Personal Data Form PDF
Personal Data Form PDF
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NAME
DATE OF BIRTH PLACE OF BIRTH HOME TOWN PHYSICAL
DATE MONTH YEAR AGE HEIGHT WEIGHT ANY
DISABILITY
EDUCATION
Start with last qualification and work backwards till you cover High School or equivalent.
Qualification Name of Name and address of Date of Principal Div. & Marks
University/Board School/College Subjects Rank %
Entering Passing
Did you fail in any course or spend more time than the prescribed minimum period in any of the above?
Yes No If Yes, give details.
EXTRA-CURRICULAR ACTIVITIES
(a) Present
(b) Previous
DESCRIBE THE SCOPE OF RESPONSIBILITIES UNDER EACH SUPERVISOR’S NAME & TITLE
EMPLOYER AS NUMBERED ABOVE
(a)
(b)
(c)
(d)
IF YOU HAVE WORKED IN ANY OTHER ORGANISATIONS PLEASE GIVE SIMILAR DETAILS IN A SEPATATE SHEET
REFERENCES
ARE YOU RELATED TO ANY PRESENT YES ARE YOU RELATED TO ANY OF OUR YES
DIRECTOR OF THIS COMPANY NO PRESENT OR PAST EMPLOYEES ? NO
REFERENCES
Give at least one reference each from amongst your supervisors and from responsible persons resident in yur
locality in all, 3 reference must be given.
(1)
(2)
(3)
DECLARATION
I certify that the foregoing information is correct and complete to the best of my knowledge and belief and nothing has been
concealed. I am not aware of any circumstances which might impair my fitness for employment. I am found at any time, to have
concealed any material information or given any false details against any one of the above particulars, my appointment shall be
liable to summary termination without notice.