SREENARAYANAGURU OPEN UNIVERSITY
KOLLAM
DATA SHEET
Post applied for : _______________________________________________
Name in full : Sri/Smt_
(in BLOCK CAPITALS)
Category: Gen/SC/ST/OBC/Ezhava/Thiyya/Billava/Muslim/SIUC Nadar/LC/AI/SCCC/PWD/Others(Please tick)
Father/Husband’s name : __
Address in full : __
for correspondence
: _ _
: _ _
: __ _(Pin Code)_ _
E-mail ID : __
Mobile No. :_ ____________
Residential Tel.No.with STD Code: _______
Date of Birth: _ Age as on : 01.01.2023: __
(Years Months)
Native Place: ___ State of Domicile:__
Nationality:__
Marital Status:_
Qualifications
Examinations Subject Offered Year of Name of School/College/University attended Class or
Passed Passing Division
DECLARATION
I certify that the information given by me in this data sheet are true to the best of my knowledge and belief. I declare that all the
certificates that I claimed in the application will be submitted for physical verification at the time of joining the service if selected or
at any point of time as decided by the University . I understand that the satisfactory certification on the genuinity of the document
by the University is a mandatory requirement for the completion of the interview procedures.
Date:
Place : Signature of the Candidate