This document is a bio-data form for registration with the Placement Advisory Bureau ITI KESHOD. It requests personal information such as name, address, contact details, family details, education qualifications, language skills, and health information. The applicant is asked to provide details of their academic qualifications including the year passed, board, marks obtained and current status. Family information including occupation and monthly income is also collected. The applicant must declare if they have any physical difficulties or police cases. They are informed that incorrect details could result in termination of employment.

1. Placement Advisory Bureau ITI KESHOD
Bio-data Form
Registration No :………………….
1. Name..................................................................................
2. Father's Name....................................................................
3. Present address with tel. no..............................................
Fix a Recent
............................................................................................ Time Passport
size Photo
4. Permanent address with tel. no..........................................
............................................................................................
5. Nationality................................ 6. Domicile state.........................
7. Date of birth............................. 8 Age.........................................
9. Gender (M □ / F □ ) 10. Marital Status (Married □ / Unmarried □ ) If married no of kids....)
11. e mail ID.......................................12. Mobile no......................................
13. Academic qualification:-
Year of passing Institute Board Marks obtained Status
10th
12th
ITI
Others
14. Family records:-
Husband/Wife
Father Mother Brother Sister
Occupation (if married)
Monthly income
Property
(Land/House)
15. Religion.............. 16. Caste GC □ OBC □ SC □ ST □
17. Language known.........................................................................................................
18. Any physical difficulties? Yes/No ............ if yes, brief.................................................
19. Blood group............................. Height........................... Weight..............................
20 Any police /legal case against you or any of your family members? (Yes/No).........if yes, details.......
To the best of my knowledge, the information given above is correct and I would like to apply
for the requirement process. If above details are found to be incorrect, I am liable for termination from
employment any time without any notice.
Sign