of the Candidate: