staff selection commission - ssc/sr form for selection posts.pdf · staff selection commission...

STAFF SELECTION COMMISSION

BIOGRAPHICAL DATA

(To be filled in by the candidate in his / her own handwriting)

Advt. No................................................................. Cat. No.......................................................

Recent PassportSize Photograph

1.

Name of the Post :

2.

Roll No. :

3.

Place / Date of Interview :

4.

Name (In Block Letters) (as written in Application Form) :

5. Sex : (Male / Female)

6.

Date of Birth

Date Month Year

7.

Marital Status : Unmarried / Married

8.

Father’s / Husband’s Name :

9.

Present Address :

Permanent Address :

10.

Mother Tongue :

Other Languages Known :

11.

State of Domicile / Permanent Residence :

Read

Write

Speak

Note : Please Sign on yourPhotograph after affixing

RECORD OF EDUCATIONAL QUALIFICATION12.

Sl.No.

Name of the Examination

Degree (beginningwith Matric.)

Year ofPassing

Class / Division

% ofMarks

Medium ofInstruction Subjects /

Honours orSpl. Subjects

may bementioned

OutstandingAchievements if any

Mention Prizes /Scholarships /Stipends etc.

1 2 3 4 5 6 7 8 9

RECORD OF EXTRA-CURRICULAR ACTIVITIES

13.

Detailed information [with Certificate (s)] of participation in Games, Sports, Fine Arts, Dramatics, Essay - Writing and others may be furnished from high school onwards.

Activity pursued

Period of Participation Represented School, College

State, University, etc.Outstanding achievements,

if any

- 2 -

Board /University

14.

- 3 -

Participation in NCC, NSS, Social Work, Mountaineering and other group activities (Certificates to be shown)

Name of Group activity Period ofParticipation School / College

University Level

OutstandingAchievements, if any

15.Details of Work experience, if any (in reverse chronological order i.e. last one first and so on) (with Certificates)

Designation Nature of Duties(in brief)

Name of Organisation(with address)

Period Monthly Salary drawn

- 4 -

16.

Hobbies / Interests :

17.What have you been doing since you completed your studies?

18.

Any other relevant information the candidate would like to state?

Date :

Station :

Signature of Candidate