Affix Your
Recent
WAPCOS LTD. Passport Size
BIO DATA Colour
File No. 5/225/ INFS-III-Kol -Exp Photograph
Date: 09.05.2025
Design and
Multimedia Expert on fixed term appointment basis for work relating to
Post applied for ________
“Sunderban Upper Delta Climate Resilient Development Project, Lower Sunderban-
Sustainability Harnessing Ocean Resources and Economy (SHORE) Programme and other
ongoing Projects.
1. Name of Candidate (as recorded in Matriculation or equivalent certificate)
P I Y U S H T Y A G I
2. Father’s Name (as recorded in Matriculation or equivalent certificate)
S U R E S H T Y A G I
3. Mother’s Name (as recorded in Matriculation or equivalent certificate)
N E E R A J T Y A G I
4. Sex
Male ✔ Female
5. Religion
HINDU
6. Marital Status (If married name of spouse)
Married Unmarried ✔ (Spouse Name & Nationality)
-
7. a ). Date of Birth b). Birth Place/District c). Birth State/UT
D2 D 9 M 0 M 7 Y 1 Y
9 Y
9 Y
6 DELHI DELHI
d). Nationality e). Mother Tongue
INDIAN HINDI
f). Age as on date (30/04/2025): Year 28 Months 07 Days 01
8. a). Domicile b). Blood group c). Identification Marks
A+ SMALL SCAR BELOW LEFT EYE
9. Whether belongs to:
✔
SC ST OBC OBC (NCL) Minority PWBMD General
10. Languages Known:
Language Read Write Speak
HINDI ✔ ✔ ✔
ENGLISH ✔ ✔ ✔
11. Academic/Professional Qualifications:
Sr. Name of Year of Univ/Board Subjects Marks % of
No. Examination Passing obtained marks
1. BFA (Applied Art) 2019 Mumbai Univ. Typography
2. Sr. Secondary 2014 C.B.S.E. Science + Art
3. Matriculation 2012 C.B.S.E. C.B.S.E.
12. Highest qualification acquired in Hindi:
13. Training received if any:
14. Experience as on 30.04.2025 (Please give details thereof, use separate sheet if required)
Organization Period Designation & Scale of Pay/ Gross
From To Description of Duties Salary
15. Correspondence Address:
PIN……………….. Phone………………..
16. Permanent Address:
PIN……………….. Phone……………….
17. PAN:
18 Aadhar No.:
19. Guardian/Emergency Contact No.:
20. Contact Mobile No.:
21. Valid E.Mail ID:
22. Passport No.:
23. Any other information:
Information must be filled against each column clearly. In case incomplete application, the same will
not be considered.
I solemnly declare that the above information is true/correct and I understand that in the event of the
information found to be incorrect after my appointment, I shall be liable to be dismissed from service.
Date Signature
11. Academic/Professional Qualifications:
Sr. Name of Year of Univ/Board Subjects Marks % of
No. Examination Passing obtained marks
12. Highest qualification acquired in Hindi:
13. Training received if any:
14. Experience as on 30.04.2025 (Please give details thereof, use separate sheet if required)
Organization Period Designation & Scale of Pay/ Gross
From To Description of Duties Salary
15. Correspondence Address:
PIN……………….. Phone………………..
16. Permanent Address:
PIN……………….. Phone……………….
17. PAN:
18 Aadhar No.:
19. Guardian/Emergency Contact No.:
20. Contact Mobile No.:
21. Valid E.Mail ID:
22. Passport No.:
23. Any other information:
Information must be filled against each column clearly. In case incomplete application, the same will
not be considered.
I solemnly declare that the above information is true/correct and I understand that in the event of the
information found to be incorrect after my appointment, I shall be liable to be dismissed from service.
Date Signature
