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ANNEXURE-I

BIO DATA
FOR THE POST OF SR. MANAGER IN IT DIVISION.
1.

NAME

: _____________________________

2.

DESIGNATION

: _____________________________

3.

EDU./PROFESSIONAL
QUALIFICATION

: _____________________________

4.

DATE OF
REGULAR
APPOINTMENT IN THE
PRESENT GRADE & DATE
FROM WHICH HOLDING
THE POST

: _____________________________
: _____________________________

5.

DATE OF BIRTH

: _____________________________

6.

BASIC PAY

: _____________________________

7.

PRESENT PLACE OF
POSTING

: _____________________________

8.

CONTACT NO. -Land Line :_______________________


Mobile

:_______________________

E-mail ID

:_______________________

DECLARATION
It is certified that the information furnished above is true to the best of my
knowledge and belief.
Place:
Date:
SIGNATURE OF CANDIDATE
CERTIFICATE
It is certified that the information given above has been verified from his/her
service book and found correct. It also certified that he will be relieved from parent cadre
on selection in IT Division to join in new Discipline.
SIGNATURE OF HEAD OF DEPTT.

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