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Biographical Data Sheet

The document is a biographical data sheet for applicants or employees, requiring personal information such as name, contact details, citizenship, education, employment history, and specific consultant services. It includes sections for proposed salary, duration of assignment, and language proficiency. The applicant certifies the accuracy of the information provided and acknowledges potential consequences for false statements.

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amargupta6573
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7 views1 page

Biographical Data Sheet

The document is a biographical data sheet for applicants or employees, requiring personal information such as name, contact details, citizenship, education, employment history, and specific consultant services. It includes sections for proposed salary, duration of assignment, and language proficiency. The applicant certifies the accuracy of the information provided and acknowledges potential consequences for false statements.

Uploaded by

amargupta6573
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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cBIOGRAPHICAL DATA SHEET

1.Applicant/Employee Name (Last ,fist, middle) 2. Contractor’s Name

2. Applicant/Employee (include ZIP Code) 4. Project ID No. 5. Position under project

6. proposed Salary 7.Duration of Assignment

8. Telephone Number 10.citizenship (if U.S citizen give Social Security,


(include area code) 9. place of Birth Number if non-U.S citizen ,give visa status)

11.Education 12. Language Proficiency


(include all college or university degrees) (see instruction on reverse)
Name & Location of Institution major Degree year Language Proficiency Proficiency
speaking
Reading

13. Employment History Employment period


Give last three (3) year. List salaries separate for each year. Continue on separate page if necessary. (most recent first) Salary
Position Title Employee’s Name & Address form to U.S
Point of Contact & Telephone # Dollars

14. Specific Consultant Services (give last three (3) years)


Dates of service Daily Rate
Company’s Name & Address Days at
Services (MM/DD/YY)
Point of Contact & Telephone # Rate
form To U.S Dollars

15. Applicant/Employee Certification


Applicant/Employee certifies in submitting this form that applicant has taken reasonable steps t0 ensure the accuracy of the
Information contained in this form and understands that {COMPANY NAME} will make necessary contacts to verify the
information. Applicant/Employee understands that {COMPANY NAME} may rely on the accuracy of such information in
negotiating in rates and/or Salary with the applicant. Applicant/Employee understands that the making of certifications that are
false, fictitious, or fraudulent may result in appropriate remedial action by {COMPANY NAME}, taking into consideration all of
the pertinent facts and circumstances, which may include immediate of any relationship with {COMPANY NAME}.

Signature of Applicant/ Employee DATE

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