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Gra Database Pro Form A
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Transcript of Gra Database Pro Form A
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7/31/2019 Gra Database Pro Form A
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A. P E R S O N A L D E T A I L S
1. Name :
2. Fathers name :
3. Date of Birth :4. Date of Joining Government Service:
5. Date of Joining/ Induction into ICAS:
6. Address:
Permanent(1)
Present(2)
For correspondence(3)
7. E-mail address :
Office(1)
Personal(2)
8. Phone Number :
MobileNo.(1)
Office TelephoneNo.(2)
Residence TelephoneNo.(3)
9. Languages known:
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10. Whether residing in Government : Yes / Noaccommodation
11. Home Town :
12. Marital Status : Married / Unmarried
13. Details of SpouseName of spouse
(1)
Date of birth
(2)
Nationalityof spouse
(3)
Designationif spouse is
working
(4)
Name &Address of
organization
(5)
Telephonenumber(Office)
(6)
Organisationtype
(7)
14. Details of children:
Name of children(1)
Sex(2)
Date of birth(3)
(i)
(ii)
(iii)
(iv)
15. Number of dependent members (other than wife and children):
16. Details of dependent membersName of dependent
(1)Sex(2)
Date of birth(3)
Relationship(4)
(i)
(ii)
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B. Q U A L I F I C A T I O N
Educational Qualification details:
Qualification
(1)
Discipline
(2)
Specialization
(3)
Year of Passing
(5)
Institute/ College/
University
(6)
Place / City
(7)
Country
(8)
Remarks
(9)12th
Bachelors
Masters
Others
Others
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Professional Qualification details:
Qualification
(1)
Year of Passing
(2)
Institute / Organization
(3)
Place / City
(4)
Country
(5)
Remarks
(6)
Note: In case of Educational / Professional Qualification over and above those mentioned in the Classified list 2011, youare requested to attach a photo copy of certificate of the Educational/Professional qualification proposed to be added.
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C. P O S T I N G D E T A I L S
1. (A) Present Posting:
Current office of posting
(1)
Whether in Cadre / Ex-Cadre(Deputation)
(2)
OfficeTelephone
Number
(3)
Office Fax Number
(4)
(B) Pay details :
Pay Band
(1)
Grade Pay
(2)
Personal
Pay
(3)
Current
Basic Pay
(4)
Date from
which GradePay beingdrawn
(5)
Remarks
(6)
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2. Posting History (Since joining ICAS):
Ministry
(1)
Posting Period Designation
(4)
Station
(5)
Experience(Give brief details)
(6)
Remarks
(7)
From
(2)
To
(3)
Add extra sheet if required
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D. T R A I N I N G D E T A I L S
DOMESTICName of Course
(1)
Institute Nameand Place
(2)
Course details orsubject covered
(3)
TrainingPeriod
(4)
Certificate / Diplomaobtained if any
(5)
ABROADName of Course
(1)
Institute Nameand Place
(2)
Course details orsubject covered
(3)
TrainingPeriod
(4)
Certificate / Diplomaobtained if any
(5)
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E. L E A V E D E T A I L S
Balance of Leave details (As on 01.01.2012) :
Earned Leave
(1)
Half Pay Leave
(2)
Child Care Leave
(3)
Details of Study Leave availed :
FromDate
(1)
To Date
(2)
InstituteName
(3)
Coursetitle
(4)
Subjectcovered
(5)
Score in%
(6)
Certificate/ Diplomaobtained
(7)
Signature: _____________
Name: ________________