STAFF SELECTION COMMISSION ‘vtarree faa BIO-GRAPHICALDATA (sudeas grt aa Ho Bra TT TAT I) Fo be filled in by the candidate in his/her own handwriting) dian ar a fast i... Bott &. Name of Examination/Advt. No... “Cat No. 1 erat: ein et Name of the Post wre er echo Ferrer Aix Recent Passport size 2 dare: photograph Roll No 3 mRNA: Place / Date of Interview: te witcha ferro a arene aya Sar ae wee HET Note : Please sign your photograph after affixing 4 Bie Maa A a (tar He fer =I) Name (in Block Letters) (as written in application form :) 5 fin /Sox: yeu /eAt (Male / Female) 6 or fate | TI Date of Birt fas we Date Month Year 7 Beater Rafe caferentie /Facafeer Marital Status Unmarried/Married 5 fer uf apr ae Father's/Husband's Name 9 (1) atarr var PresentAddress (2) ear wen Permanent Address (1) arg saat ‘Mother Tongue Read (5ga ¥ wart) (2) ea aresit 3 ore Write (feract 3 ater) COtherLanguages Known Speak (ater #-aerH) Pare ar Toe State of Domicile1. 2 eer RECORD OF EDUCATIONAL QUALIFICATION ma] when Se [fawat] at [satan | water | fea/iaiy | anal | cutters | fevafaurar | taeiot | Class | ofa | ame | facet er fate orate Se. | (&igew a set) | Beara | gy | PWvslon | seat | Medium of | eterant fat at grea eee | uaversiy | Sor Marke | inettcton | “sayeor? 9: Name of the Ex- Passing Caear aga aft a aminatonDegree wegng with Mati) subjects | wetter at may be | Outstanding Mentoned [Achievement ‘any, mention Pies! Scholarships! Sipends ete 1 2 3 4 5 6 7 3 ® B. erie afafattiat an aifieea RECORD OF EXTRA CURRICULAR ACTIVITIES, af sqp a dar Ga ag, afte, wansil, wea, Pere Serr cer gee Fw AA Ger wa (FUT ae) Detailed information with Certiicate(s) of participation in Games, Sports, Fine Aits, Dramatics, furnished from high school onwards. Essay Writing and others may be fora afafahiat #% arr 3 at wafer aR, weer, wy, favafamers aaa sree we ‘ean fear Period of safe wa fee fava zat Bets Participation Represented School, College, Outstanding ‘Activity Pursued State University‘. achivements i any3 14. @) Uda Be we, wea aeons Sar, anise ad, deen sie Gat aryfea corded Hi aET SA vant frac wart att Participation in NCC, NSS, Social Work, Mountaineering and other group activities, Certificate to be shown ‘wrgfter vectra | wer aa af arate [aR /emdr /efaoreet ‘eres arcana -aere Name of group activity Posiod of ‘ate ane aie Participation SchoolICotege/Universt if any Outstanding achivements if any Details of work experience, if any (in backward chronological order i-e- last one first and so on) (with Certificate) are wate at anor at arr ‘eran wen aan Ba “attr fereeot (ce after) Monthy Salary Nature of Duties | Name of Organisation can) in Brief (with Address) a (0) ar seqora wr fre, aA aE (Gee ara H stella seat aH WEA ate eA were) (HTT aA)15. Sites /afer Hobbies/Interest 16, a YS aH ae a a HE EE? ‘What have you been doing since you completed your studies? BRE ea ies yer anf areal Bau ae? ‘Any other relevant information the candidate would ike to state? Date Station wa SH BATT Signature of Candidate