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Annexure-I
BIO-DATA FORM
Advt.No. BDL/C-P&A/PLG.&ED/2015-7
Name of the post applied for: ____________________________
Online Registration No.__________________
In case of working in 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 the time of interview.
1 Name of the Candidate
2 Date of Birth
(DD/MM/YYYY)
3 Father’s Name & Occupation
4 Permanent Address
5 Present Address (for any
correspondence)
6 Phone No./Mobile No.
7 E-Mail ID (Mandatory)
8 Nationality
9 Religion
10 Place of Birth & State
11 Marital Status
12 Specify which category you
belongs to GEN/ OBC / SC / ST
13 Are you a person with
disability (if yes, pl. specify) Yes Visually/ Hearing/ Orthopedically No
14 Are you an Ex-Servicemen (if
yes, pl specify no. of years of
service)
Yes No No. of Years:
15. Educational Qualifications (Declare all the qualifications, which you possess and pursuing):
Sl.
No
Qualification
(SSC
Onwards)
Subjects University/
Institution
Full Time /
Corresponden
ce/ Part Time
Year of
passing
%age
of
Marks
Duration of
the course
1
2
3
4
5
6
I hereby declare that I do not posses any other qualifications and also not pursuing any
other course. I may be terminated without notice if Management found that I have concealed any
higher qualification, which I have possessed before joining the Company and also pursuing higher
qualification at the time of joining the Company.
16. Experience details (Start from the Present Employer/Company). Indicate Training period (if
any) separately:
S.
No
Name & Full
Address of
Company/
Office/Firm or
Institution
Central/
State/
PSU/
Private
Desgn.
of post
held
Scale
of Pay
&
Gross
Pay
Contract/
Trainee/
Tenure/
Permanent
Period of service
Reasons for
leavingFrom To
1
2
3
4
5
6
17. Experience details starting from the Present Employer/Company (Please attach additional
sheet, if required)
Sl.
No
Name of the
Company
Office/Firm or
Institution
Nature of Duties for each post held (Max. 100 characters for each post
held)
1
2
3
4
5
6
7
18 Present Pay particulars (`)
Scale of Pay (if applicable)
a.Basic (per annum)
b.DA (per annum), if applicable
c. HRA (per annum)
d. Variable Pay (if any)
e. Others (per annum)
(Pl. Specify)
f. CTC (per annum)
a+b+c+d+e
(Enclose latest Payslip copy)
Calculated .
Per Month Per Annum
19 Any of your relative working in
BDL (tick) (if yes, specify details) YES / NO
NAME:
Staff No.
20 Have you ever attended for
Interview for any post in BDL (if
yes, pl. specify)
YES NO
Name of the post:
Date when attended:
DECLARATION
I 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,
my candidature / appointment may be considered terminated without any notice.
Date: Signature:
Place: Name of the Candidate:

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Annexure (bio data form) - BDL

  • 1. Annexure-I BIO-DATA FORM Advt.No. BDL/C-P&A/PLG.&ED/2015-7 Name of the post applied for: ____________________________ Online Registration No.__________________ In case of working in 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 the time of interview. 1 Name of the Candidate 2 Date of Birth (DD/MM/YYYY) 3 Father’s Name & Occupation 4 Permanent Address 5 Present Address (for any correspondence) 6 Phone No./Mobile No. 7 E-Mail ID (Mandatory) 8 Nationality 9 Religion 10 Place of Birth & State 11 Marital Status 12 Specify which category you belongs to GEN/ OBC / SC / ST 13 Are you a person with disability (if yes, pl. specify) Yes Visually/ Hearing/ Orthopedically No 14 Are you an Ex-Servicemen (if yes, pl specify no. of years of service) Yes No No. of Years:
  • 2. 15. Educational Qualifications (Declare all the qualifications, which you possess and pursuing): Sl. No Qualification (SSC Onwards) Subjects University/ Institution Full Time / Corresponden ce/ Part Time Year of passing %age of Marks Duration of the course 1 2 3 4 5 6 I hereby declare that I do not posses any other qualifications and also not pursuing any other course. I may be terminated without notice if Management found that I have concealed any higher qualification, which I have possessed before joining the Company and also pursuing higher qualification at the time of joining the Company. 16. Experience details (Start from the Present Employer/Company). Indicate Training period (if any) separately: S. No Name & Full Address of Company/ Office/Firm or Institution Central/ State/ PSU/ Private Desgn. of post held Scale of Pay & Gross Pay Contract/ Trainee/ Tenure/ Permanent Period of service Reasons for leavingFrom To 1 2 3 4 5 6
  • 3. 17. Experience details starting from the Present Employer/Company (Please attach additional sheet, if required) Sl. No Name of the Company Office/Firm or Institution Nature of Duties for each post held (Max. 100 characters for each post held) 1 2 3 4 5 6 7
  • 4. 18 Present Pay particulars (`) Scale of Pay (if applicable) a.Basic (per annum) b.DA (per annum), if applicable c. HRA (per annum) d. Variable Pay (if any) e. Others (per annum) (Pl. Specify) f. CTC (per annum) a+b+c+d+e (Enclose latest Payslip copy) Calculated . Per Month Per Annum 19 Any of your relative working in BDL (tick) (if yes, specify details) YES / NO NAME: Staff No. 20 Have you ever attended for Interview for any post in BDL (if yes, pl. specify) YES NO Name of the post: Date when attended: DECLARATION I 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, my candidature / appointment may be considered terminated without any notice. Date: Signature: Place: Name of the Candidate: