Page 1 of 2

BIODATA

1. (A) Name of the Company : (B) Discipline

2. Post Applied for :

3. Name of Applicant : (In block letters)

4. Employee No. :

5. (As on cut-off date i.e. 31-Mar-13)

a.) Designation :

b.) Grade :

c.) Date of Entry in Grade :

6. Date of Birth - (In Figure) :

- (In Words) :

7. Date Of Appointment :

8. Present Address :

9. Mobile No. :

10. E-mail id. :

11. Religion :

12. Category : (SC/ST/GEN; copy of certificate to be enclosed for SC/ST candidates)

Affix Passport Size

Photograph

Annexure – A

(To be attested by Controlling

Officer & another Photograph

should be stapled)

Page 2 of 2

13. Educational Qualifications:

Name of Course Name of the

University

Year of

Passing Subject Taken

Percentage

of Marks

High School / Matriculation /

SSC Exam

Intermediate / HSC Exam

Graduation

Post-Graduation

Final CA / ICWA CIL Part-II Accts Exam

Any Other Qualification (1)

14. Experience (Beginning from Date of Initial Appointment):

Sl No Grade / Category From To

1 Date of Appointment

2

3

4

5

6

7

Declaration:

I, ……………………………………………………………………………………………………….. hereby declare that the

information as furnished above is correct to the best of my knowledge and belief. If any of the

information as furnished above is found to be incorrect, my candidature for the post applied is

liable to be cancelled.

Date: __________ ______________________ Signature of the candidate

An

nexu

re - B

Sl. N

o.

Na

me

Desig

na

tion

Em

plo

yee

No

.

Categ

ory

(Gen

/ SC

/

ST

)

Da

te of

Birth

Da

te of In

itial

Ap

poin

tmen

t

Gra

de a

s on

cut-o

ff da

te

(31

-Ma

r-13

)

Da

te of E

ntr

y in

the G

rad

e

(as m

entio

ned

in

colu

mn

8)

Da

te of E

ntr

y in

va

riou

s Gra

des

beg

inn

ing

from

Da

te of In

itial

Ap

po

intm

ent

(i.e. Gra

de

Histo

ry)

Da

te of o

bta

ing

the q

ua

lificatio

n

(i.e. Fin

al C

A /

Fin

al IC

WA

/

CIL

Pa

rt -II

exa

m)

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

This is to

certify that th

e abo

ve info

rmatio

n h

as been

checke

d an

d verified

from

the

Service reco

rds o

f the co

ncern

ed em

plo

yee an

d fo

un

d to

be co

rrect

PR

OF

OR

MA

FO

R S

EL

EC

TIO

N T

O B

E S

UM

ITT

ED

FO

R S

EL

EC

TIO

N F

RO

M N

ON

-EX

EC

UT

IVE

CA

DR

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XE

CU

TIV

E C

AD

RE

IN F

INA

NC

E

DIS

CIP

LIN

E (E

2 G

RA

DE

)