AFFIX

PASSPORT
SIZE PHOTO

BETKUCHI, N.H NO. 37, GUWAHATI

Website: www. rgs.edu.in
PERSONAL DATA FORM

1. Post applied for : ………………………………………………………………………………

2. Present salary : …………………………………….

3. Expected salary : ……………………………………..

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. Marital Status: Married Unmarried Divorced Widowed

10. Educational & Professional Qualifications starting from class X onwards:

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

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11. Permanent Address with telephone no:

12. Present Address with telephone no :

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

Email id: ………………………………………………………..

13. Previous experience in chronological order:

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

14. a) Father’s Name :

• Occupation :

• Address with tel.no :

15. a) Mother’s Name :

• Occupation :

• Address with tel.no :

16. a) Sibling’s Name (1) :

• Occupation :

• Address with tel.no :

17. a) Sibling’s Name (2) :

• Occupation :

• Address with tel no : …………………………………………………………………………………………………...

18. Classes & Subject taught

in school :

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19. Mention specific areas of school activities where you can be helpful (Be specific, don’t just say yes or no)

a) School administration :

b) Co-curricular activities :

c) Cultural activities /Hobbies :

d) Games and sports :

e) Adventure activities

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

20 a) Spouse’s name:

b) Educational
Qualification :

c) Whether spouse looking for a job

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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