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PERSONAL INFORMATION FORM.

The document is a personal information form filled out by an individual named Sumit, detailing his personal, educational, and professional background. It includes sections on contact information, work experience, languages known, training programs attended, and emergency contacts. Additionally, it contains a declaration affirming the accuracy of the information provided and compliance with terms and conditions.

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sumitb000666
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Download as PDF, TXT or read online on Scribd
11 views

PERSONAL INFORMATION FORM.

The document is a personal information form filled out by an individual named Sumit, detailing his personal, educational, and professional background. It includes sections on contact information, work experience, languages known, training programs attended, and emergency contacts. Additionally, it contains a declaration affirming the accuracy of the information provided and compliance with terms and conditions.

Uploaded by

sumitb000666
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Post appointed______________________________________________________________________

SUMIT
Name Mr/Ms/Mrs _____ B
___________________________________________________________

Father /Spouse Name ________________________________________________________________


FNRPK2137
05.07.1995 DOJ_______________________ PAN No__________________________
Date of Birth____________
K
: C O BASAVARAJ 1395
Present Address_____________________________________________________________________
VIDYA NAGAR HEBBAL
_________________________________________________ 7624924624
Contact No. -______________________
BELGAUM DISTRICT
KARNTAKA
Permanent Address___________________________________________________________________
__________________________________________________Contact No._______________________
[email protected]
E-Mail id_______________________________________ Marital Status _____________________

Blood Group __________PF A/c If any ________________Date of Marriage______________________

Nominee Name _____________________ Date of Birth_________________ Relation______________

Educational Qualifications:

Examination Passed Branch / Stream Board/ University Year %/ Div


X Class
10+2/Intermediate
Graduation / Diploma
Post Graduation
Other

Total Years of Experience: 05 yrs


Experience Detail: (Last Company)

Salary Reason
Hr details
Name of the Period Drawn For
(Mail Id and
Sl.No Employer/ Address Post Held From To Per Leaving
Contact No)
Month

1.
Languages Known: Mark 

Sl No. Languages To Speak To Write To Read

Training Programs Attended:


Period
Sl.No Training Programs Institute Remarks
From To
1

2.

In Case of Emergency please mention one Contact details

Contact Person’s Name___________________________Relationship__________________________


Phone No._____________________________Age_________________________________________
Address___________________________________________________________________________
_________________________________________________________________________________

REFERENCES
Please furnish for reference the following details of two respectable persons

Name Address Occupation Mobile No

DECLARATION
sumit b
I _________________________________ do hereby solemnly declare that the information given in this
form is true to the best of my knowledge and belief. In case if any information is found to be incorrect at
any time, I shall be liable to be terminated from the services of the Establishment. Also I declare that I am
not suffering from any diseases which may render me unfit for the post applied for or affect the efficiency
of my work.

I further declare that I have read the terms & conditions of services and the same have been explained to
me in my Mother tongue and I have fully understood them and undertake to abide by them Also I state
that I have not been convicted by any court of law. Also no proceeding has been initiated by me or against
me and is pending in any Labour court or Tribunel etc.

Date: sankeshwar
Place: 10.12.2024
Signature

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