STAFF SELECTION COMMISSION · STAFF SELECTION COMMISSION BIOGRAPHICAL DATA (To be filled in by the...
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STAFF SELECTION COMMISSION BIOGRAPHICAL DATA (To be filled in by the candidate in his / her own handwriting) Recent Passport Size Photograph 1. Name of the Post : 2. Roll No. : 3. Place / Date of Interview : 4. Name (In Block Letters) (as written in Application Form) : 5. Sex : (Male / Female) 6. Date of Birth Date Month Year 7. Marital Status : Unmarried / Married 8. Father’s / Husband’s Name : 9. Present Address : Permanent Address : 10. Mother Tongue : Other Languages Known : 11. State of Domicile / Permanent Residence : Read Write Speak Note : Please Sign on your Photograph after affixing Name of Examination...................................................................................................................
Transcript of STAFF SELECTION COMMISSION · STAFF SELECTION COMMISSION BIOGRAPHICAL DATA (To be filled in by the...
STAFF SELECTION COMMISSION
BIOGRAPHICAL DATA
(To be filled in by the candidate in his / her own handwriting)
Recent PassportSize Photograph
1.
Name of the Post :
2.
Roll No. :
3.
Place / Date of Interview :
4.
Name (In Block Letters) (as written in Application Form) :
5. Sex : (Male / Female)
6.
Date of Birth
Date Month Year
7.
Marital Status : Unmarried / Married
8.
Father’s / Husband’s Name :
9.
Present Address :
Permanent Address :
10.
Mother Tongue :
Other Languages Known :
11.
State of Domicile / Permanent Residence :
Read
Write
Speak
Note : Please Sign on yourPhotograph after affixing
Name of Examination...................................................................................................................
RECORD OF EDUCATIONAL QUALIFICATION12.
Sl.No.
Name of the Examination
Degree (beginningwith Matric.)
Year ofPassing
Class / Division
% ofMarks
Medium ofInstruction Subjects /
Honours orSpl. Subjects
may bementioned
OutstandingAchievements if any
Mention Prizes /Scholarships /Stipends etc.
1 2 3 4 5 6 7 8 9
RECORD OF EXTRA-CURRICULAR ACTIVITIES
13.
Detailed information [with Certificate (s)] of participation in Games, Sports, Fine Arts, Dramatics, Essay - Writing and others may be furnished from high school onwards.
Activity pursued
Period of Participation Represented School, College
State, University, etc.Outstanding achievements,
if any
- 2 -
Board /University
14.
- 3 -
Participation in NCC, NSS, Social Work, Mountaineering and other group activities (Certificates to be shown)
Name of Group activity Period ofParticipation School / College
University Level
OutstandingAchievements, if any
15.Details of Work experience, if any (in reverse chronological order i.e. last one first and so on) (with Certificates)
Designation Nature of Duties(in brief)
Name of Organisation(with address)
Period Monthly Salary drawn
- 4 -
16.
Hobbies / Interests :
17.What have you been doing since you completed your studies?
18.
Any other relevant information the candidate would like to state?
Date :
Station :
Signature of Candidate
