Page 1 of 2 BIO DATA POST(S) APPLIED FOR - Specialtest.in ...

POST(S) APPLIED FOR:BIO DATAFOODCORPORATION OFINDIA(NZ CAT. II DR 2011)1. Candidate’s Name2. Father’s/Husband’s Name(Underline option chosen)3. Roll Number4. Registration NumberAttach one recentpassport size selfattested photograph5. Indicate category to which you belong by marking ‘’ in the appropriate boxSC ST OBC-Non Creamy Layer UR6. Date of Birth (as recorded in Matriculation or equivalent certificate)D D M M Y Y Y Y6.1 Age as on 01.01.2011______Years_________Months _______Days (Supporting documents to be enclosed)7. Gender MaleFemale(Mark ‘’ in the appropriate box)YES NO8. Whether Physically Handicapped? (Mark ‘’ in the appropriate box)8.1 Nature of Disability: (Refer codes given in the advertisement)And its Degree (in %):(Supporting documents to be attached)9. Whether Kashmiri Migrant? YES NO (Mark ‘’ in the appropriate box)10. Are you employed with FCI? YES NO (Mark ‘’ in the appropriate box)11. Address:Present AddressContact NumberPermanentAddressContact Number12. Computer Knowledge :………………………………………………………………………………………..(Indicate the level of Proficiency) ………………………………………………………………………………………..………………………………………………………………………………………..Page 1 of 2

13. Educational Qualifications:QualificationMatriculation/SSC/SSLCGraduationDegreePost GraduateDegree/DiplomaProfessionalDegreeName of theDegree/ DiplomaMain SubjectsMonth & Year inwhich passedName of theUniv./BoardPercentageMarksAny Other(s)14. Employment Details:Name and Address of the EmployerPost HeldFromPeriodToBasic Scaleof PayTotal MonthlyEmolumentsType ofPay Scale(IDA/CDA)15. Extra Curricular Activities: ………………………………………………………………………………………..………………………………………………………………………………………..………………………………………………………………………………………...16. Any other information: ………………………………………………………………………………………..………………………………………………………………………………………..………………………………………………………………………………………..DECLARATION:I hereby declare that all statements made in the bio data are true, complete and correct to the best of my knowledge andbelief. In the event of any information being found false or incorrect at any point of time, my candidature/appointment maybe cancelled/terminated without any notice. I also declare that I am a citizen of India by birth/domicile.Place: ……………………………………...(Signature of the Candidate)Date: ……………………………….………Page 2 of 2