Personal Sheet

CONFIDENTIAL

PERSONAL SHEET

Info Corrected dt......

Basic Information

1.Personal Number:

2.Full Name :

a.Bengali :

b.English:

3.Nick Name :

4.Date of Brith : Place of Birth :

5.Nationality :By Birth Any Other

6.Religion : Cast :

7.Sex : Mail / Female -

8.ID Card :

a.Svc ID Card No : Date of Issue :

b.National/VoterID Card No : Date of Issue :

9.Marital Status : ()

10.Blood Group : ()

11.Address :

a.Present Address:

b.Permanent Address:

c.Other Contact Address :

d.Present Loc :

(1)Rank :

(2)Appt :

(3)Ship/Estb :

(4)Area :

(5)Duration of Svc (Present place) :

12.Svc Profile:

Ser / Ship/Estb / Appt / Area / Duration / Rmk
From / To
1.
2.
3.
4.
5.
6.

13.Course Attended (Home and Abroad) :

Ser / Name of Course / Institution / Duration / Result / Rmk
From / To
1.
2.
3.
4.
5.

14Educational/Academic Qualification:

a.Civil

Ser / Name of Institution / Year / Degree / Result / Rmk
1.
2.
3.
4.
5.

b.Trg Profile (BNA)

(1)Course in BNA:

(2)Cadet No :

(3)Appointment at Trg (if any):

(4)Date of Commission:

(5)Branch:

(6)Anti Date Seniority (if any):

(7)Nature of Commission :

(8)Date of Retirement by Svc :

(9)Date of Retirement by Age :

c.Prior Commission Svc (if Applicable).

Ser / Name of Inst/Org / Duration / Appt / Place / Cause of Resign / Rmk
From / To

Life Sketch

15.Childhood

a.General description:

b.Environment Prevailing during birth:

c.Environment prevailed in family:

d.Any Traumatized experience :

e.Any other:

Comments/ Rmk:

16.School Life

a.General description:

b.Schools Attended:

c.Academic Result:

d.Name of Teachers:

e.Name of Friends:

f.Extra Curricular Activities :

g.Achievements (if any):

Any other:

j.Essay/debate/Sports/Quiz/ Gen Knowledge competition etc.:

k.Comments /Rmk:

17.College Life

a.General description:

b.Colleges Attended:

c.Academic Result:

d.Name of Teachers:

Name of Friends:

Extra Curricular Activities :

g.Achievements (Essay/debate/Sports/Quiz/ Gen Knowledge competition etc):

h.Political Ideology :

jAny other:

Comments/ assessment :

18.University Life

a.General description:

b.Universities Attended:

c.Academic Result:

d.Name of Teachers:

e.Name of Friends:

f.Extra Curricular Activities :

g.Achievements (Essay/debate/Art/Sports/Quiz/ Gen Knowledge competition etc):

h.Political Ideology :

j.Any other:

l.Comments/ assessment :

19.Retired Life

a.Date of Retirement:

b.Nature of retirement:

c.Job (if any) during retired life :

d.Income:

e.Any other:

f.Comment :

Other information

20.Travel History

a.Passport

(1)No:

(2)Category/Type:

(3)Date and Place of Issue:

(4)Issuing Auth:

(5)Reasons to Obtain Passport:

(6)Date of Expiry :

b.Countries Visited

Name of the Country / Duration / Description of the Visit
From / To

c.Accompanied by:

d.Expenditure of the visit.:

e.Comments/ assessment:

Activity Record/Achievement

21.Achievement.

a.International/National:

b.Navy Level:

c.others:

22.Activity Positive in Nature :

23.Activity Negative in Nature :

24.Punishment (in any).

Sr / NR Sec / Description of offence / Date and Place of trial / Kinds of punishments / punishment awarded Auth

25.Misc Personal Info

a.TIN No......

26.Tax Return

a.Circle (Financial Year) :

Area :

Amount Paid:

27.Driving License No (if any):

28.Trade License No (if any):

29.Cell Phone No

Sr / Mob No / Date of issue / Operator / Cell ID / FNF / Remarks

30.Information of Wife

a.Full Name:

b.Nick Name:

c.Other Name:

d.Family Title:

e.Date of Birth/Age:

f.Place of Birth:

g.Nationality

(1)Present:

(2)By Birth:

(3)Any Other Nationality :

h.Religion:

j.Cast:

k.Alive/Death :

l.Permanent Address:

m.Present Address:

n.Other Address :

p.Edn Qual:

q.Official/ Business Address:

r.Details of Occupation and Org

(1)Present:

(2)Previous:

s.Yearly Income:

t.Political Ideology:

u.Dependency on the subj Indl:

v.Any other Info:

w.Travel History

(1)Passport

(a)No:

(b)Category/ Type:

(c)Date and Place of Issue:

(d)Issuing Auth:

(e)Reasons to Obtain Passport:

(f)Date of Expiry:

x.Countries Visited :

Name of the Country / Duration / Description of the Visit
From / To

y.Approx Expenditure:

Assets and Properties in personal name/wife/children’s

31.Bank Bal

aBank Accts With Bal

(1)Domestic:

(2)Foreign:

b.FDR:

Sy Deposits:

Bonds :

Savings Certs:

Bank Loan (if any) :

Loan Default:

j.Credit Cards:

32.Houses

a.Loc:

b.Address:

c.Approx Cost:

d.PresentState (Rental, mortgage etc):

e.Description of the house :

f.Source of Income to purchase the house :

33.Land Properties

a.Loc:

b.Description of the land :

c.Approx Cost:

d.PresentState (Rental, Mortgage etc):

e.Source of income to Purchase that land:

