Rajanukunte, Bangalore-560064
Tel: 080-2846 8196, Fax: 2846 8193 / 98, Web: www.saividya.ac.in
BIODATA
Application for the post of:
Personal Details( fill in Block letters)
Title (Mr. / Mrs. / Ms./Dr.)
First name
Last name
Full name
Nationality
Religion
Reservation
Category
Place of Birth
Blood Group
Driv. License
Number
Caste
D.O.B(dd/mm/yy)/Age as on Date
Passport Number
PAN Number
Gender:
Marital Status:
Male
Female
Married
Unmarried
Family Details
Name of Father:
Name of Mother:
Spouse Name :
Name of Child 1
Name of Child 2
Name of Child 3
Contact Details
Permanent Address
Prominent Landmark
Local Residential
Address
Prominent Landmark
Land Line with STD
code
Mobile Number
Email Address
+911
Email Address(Alternate)
Exact period of stay
(From)
(To)
(DD/MM/YY)
(DD/MM/YY)
Language
Speak
1.
2.
3.
4.
5.
6.
Educational Record (Please ensure copy of degree certificate and mark sheet are attached)
M.E / M.TECH / MCA/
Qualification
SSLC / ITI / DIP /
BA / BSc / BCOM / BE /
MBA/ MSc / MCom /
(tick the appropriate
PUC
BTech
qualification)
specify, if others
Name of the University
Class Obtained
Year of Passing
Reg No/USN
Ph.D
Specialization
Department
1.
Professional Certifications
,if any
2.
3.
Teaching(in yrs)
Total Years
Area of Research
From
Total
To
International
Journal
National
Internationa
l Conference
National Conference
National /
Internation
al
Year and
Month of
Publication
Conference/Journal
Position
Held
Period
From
To
Total
(DD/MM/YYYY)
(DD/MM/YYYY)
Years
Month
Position Held
Period
From
Total
(DD/MM/YYYY)
Month
To
(DD/MM/YYYY)
Years
Employment History
Details of CURRENT /PREVIOUS Employer
Organization/Institute
Name:
Position Held:
Telephone:
Employment Period:
START DATE(DD/MM/YYYY):
END DATE(DD/MM/YYYY):
Whether employment is of permanent or temporary nature:
Permanent
Temporary
Responsibilities:
1.
2.
3.
Reason for Leaving:
Reference Details
Reference 1
Name
Designation
Phone No.
Email ID
Reference 2
Name
Designation
Phone No.
Email ID
I confirm that the above information is correct to the best of my knowledge and I understand that any
misrepresentation of information on this application form may, in the event of my obtaining employment,
result in action based on company policy.
Signature:
Name in Block Letters:
Date:
Note: Send the duly filled application to PRINCIPAL, SVIT through post with copies of all the
testimonials OR email to careers@saividya.ac.in.