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BIO DATA Affix Your

Recent

Passport

Size Colour

Photograph

Ref: - 5/28/2020/Pers./ GIS, Gandhinagar

Post Applied: Field Engineer/ Site Engineer

1. Name of Candidate (as recorded in Matriculation or equivalent certificate) 2. Father’s Name (as recorded in Matriculation or equivalent certificate) 3 Mother’s Name (as recorded in Matriculation or equivalent certificate) 4. Sex 6. Religion

Male Female

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

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

f). Age as on date (i.e.30/06/2020): Years Months Days 7. a). Domicile b). Blood Group c). Identification Marks 8. Whether belongs to:

SC ST OBC OBC (NCL) Minority PWD&M General

09. Languages Known:

Language Read Write Speak

D D M M Y Y Y Y

10. Academic/Professional Qualifications:

Sr.

No.

Name of

Examination

Year of

Passing

Univ/Board Subjects Marks

obtained

% of marks

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

PIN Phone

15. Permanent Home Address:

PIN Phone

16.

PAN No.:

17

18.

Aadhar Card No.:

18. Guardian/Emergency Contact No.:

19. Contact Mobile No.:

20. Valid E.Mail ID:

21. Passport No.: Valid up to 22. 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

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