BIODATA-CUM APPLICATION FORM

Post Applied: *
(A)PERSONAL INFORMATION
Name(In Block Letters): *
Father’s/ Husband’s Name:*
Date of Birth (in figures) : *
Religion: * Caste: *
Present Address: * PIN: *
Permanent Address: * PIN:*
Telephone/Mobile No:* Email-ID:*
Residence(landline with std code):*
Place of Birth :* Nationality :*
Marital Status:* No. of Children:*
Language spoken at home:
1.*    2.   3.
(B)ACADEMIC QUALIFICATIONS (X onwards)
S.No Qualification Discipline/ Subject Name of School/ Board/ Univ. Year of Passing % of Marks
1*
2*
3
4
5
6
(C) DETAILS OF WORK EXPERIENCE
S.No Name of Institution From To Position Held Subjects & Classes Taught
1*
2
3
(d) OTHER INFORMATION:Seminars and Courses Attended
S.No Seminars/ Courses Duration Date Description
1
2
3
4
I. Do You Suffer From Any Major Ailment /Medical Problem? (Yes/ No) If Yes, Give Details:*
II. Please Write About Yourself Based On Your Childhood*
III. Give Details of Two References (Other Than Relatives):
Name(i)*   Ph(i)*
Name(ii)*   Ph(ii)*
(e) INTERESTS:
Indicate the areas in which you have interests or any special achievements
I. ACADEMIC:*
II. CO - CURRICULAR:*
III. GAMES & SPORTS:*
(f) PARTICULARS OF PRESENT JOB
I. Name and full address of present organization with contact numbers :*
II. Present Designation*
III Date of Joining*
IV Present Place of Posting*
Basic Salary*
Total Salary*
VI Are You Under Service Bond? (Give Details):*
VII Exact Period, You Can Join If Selected :*
VIII Salary Expected :*
* I hereby certify that the information provided above is true to the best of my knowledge and belief. If any information is found to be false/ incorrect, it will disqualify me for employment in CAMBRIDGE PUBLIC SCHOOL, BHIWANI ROHILA, HISAR.
Date