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Person(s) to be notified in case of EmergencyOfficial ContactNameAddressTel NosMobile /CellFaxE-mailEducational Qualification(s)Degree / Diploma / Certificates1234YearPersonal / Family ContactName of Educational InstitutionProfessional Qualification(s), if anyProfessional Qualification(s)YearName of the Institution12342. Details of Employment/Profession (current & previous)Name of Employer / Department / Company Position Period Description of WorkAre you an employee of: (Mark the appropriate box)a. Governmentc. Private companyDetails of present employerb. Semi-government/Parastatald. Self-employede. OthersName / address : ______________________________________________________________________________________________________________________________Tel. No. : _______________________________________________________________E-mail : _______________________________________________________________

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