1.

Name [In block letters]

2.

Date of Birth

3.

Date of retirement under Central/State Government

4.

Educational Qualifications

5.

Present post held and whether it is a cadre post or ex-cadre

6.

Service to which the officer belongs

7.

Present basic pay and scale of pay

8.

Experience in the field of Selection

9.

Brief service particulars

10.

Whether belongs to SC/ST

11.

Remarks