AFFIX

PASSPORT
SIZE PHOTO

BETKUCHI, N.H NO. 37, GUWAHATI

Website: www. rgs.edu.in
PERSONALDATA FORM

1. Postappliedfor :………………………………………………………………………………
2. Presentsalary :…………………………………….

3. Expectedsalary :……………………………………..

4. Time required to join :……………………………………….

5. Name (Mr./Miss/Mrs.):……………………………………………………………………………….

6. Caste (Gen/SC/ST/OBC): …………………… Height: ………………..Weight: ………….

7. Date of Birth :…………………………… Place of Birth:…………………………………………….

8. Contact No :……………………………
9. Martial Status: Married Unmarried Divorced Widowed

10. Educational & Professional Qualifications starting from class Xonwards:

Sr. Exam Year of Subjects Medium of School/ Board/Univ. % Div.
No. Passing offered instruction College

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11. Permanent Address with telephoneno:

12. Present Address with telephone no:

………………………………………………………………………………………………………………………………………………..

Email id: ………………………………………………………..

13. Previous experience in chronologicalorder:

Sr.No. From Full Address of institution/ Designation Pay- scale& Nature of job
(Date) Organisation Total salary

14. a)Father’sName :

• Occupation :

• Addresswithtel.no :

15. a)Mother’sName :

• Occupation :

• Addresswithtel.no :

16. a)Sibling’sName (1) :

• Occupation :

• Addresswithtel.no :

17. a)Sibling’sName (2) :

• Occupation :

• Addresswithtelno : …………………………………………………………………………………………………...

18. Classes & Subjecttaught

inschool :

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19. Mention specific areas of school activities where you can be helpful (Be specific, don’t just say yes orno)

a) Schooladministration :

b) Co-curricularactivities :

c) Cultural activities /Hobbies :

d) Gamesandsports :

e) Adventureactivities

Q. No. 20 and 21: Answer only if married/divorced /widow:

20 a) Spouse’sname:

b) Educational
Qualification :

c) Whether spouse looking for ajob

d) Occupation:

e) Designation:

21) No. of children, Name: age: Class:

names, age and
classes studying in Name: age: Class:

22. Give names, addresses and telephone numbers of two references under whom you have served:

1. 2

Declaration: I hereby declare that the above information is true to the best of my knowledge and I shall be solely
responsible for any false/ misleading information furnished by me.
A set of educational and professional credentials has been attached.

(Signature of candidate with date)

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