EDUCATION DIVISION

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.
Name of Inst.

Location &
Country

Start with School Education

Field of Study
Subject of
Specialization

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. : ____________________

Date of
completion

Result & Division

(B) Work experience

School
Designation

Grade

From

To

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

Course
Funding Agency
Country
From

Appt. Status

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
Father
Mother

Nationality

Occupation

Present Add.

Permanent
Add.

(g)

Brothers & Sisters:

Sl.
No
1
2
3
4
5

(I)

Name

Nationality

Occupation

Present Add.

(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: _______________________________

Details of Children
Sl. Name
No

Date of Birth

Grade/
Class

Place of
work/study

Any health
problem

(J)
Sl.
No
1
2
3
4
5

List any other direct dependent residing permanently with the Government Services
Name
Date of Birth
Relationship
Place of
Any health
work/Study
problem

(K)

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

1. ______________________________

2. ____________________________

______________________________
Telephone Office:
Residence:

______________________________
Telephone Office:
Residence:
Attested by
Signature: ____________________
Name: _______________________

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