Bio Data Form Page 2
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1
210. EXTRA-CURRICULAR ACTIVITIES:
1
HOBBY
2 CADET MEMBERSHIP (scout NCC/NSS/Other)
3
OTHER INTERESTS, IF ANY
11. PLACES WHERE YOU HAVE STAYED IN LAST 5 YEARS:
No
Place (with State)
From
To
12. DETAILS OF JOB EXAMS / INTERVIEWS TAKEN (in last 2 years)
No.
Name of Organization
Position
Exam Date
Result
13. PAST EMPLOYMENT EXPERIENCE:
No.
Organization
Position
From
To
Gross Monthly
Place
Reason for
Pay*
Leaving
(in Rs.)
*Please attach copy of last drawn pay slip
14. Expected CTC:
15. Time needed to join, if selected
16. References with designation /mobile no./ phone no./ official e-mail id
a)
b)
17. Whether you are known/related to anybody working in any Repco Institution (if yes, give
details):
18. Source from where you came to know about this opening:
Declaration: I hereby declare that the above information is correct to the best of my knowledge &
belief. I also declare that I have not used/will use any influence or have extended/will extend any
benefit to anybody to get this position. I also authenticate that I’ve done my graduation in 10+2+3
format from an UGC recognized university through regular classroom course. I also declare that
there is no pending disciplinary action against me as on date and I have not been punished under
disciplinary proceedings in last 5 years. In case any of the above information is found incorrect at
a later date, I’ll abide by the Company decision/disciplinary action taken in that regard.
_______________
___________________________
__________
NAME
SIGNATURE
DATE
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