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ER Sheet Data Entry Form Basic Data Officer ID No. Details Service CSS Cadre Sub Id No. will be allerted by CS Division LNB Select List Year Allot Year Name Details Title First Name Middle Name Sur Name Initials CSL No./ SCSL No if known Sex Male Female Date of Birth Date of Retirement Community Religion Father s Name Birth Details Birth Place Birth State/UT Birth District Domicile Nationality Mother Tongue Physically Handicap Status Blood Group Identification Marks Marital Details Marital Status Spouse Name Spouse Nationality Joining Details Source of Recruitment Departmental Examination Details Level Joining Date Retirement Details Rank Remarks if any Language Known Read Write Indian Languages 1 Known Foreign Lang. Address Details Permanant Address City State/UT Present Contact Address Pin Code Phone Off Phone Res E-Mail Mandatory Fax. Mob No Speak Qualification Use extra photocopy sheets for multi qualifications experience training awards details Discipline Specialization 1 Institution CGPA University Place Country Experience Type of Posting Designation Present Position Ministry Department Office Experience Subject Major Period of Posting From Minor To Note -Refer the Annexure to fill above Major Minor Subjects and below givan training subject Training Training Year Training Name Institute Name Place Sponsoring Authority Month Field Visit Country Period of Training Awards/Publications Type of Activity Activity Area Day Training Subject Field Visit Place within India Duration in Weeks Result Qualified Academic Activity Subject Activity Description/Remarks Activity Title Note i Concerned CSS officer is responsible for the correctness of information sent through ER Sheet proforma* ii Subject to verification by the concerned administrative authoritles. Information checked and verified - by Signature of Officer Section Officer E-mail Id Phone No* Ministry/Department Room No* Wing No* Building Name. Address Details Permanant Address City State/UT Present Contact Address Pin Code Phone Off Phone Res E-Mail Mandatory Fax. Mob No Speak Qualification Use extra photocopy sheets for multi qualifications experience training awards details Discipline Specialization 1 Institution CGPA University Place Country Experience Type of Posting Designation Present Position Ministry Department Office Experience Subject Major Period of Posting From Minor To Note -Refer the Annexure to fill above Major Minor Subjects and below givan training subject Training Training Year Training Name Institute Name Place Sponsoring Authority Month Field Visit Country Period of Training Awards/Publications Type of Activity Activity Area Day Training Subject Field Visit Place within India Duration in Weeks Result Qualified Academic Activity Subject Activity Description/Remarks Activity Title Note i Concerned CSS officer is responsible for the correctness of information sent through ER Sheet proforma* ii Subject to verification by the concerned administrative authoritles. Mob No Speak Qualification Use extra photocopy sheets for multi qualifications experience training awards details Discipline Specialization 1 Institution CGPA University Place Country Experience Type of Posting Designation Present Position Ministry Department Office Experience Subject Major Period of Posting From Minor To Note -Refer the Annexure to fill above Major Minor Subjects and below givan training subject Training Training Year Training Name Institute Name Place Sponsoring Authority Month Field Visit Country Period of Training Awards/Publications Type of Activity Activity Area Day Training Subject Field Visit Place within India Duration in Weeks Result Qualified Academic Activity Subject Activity Description/Remarks Activity Title Note i Concerned CSS officer is responsible for the correctness of information sent through ER Sheet proforma* ii Subject to verification by the concerned administrative authoritles. Information checked and verified - by Signature of Officer Section Officer E-mail Id Phone No* Ministry/Department Room No* Wing No* Building Name.

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