BIO-DATA FORM Passport

Photograph

(a) General Information

1. Name of Employee : ______________________________ Designation: ____________________

2. Employee ID No: _________________________________ Sex: ___________________________

3. Date of Birth: ____________________________________ Nationality: ____________________

4. Citizenship ID No/Permit ID No. : _____________________

5. Thram No: _________________ House No: __________________________

6. Village: ___________________ Gewog/Block : _________________ Dungkhag: ___________

7. Dzongkhag: ________________________

8. Country : __________________________

9. Initial appointment no. & Date: _______________________________

10. Contact no._______________________________________________

11. Qualification: Indicate both academic & professional.

Start with School Education

Name of Inst. Location & Field of Study Subject of Date of Result & Division
Country Specialization completion

12. Teaching subjects: ____________________________

13. Current Location/School: ________________________

14. Date of Joining Current Location: _________________________

15. Current Grade: _____________________

16. Basic pay: __________________________

17. Increment date : _____________________

18. GPF A/C No : ________________________

19. GIS A/C No : ________________________

20. Passport No. if any : __________________

21. Personal file no. : ____________________

(B) Work experience
School Designation Grade From To Appt. Status

© Training. Conference, Seminars, Study Tours outside country (If any)

Course Funding Agency Country From To

(d) In-country workshops, seminars, conferences, in-service training , etc

Course Place From To

(e) State any health problem: (which may affect your training, posting, promotion, transfer or
your service in any way)

(f) Parents:
Name Nationality Occupation Present Add. Permanent
Add.
Father

Mother
(g) Brothers & Sisters:

Sl. Name Nationality Occupation Present Add.

No
1
2
3
4
5

(h) Details of Spouse (if more than one please attach additional paper)

1. Name: ________________________ Nationality: ________________

2. Citizenship ID No. /Permit ID No. : ___________________________

3. Thram No. : _________________ House No: __________________

4. Village: _________________ Gewog/Block: ________________ Dungkhag: ______________

5. Dzongkhag: _________________________

6. Occupation (Please Specify): _______________________ Organization/Dept: ____________

7. Grade: _______________ Place Serving: _________________________

8. State any health problem: (which may hinder your training, posting, promotion, transfer or your
service in any other way: _______________________________

(I) Details of Children

Sl. Name Date of Birth Grade/ Place of Any health
No Class work/study problem

(J) List any other direct dependent residing permanently with the Government Services
Sl. Name Date of Birth Relationship Place of Any health
No work/Study problem
1
2
3
4
5

(K) Address of Person/s to be contracted in case of emergency:

1. ______________________________ 2. ____________________________

______________________________ ______________________________

Telephone Office: Telephone Office:

Residence: Residence:

Attested by

Signature: ____________________
Name: _______________________

Signature: _______________________
Name of Govt. Servant: ___________________
Date: ___________________________