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Annual Report

Name *
Father's Name *
Date of Birth *
Sex *
Status ( Married / Single ) *
Whether SC/ST/OBC/MINORITY Please define *
Address *
Phone No.
Mobile No. *
Email *
Details of Dependents
Name
Age
Relationship
Hobbies / Extra Curricular Activities
Present Organisation
Phone Numbers
Address
Address Present Organisation
(a) Date of Appointment
(b) Appointment Grade in Present Organisation
Present Grade & Post
Total emoluments
Educational /Technical Qualification *
Name of Examination Name of Board/University Year of passing Subjects % Marks Class/Divn.
Working Experience ( in details ) and Field of Expertise  
References 1 *
Name
Contact No
Address
References 2 *
Name
Contact No
Address
Have you ever been involved in any antinational activities Yes No
Have you ever been convicted If yes, details
Any criminal case lodged against you