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BIODATA FORM 1 Name 2. Father's Name Selfattested photograph 3. Parents income from all sources (annual) : Rs. 4 Date of Birth 5. Age as on date of intervie . years 6. Category as per central govt. rules (Ger/OBC/SC/ST/PC): 7. Mailing address (permanent): 8 Phone No.(Permanent) . Mobile No. 9. Educational Qualification (Graduation & above):- SL. Exam. ‘Name of the ‘Subjects ‘Yo Marks Remarks No. | Passed | University/Institute | Taken 10. Experience: Sl. [From |To Name of Post Field] CTC No. Organization Declaration: I hereby declare that the particulars furnished above are true & correct to best of my knowledge and belief. I also declare that I am a citizen of India. Date: .. Place... . (Signature of the Candidate) Encls: Required:- (i) Attested photocopies of certificate for date of birth /qualification/ Category) (Forwarded / Recommended by Head of the Deptt./ Placement officer of Institute)

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