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Application Form

KENDRIYA VIDYALAYA, UMROI CANTT.

P. O. Barapani, Distt. Ri-Bhoi (Meghalaya)

 

Bio-Data Form

Application for the Post of ____________________________

 

  1. Name of the Applicant. ___________________________________________

(In Block letters)

  1. Father’s / Husband’s Name: _______________________________________
  2. Date of Birth : __________________________________________________
  3. a) Permanent Address (For Police Verification) ______________________

______________________________________________________________

______________________________________________________________

PIN: ________________ Phone No._________________________

b) Correspondence Address ……………………………………………………………

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

…………………………….PIN…………………….Phone No. ………………..…………..

  1. Academic/Technical/ Professional Qualifications

Sr. No

Examination Passed

Board/ Univ.

Year of Passing

Subject Opted.

Marks Obtained

Percentage

1

 

 

 

 

 

 

2

 

 

 

 

 

 

3

 

 

 

 

 

 

4

 

 

 

 

 

 

5

 

 

 

 

 

 

6

 

 

 

 

 

 

  1. Experience if any :

Sr. No.

Name of the institution / Organization

Designation

Period of service

Pay Scale

From Date

To Date

1

 

 

 

 

 

2

 

 

 

 

 

3

 

 

 

 

 

4

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

  1. PAN NO :

 

 

Declaration

 

I do hereby declare that all statements made above are true, correct and complete to the best of my knowledge and belief.

 

Date:____/_____/_________

Place …………………….

Signature of Candidate

 

 

 

 

Checked & Verified                             Eligible                   Not Eligible

 

1

 

2.