BIODATA-CUM APPLICATION FORM
Post Applied:   *
(A)PERSONAL INFORMATION
Name(In Block Letters):
Mr./Ms. *
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*
(C) DETAILS OF WORK EXPERIENCE
S.No Name of Institution From To Position Held Subjects & Classes Taught
1*
(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