GOVERNMENT OF INDIA - Information Resource & Facilitation ...

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Annexure 1 to Appendix A
(Refers Para 19 (d) of IHQ MoD(N) letter AR/0422/NAMS dt 16 Aug 11)
CV FORMAT
1. Proposed position for this project (only one candidate should be nominated for each position) :
2. Name:
3. Date of birth:
4. Nationality:
5. Personal (Residential address, Telephone no. and E-maiI ID)
6. Official (Address, Telephone no. Fax no., E-maiI ID)
7. Education (the years in which various qualifications were obtained must be stated) :
8. Other training:
9. Membership in professional societies:
10. Areas of main work experience:
11. States in India where work experience has been acquired:
12. Employment record (Starting with present position, list in reverse order every employment held
and state the start and end dates of each employment. Clearly distinguish if the consulting firm was
either (a) your "employer" i.e. You are/were a regular full-time employee of the consulting firm or (b) a
"client" i.e. you are/or have worked as a consultant or an adviser with the consulting firm):
(a) Duration:
(b) Employer:
(c) Position held and description of duties:
(d) Detailed Tasks Assigned (In this column, list tasks one by one and support each task by
project experience in the right hand side column.):
(e) Work undertaken that best illustrates capability to handle the tasks assigned (In this
column, list project name, location, year, position held, i.e. Team Leader, Assistant, etc. and
exact duties rendered and time spent on each project. Bring out the qualification as per
eligibility condition).
13. Personal/Permanent Employment Status Certification (Please follow the following format exactly.
Omission will be treated as noncompliance. Please indicate Yes / No)
(a) I am a free lance consultant / adviser, not in the regular employment of the Consultant firm
or associated firm.
(b) I am a regular full-time employee of the Consultant or associated
14. I, the undersigned, confirm that to the best of my knowledge, this CV correctly describes me,
my qualifications, and my experience.
15. I understand that any willful mis-statement in this CV may lead to my disqualification or
dismissal, if engaged.
16. I have not offered my services to any other firm / institution that is responding to this
RFP.
Signature of Consultant and Date of Signing: Day Month Year
COUNTERSIGNED (AUTHORIZED SIGNATORY of the bidding firm)
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