Annexure A

BIO-DATA FORMAT

Advertisement Reference: ........... CEIL/HR&A/Advt./2017-18-007.........

Position applied for: .Construction Engineer (Instrumentation)

Discipline: ……Electronics and Instrumentation Engg.….…………

1. Name: ……Niranjan Behera…..…….

2. Parent’s/Spouse’s Name: ..…Narendra Behera………….

3. Date of the Birth: …12th Nov 1990… Age ……27…..…… as on 31.01.2018 ( Attach self-
attested DOB proof copy- 10th Mark Sheet having Date of Birth or Birth Certificate by competent authority)

4. Category (Gen/SC/ST/OBC) :………OBC……….. (Attach self-attested Copy of caste certificate

by competent authority as applicable)

5. (i) Nationality: ………Indian…………………………………

(ii) PAN No.: ………AYRPB0515C.........................................................................
(iii) Aadhaar No.: ……529076030695..................................................................
(iv) Passport No.: …………………………………………………….......

6. Present Address: ………………Villa No-10 , S.S Shyam Vatika , Ambapali Circuit House
..……………………Bargarh-768028.............................

Contact No. (R)/ (O) ……….………………………. (M): …8895270558………...

Email ID :……………nbehera255@gmail.com …

7. Permanent Address: ..............Villa No-10 , S.S Shyam Vatika , Ambapali Circuit House
..……………………Bargarh-768028

8. Knowledge of Computer: ……………MS Word, Excel, power point, ..........

…………………………………………………….………….............

…………………………………………………….………….............
9. Educational Qualifications (Input Diploma or Graduate Degree/Post Graduate Degree onwards- self
attested Final-Year all mark-sheets & degree/diploma certificate/ASNT/ISNT Certificates (if applicable) to be
attached) :

Sl. Qualification Institution/ University Duration Year of Discipline/Subjects Division/ % of

No. of Course Passing marks
1. B.Tech P.K A College Of 4 years 2012 Electronics and 69.9
Engineering Instrumentation
Engg.

10. Post Qualification Experience (Starting with present position- attach self-attested copy of service
certificate of past employment & proof of date of joining and its continuity in the present employment ):

Name of Employer Post & held Period Nature of Duties Scale of pay/
From To Total
emoluments
Engineer 02-2017 Till date Maintenance 360000
UPL

Engineer 01-2015 02-2017 Maintenance 320000

OMS

Supervisor 08-2012 08-2013 Operation and 260000

R.S Power Builder Maintenance

11. Total Post Qualification Experience (as on 31/01/2018): ……4Years …….......

12. Details of specialisation/ Training/ Courses: ..Boiler Proficiency, Thermal Power Plant
Training (OMSPTRI)
13. Extra-Curricular Activities …………………………………………………………………

………………………………………………………………………………………………….

14. Whether presently employed with Govt./PSU/Autonomous body: ………………

NO……..........
(NOC to be furnished at the time of interview (if shortlisted)

......................................................................................................................................................

15. Any other information:

…………………………………………………………………………

I hereby declare that the information furnished above by me is true to the best of my
knowledge and belief. In the event of any discrepancy in the particulars being detected at any
stage, my candidature/ Service may be cancelled/ terminated without any notice. I am
attaching hereby-self attested copies of all the relevant information.

Niranjan Behera

Place: …BARGARH….. Date: ……22-03-2018 Signature of Candidate