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A. Aadhar Number: B. PAN Number: C. Category (BC/MBC/OC/SC/ST)

This document is a bio data form to be filled out by a job applicant. It requests personal details such as name, date of birth, address, contact information, family details, academic qualifications from secondary school through university, language proficiency, achievements, employment experience, references, and a declaration signed and dated by the applicant. The form is to be filled out in the applicant's own handwriting and includes spaces for a recent passport photo and signature.

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Ganesan
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154 views2 pages

A. Aadhar Number: B. PAN Number: C. Category (BC/MBC/OC/SC/ST)

This document is a bio data form to be filled out by a job applicant. It requests personal details such as name, date of birth, address, contact information, family details, academic qualifications from secondary school through university, language proficiency, achievements, employment experience, references, and a declaration signed and dated by the applicant. The form is to be filled out in the applicant's own handwriting and includes spaces for a recent passport photo and signature.

Uploaded by

Ganesan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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BIO DATA FORM

(To be filled in by the candidate in his / her own handwriting)


Affix your
POST APPLIED FOR:________________________________________________ recent passport
sized color
photo and sign
1. NAME:Mr./ Mrs./Ms.__________ ___________ ___________ it across
(IN CAPITAL LETTERS) First Name Middle Name Last Name

2. DATE OF BIRTH : _ _ /_ _ / _ _ _ _ AGE: _ _ _ _ (as on 31.08.2019)

DD MM YYYY

3. ADDRESS FOR COMMUNICATION:

(With PIN CODE in CAPITAL LETTERS)

a. Aadhar Number :

b. PAN Number :

c. Category (BC/MBC/OC/SC/ST) :

4. Telephone No. (With STD Code) :

a) Mobile No :

b) E-mail Id :

5. FAMILY DETAILS

Name Date of Birth Education Occupation

Father

Mother

Spouse

Children

6. ACADEMIC DETAILS* (starting from Secondary Exam (10th)

No. Examination Passed Year of Board / University / Marks Stream


Passing Institution
(%) (Science, Commerce, etc)

* Till graduation 10+2+3 format is mandatory. Graduation shall be from a UGC recognized University through regular classroom
course.

7. LANGUAGE PROFICIENCY
No. Language READ WRITE SPEAK

1
3

8. OTHER ACHIEVEMENTS (details of competitions won to be given, if any):


No Award /Certificate/ Proficiency in Proficiency in literary
Scholarship Won Games / Sports work/ art/ culture

1 SCHOOL

2 COLLEGE

3 UNIVERSITY

4 PROFESSIONAL
COURSE

9. EMPLOYMENT EXPERIENCE

No. Organization Position From To Gross Monthly Place Reason for


Pay* Leaving

(In Rs.)

*Please attach copy of last drawn pay slip

10. Are you employed in any of the Repco group of organisation? YES / NO

a. If yes, whether NOC enclosed? YES / NO

11. Time needed to join (Days), if selected:

12. Preferred work location:

13. Whether Repatriate? YES / NO :

14. References with designation /mobile no. / phone no. / Official e-mail id. (Minimum two contact number)

a) b)

15. Whether you are known/related to anybody working in any Repco group of organisation (if
yes, give details):

16. Any other information:

Declaration: I hereby declare that the above information is correct to the best of my knowledge
& belief. In case any of the above information is found incorrect at a later date, I’ll abide by the
Company decision/disciplinary action taken in that regard.

NAME SIGNATURE DATE


2

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