WAPCOS LTD.
BIO DATA Affix Your
Recent
Passport
Size Colour
Photograph
Ref: - 5/28/2020/Pers./ GIS, Gandhinagar
Post Applied: Field Engineer/ Site Engineer
1. Name of Candidate (as recorded in Matriculation or equivalent certificate)
2. Father’s Name (as recorded in Matriculation or equivalent certificate)
3 Mother’s Name (as recorded in Matriculation or equivalent certificate)
4. Sex 6. Religion
Male Female
5. Marital Status (If married name of spouse) (Spouse Name & Nationality)
Married Unmarried
6. a). Date of Birth: b). Birth Place/District: c). Birth State/UT:
D D M M Y Y Y Y
d). Nationality: e). Mother Tongue:
f). Age as on date (i.e.30/06/2020): Years______Months______Days_____
7. a). Domicile b). Blood Group c). Identification Marks
8. Whether belongs to:
SC ST OBC OBC (NCL) Minority PWD&M (%) General
09. Languages Known:
Language Read Write Speak
10. Academic/Professional Qualifications:
Sr. Name of Year of Univ/Board Subjects Marks % of marks
No. Examination Passing obtained
11. Highest qualification in Hindi: ________________________________________
12. Training received if any _______________________________________________
13. Experience (Please give details thereof, use separate sheet if required)
Organization Period Designation & Description Scale of Pay/ Gross
of Duties Salary
From To
14. Correspondence Address:
PIN……………….Phone………………….
15. Permanent Home Address:
PIN……………….Phone………………….
16. PAN No.:
17 Aadhar Card No.:
18. Guardian/Emergency Contact No.:
18.
19. Contact Mobile No.:
20. Valid [Link] ID:
21. Passport No.: ___________________ Valid up to______________
22. Any other information:
Information must be filled against each column clearly. In case incomplete application, the same will
not be considered.
I solemnly declare that the above information is true/correct and I understand that in the event of the
information found to be incorrect after my appointment, I shall be liable to be dismissed from service.
Date Signature