BIO-DATA PERFORMA

Text Box: Paste Self-attested Photograph here

 

 

  1. Name of the candidate

  2. Address in Block letters along with telephone/Mobile Nos.

  3. Date of Birth  (in Christian era)

  4. Name of the post applied for

  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). Please mention the essential and desirable qualification required and possessed by the candidate in the preceding column.)

Qualifications/
Experience required

Qualifications/
Experience possessed by the applicant

Essential 

 

1)

2)

3)

 

 

 

 

Desired 

 

1)

2)

 

 

 

 

  6.    Please state clearly whether in the light of entries made by you above, you meet the requirements of the post.

  7.   Details of Employment, in chronological Order. Enclose a separate sheet, duly authenticated by your   signature, if the space below is insufficient.

 

Office/
Instt./
Orgn.

 

Post held

Nature of appointment whether regular, ad-hoc, deputation, contract etc.

From

 

 

To

 

 

Scale of pay and basic pay

 

Nature of duties

 

 

 

 

 

 

 

 

 

 

   8.    Details of additional academic qualifications, professional training and work experience, if any.

   9.    Nature of present employment, i.e., ad hoc or temporary or permanent

  10.    In case the present employment is held on deputation/contract basis, please state-

        (a)    The date of initial appointment on deputation/contract basis

        (b)    Period of appointment on deputation/contract

        (c)    Name of the parent office/Organization to which you belong

        (d)    Name of the post & pay scale held by you on regular basis. Date from when such post held may also be indicated.

 

   11.     Additional details about present employment:

            Please state whether working under-

        (a)    Central Government

        (b)    State Government

        (c)    Central/State Autonomous Organizations

        (d)    Central/State Government Undertakings

        (e)    Central/State University

        (f)      Private Organization

    12.     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.

 

    13.    Total emoluments per month now drawn (Please attach details of gross salary/last pay slip)

 

   14.   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

 

    15.    Whether belongs to SC/ST/OBC/PH.  if yes, please state category( In case of physically handicapped, please state category of disability)

 

    16.   Notice period/No. of days likely to be availed for relief from parent Deptt. on being found fit for appointment

 

    17.   Remarks

 

Signature of the candidate                                                                                                         Date …………………

Countersigned…………..

(Employer)