RASHTRIYA ISPAT NIGAM LIMITED

VISAKHAPATNAM STEEL PLANT

VISAKHAPATNAM 530031

BIO DATA FOR EXECUTIVE POSITIONS

ROLL NO. ___________________

LATEST PHOTO to be affixed

NAME POST APPLIED FOR DISCIPLINE DATE OF INTERVIEW

: : : :

PERSONNEL DEPARTMENT RECRUITMENT SECTION

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Full Name
(in block letters)

: : : (in block letters):

Mothers Name Fathers Name

Mailing Address

PIN Code: Phone Number (with STD Code) : Mobile Number : Email ID (valid for next 12 months) :

Gender

Date of Birth (dd/mm/yyyy)

Home Town

Mother Tongue

Category Gen / OBC / SC / ST Nationality By Birth / Domicile Languages known:

Speak Read Write

Whether PWD Yes / No Religion

Type of Disability VH / HH / OH Marital Status

%age

No. & Age of Children

Names and addresses of two persons other than relatives to whom we may write for reference:
1. 2.

EDUCATION (from Matriculation onwards)

Examinations Passed Name of Board / University Month / Year of Passing Division %age of marks Rank For office use only

Subjects studied in:

Graduation Post Graduation

Details of Vocational Training, Research Works, Publications etc

Dates Particulars

Work Experience Name of the Employer Post held and Nature of Job Period From To Scale of Pay, basic pay and allowances Reasons for leaving

Extra Curricular Activities:

At School Official Position, eg. Perfect, Union Officer, Captain etc Societies and Clubs Membership, Office held etc Sports achievements, Office held eg. Secretary, Captain etc

At College

Elsewhere

Joining Time required: Any other information :

I certify that all the information given above is true to the best of my knowledge and belief.

Date:

Signature: NAME:

Any attempt to get employment on the basis of false information or on forged / fake documents will entail rejection of application and even render the candidate liable for prosecution. Experience certificate checked and copy received OBC / SC / ST / PWD checked and copy received

Date of birth verified and copy received

Degree check and copy received

No objection certificate received

Photographs received

Remarks: Date of Interview : Place : Signature of Verifying Officer Name: Designation:

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