**

ANNEXURE-B

BIO-DATA/ CURRICULUM VITAE PROFORMA

1. Name and Address

(in Block Letters)

2. Date of Birth (in Christian era)

3. i) Date of entry into service

ii) Date of retirement under Central/

State Government Rules

4. Educational Qualifications

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)

Qualifications/ Experience required as

mentioned in the advertisement/ vacancy

circular

Qualifications/experience possessed by

the officer

Essential Essential

A) Qualification A) Qualification

B) Experience B) Experience

Desirable Desirable

A) Qualification A) Qualification

B) Experience B) Experience

5.1 Note: This column needs to be amplified to indicate Essential and Desirable Qualifications as mentioned in the RRs by the Administrative Ministry/Department/ Office at the time of issue of Circular and issue of Advertisement in Employment News. 5.2 In the case of Degree and Post Graduate Qualifications Elective/ main subjects and subsidiary subjects may be indicated by the candidate. 6. Please state clearly whether in the light

of entries made by you above, you meet

the requisite Essential Qualifications and

work experience of the post.

6.1 Note: Borrowing Departments are to provide their specific comments/ views confirming the relevant Essential Qualification/ Work experience possessed by the Candidate (as indicated in the Bio-data) with reference to the post applied. 11

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

Institution

Post held

on

regular

basis

From To Pay Band and

Grade Pay/ Pay

Scale of the post

held on regular

basis

Nature of Duties (in

detail) highlighting

experience required

for the post applied

for

*Important: Pay-band and Grade Pay granted under ACP/MACP are personal to the officer and therefore, should not be mentioned. Only Pay Band and Grade Pay/ Pay scale of the post held on regular basis to be mentioned. Details of ACP/MACP with present Pay Band and Grade Pay where such benefits have been drawn by the Candidate, may be indicated as below; Office/Institution Pay, Pay Band, and

Grade Pay

drawn under ACP /

MACP Scheme

From To

8. Nature of present employment i.e.

Adhoc or Temporary or Quasi-Permanent

or Permanent

9. In case the present employment is

held on deputation/contract basis,

please state

a) The date of

initial appointment

b) Period of appointment

on deputation/contract

c) Name of the parent

office/ organization to

which the applicant

belongs

d) Name of the

post and Pay of

the post held in

substantive

capacity in the

parent organisation

9.1 Note: In case of Officers already on deputation, the applications of such officers should be forwarded by the parent cadre/ Department along with Cadre Clearance, Vigilance Clearance and Integrity certificate. 9.2 Note: Information under Column 9(c) & (d) above must be given in all cases where a person is holding a post on deputation outside the cadre/ organization but still maintaining a lien in his parent cadre/ organisation 10. If any post held on Deputation in the past

by the applicant, date of return from the last

deputation and other details

12

11. Additional details about present

employment:

Please state whether working under

(indicate the name of your employer against the

relevant column)

a) Central Government

b) State Government

c) Autonomous Organization

d) Government Undertaking

e) Universities

f) Others

12. Please state whether you are working in

the same Department and are in the feeder

grade or feeder to feeder grade.

13. 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

14. Total emoluments per month now drawn

Basis Pay in the PB Grade Pay Total Emoluments

15. In case the applicant belongs to an Organisation which is not following the Central Government Pay-scales, the latest salary slip issued by the Organisation showing the following details may be enclosed.

Basic Pay with Scale of Pay

and rate of increment

Dearness Pay/interim relief

/other Allowances etc., (with

break-up details)

Total Emoluments

16.A Additional information, if any, relevant to the post you applied for in support of your suitability for the post. (This among other things may provide information with regard to (i) additional academic qualifications (ii) professional training and

(iii) work experience over and above prescribed in the Vacancy Circular/ Advertisement)

(Note: Enclose a separate sheet, if the space is insufficient) 16.6 Achievements: The candidates are requested to indicate information with regard to;

i) Research publications and reports and special projects ii) Awards/ Scholarships/ Official Appreciation

iii) Affiliation with the professional bodies/ institutions/ societies and;

iv) Patents registered in own name or achieved for the organization v) Any research/ innovative measure involving official recognition vi) any other information

(Note: Enclose a separate sheet if the space is insufficient) 13

17. Please state whether you are applying for deputation (ISTC)/ Absorption/ Re-employment Basis.# (Officers under Central/ State Govt. are only eligible for "Absorption". Candidates of non-Government Organizations are eligible only for Short Term Contract)

# (The option of 'STC' / 'Absorption'/ ‘Re-employment' are available only if the vacancy circular specially mentioned recruitment by "STC" or "Absorption" or "Re-employment"). 18. Whether belongs to SC/ST

I have carefully gone through the vacancy circular/ advertisement and I am well aware that the information furnished in the Curriculum Vitae duly supported by the documents in respect of Essential Qualification/ Work Experience submitted by me will also be assessed by the Selection Committee at the time of selection for the post. The information/ details provided by me are correct and true to the best of my knowledge and no material fact having a bearing on my selection has been suppressed/ withheld.

(Signature of the candidate)

Address

Date:

14

Certification by the Employer/ Cadre Controlling Authority The information/ details provided in the above application by the applicant are true and correct as per the facts available on records. He/She possesses educational qualifications and experience mentioned in the vacancy Circular. If selected, he/she will be relieved immediately.

2. Also certified that;

i) There is no vigilance or disciplinary case pending/ contemplated against Shri/Smt. .

ii) His/ Her integrity is certified.

iii) His/ Her CR Dossier in original is enclosed/photocopies of the ACRs for the last 5 years duly attested by an officer of the rank of Under Secretary of the Govt. of India or above are enclosed.

iv) No major/ minor penalty has been imposed on him/her during the last 10 years Or A list of major/ minor penalties imposed on him/ her during the last 10 years is enclosed (as the case may be).

Countersigned

(Employer/ Cadre Controlling Authority with Seal)

(not below the rank of Under Secretary in Govt. of India)

Contact this candidate