Annexure - I

BIO-DATA   

1 Name and address in block letters
2 Date of birth (in Christian era)
3 Date of retirement under Central/State Government Rules
4 Educational Qualifications
5 Whether educational and other qualifications required for the post are satisfied (if any qualification has been treated as equivalent to the one prescribed in the rules, state the authority for the same).
  Qualifications / Experience                                                                         Qualifications / Experience
Required                                                                                                         Possessed by the officer

Essential (i) (ii) (iii)
Desired (i) (ii)
6 Please state clearly whether in the light of entries made by you above, you meet the requirements of the post.
7 Details of employments (in chronological order) enclose enclose a separate sheet, duly authenticated by your signature if the space below is insufficient
  Office/Instt./Organization Post Held From To Scale of Pay and pay Nature of Duties
           
 
8 Nature of present employment (i.e. adhoc or temporary or quasi-permanent or permanent):
9 In case the present employment is held on deputation/contract basis.
please state:
(a) the date of initial appointment
(b) period of appointment on deputation/contract
(c) name of the parent office/organization to which you belong
10 Additional details about present employment please state whether working under:
(a) Central government                                 (d) Government undertakings
(b) State Government                                    (e) Universities
(c) Autonomous Organizations
11 Are you in revised scale of pay? If yes, give the date from which the revision took place and also indicate the pre-revised scale.
12 Total emoluments per month now drawn.
13 Additional information, if any which you would like to mention in support of your suitability for the post. Enclose a separate sheet, if the space is insufficient.
14 Whether belongs to SC/ST/OBC
15 Remarks :

 

Date: ______________________________                                            Signature of the Candidates: ______________________________

Countersigned : ________________________                                      Address : ____________________________________________
(Employer)     
                                                                                                                                    ___________________________________________