Data Information

WAPCOS LTD.

BIO DATA Affix Your

Recent

Passport

Size Colour

Photograph

Ref:- N0. 5/2(T/NT)/2018/Data Bank/Pers.

Application for maintaining data bank for the post of 1. Name of Candidate (as recorded in Matriculation or equivalent certificate) 3. Father’s Name (as recorded in Matriculation or equivalent certificate) 4. Mother’s Name (as recorded in Matriculation or equivalent certificate) 5. Sex 6. Religion

Male Female

6. Marital Status (If married name of spouse) (Spouse Name & Nationality) Married Unmarried

7. a). Date of Birth: b). Birth Place/District: c). Birth State/UT: d). Nationality: e). Mother Tongue:

f). Age as on date (i.e. / / ):Years Months Days 8. a). Domicile b). Blood Group c). Identification Marks 9. Whether belongs to :

SC ST OBC OBC (NCL) Minority PWD General

10. Languages Known:

Language Read Write Speak

D D M M Y Y Y Y

11. Academic/Professional Qualifications:

Sr.

No.

Name of

Examination

Year of

Passing

Univ/Board Subjects Marks

obtained

% of

marks

12. Highest qualification in Hindi: 13. Training received if any 14. Experience (Please give details thereof, use separate sheet if required) 15. Correspondence Address:

PIN Phone

16. Permanent Home Address :

PIN Phone

17.

PAN No.:

18

Aadhar Card No.:

19. Guardian/Emergency Contact No.:

20. Contact Mobile No.:

21. Valid E.Mail ID:

22. Passport No.:

23. Any other information:

Information must be filled against each column clearly. In case incomplete application, the same will not be considered.

I solemnly declare that the above information is true/correct and I understand that in the event of the information found to be incorrect after my appointment, I shall be liable to be dismissed from service. Date Signature

Organization Period Designation &

Description of Duties

Scale of Pay/ Gross

Salary

From To

Contact this candidate