34.Veh

a.Registration No:

b.Approx Cost:

c.Source of Income to purchase that veh:

d.Description of the Veh:

35.Other Assets

a.Garments:

Shops :

Wk Shops:

Industries:

Ships :

Office/Commercial Space :

Source of Fathers relevant :

Any other:

36.Assets Abroad

a.Place:

Description:

Approx Cost:

Source of income to buy that asset :

Any other:

f.Comments/ assessment:

Assets and Properties in the Name of Wife

37.Bank Balance

a.Bank Accts With Bal

(1)Domestic:

(2)Foreign:

b.FDR:

c.Sy Deposits:

d.Bonds:

e.Savings Cets:

f.Shares:

g.Bank Loan (if any) :

h.Loan Defaulter:

j.Credit Cards:

38.Houses

a.Place:

b.Address:

Approx Cost:

PresentState (Rental, mortgage etc):

Description of the house:

Source of Income to purchase the house:

39.Land Properties

a.Place:

b.Description of the land :

c.Approx Cost:

d.PresentState (Rental, Mortgage etc):

e.Source of income to Purchase that land :

40.Veh

a.Registration No:

b.Approx Cost:

c.Source of Income to purchase that veh:

d.Description of the Veh:

41.Other Assets

a.Garments:

b.Shops:

c.Wk Shops:

d.Industries:

Ships :

Office/Commercial Space :

Source of Father relevants :

Any Other:

42.Assets Abroad

a.Place:

b.Description:

c.Approx Cost:

d.Source of income to buy that asset :

Assets and Properties in the Name of Children

43.Bank Balance

a.Bank Accts With Bal

(1)Domestic:

(2)Foreign:

b.FDR:

c.Sy Deposits:

dBonds:

e.Savings Cets:

f.Shares:

g.Bank Loan (if any) :

h.Loan Defaulter:

j.Credit Cards

44.Houses

a.Loc:

b.Address:

c.Approx Cost:

d.PresentState (Rental, mortgage etc) :

e.Description of the house :

f.Source of Income to purchase the house :

45.Land Properties

a.Loc:

b.Description of the land :

c.Approx Cost:

d.PresentState (Rental, Mortgage etc) :

e.Source of income to Purchase that land :

46.Veh

a.Registration No:

b.Approx Cost:

c.Source of Income to purchase that veh :

d.Description of the Veh:

47.Other Assets

a.Garments:

b.Shops:

c.Wk Shops:

d.Industries:

e.Ships:

f.Office/Commercial Space :

g.Ant Other :

48.Assets Abroad

a.Loc:

b.Description:

c.Approx Cost:

d.Source of income to buy that asset :

e.Ant other:

f.Comments/assessment :

49.Father’s Information

a.Full Name:

Nick Name :

Other Name:

Family Title:

Date of Birth/ Approx Age :

Place of Birth:

g.Nationality

(1)Present:

(2)By Birth:

(3)Any Other Nationality :

h.Religion:

j.Cast:

k.Alive or Dead:

l.Permanent Address:

m.Present Address:

n.Other Address :

p.Edn Qual:

q.Official/ Business Address :

r.Details of Occupation and Org:

(1)Present:

(2)Previous:

s.Yearly Income:

t.Political Ideology:

u.Dependency on the Subj Indl :

50.Mother’s Information

a.Full Name:

Nick Name:

Other Name:

Family Title:

Date of Birth/ Approx Age :

Place of Birth:

g.Nationality

Present:

By Birth:

Any Other Nationality :

h.Religion:

j.Cast:

k.Alive or Dead:

l.Permanent Address:

m.Present Address:

n.Other Address :

p.Edn Qual:

q.Official/ Business Address :

r.Details of Occupation and Org:

(1)Present:

(2)Previous:

s.Yearly Income:

t.Political Ideology:

u.Dependency on the Subj Indl :

51.Step Father (If any)

a.Full Name:

b.Nick Name:

c.Other Name:

d.Family Title:

e.Date of Birth/ Approx Age :

f.Place of Birth:

g.Nationality

Present:

By Birth:

Any Other Nationality :

h.Religion:

j.Cast:

k.Alive or Dead:

l.Permanent Address:

m.Present Address:

n.Other Address :

p.Edn Qual:

q.Official/ Business Address :

r.Details of Occupation and Org

(1)Present:

(2)Previous:

s.Yearly Income:

t.Political Ideology:

u.Dependency on the Subj Indl :

52.Step Mother (If any)

a.Full Name:

b.Nick Name:

c.Other Name:

d.Family Title:

e.Date of Birth/ Approx Age :

f.Place of Birth:

g.Nationality

(1)Present:

(2)By Birth:

(3)Any Other Nationality :

h.Religion:

j.Cast:

k.Alive or Dead:

l.Permanent Address:

m.Present Address:

n.Other Address :

p.Edn Qual:

q.Official/ Business Address :

r.Details of Occupation and Org

(1)Present:

(2)Previous:

s.Yearly Income:

t.Political Ideology:

u.Dependency on the Subj Indl :

53.Brothers Information

a.Full Name:(1)(2)(3)

b.Nick Name:(1)(2)(3)

c.Other Name:

d.Family Title:

e.Date of Birth/ Approx Age :(1)(2)(3)

f.Place of Birth :(1)(2)(3)

g.Nationality

(1)Present:

(2)By Birth:

(3)Any Other Nationality :

Religion:

k.Cast:

l.Alive or Dead:

m.Permanent Address:

n.Present Address:

p.Other Address :

q.Edn Qual:

r.Official/ Business Address :

s.Details of Occupation and Org

(1)Present:

(2)Previous:

t.Yearly Income:

u.Political Ideology:

v.Marital Status :

w.Name of Wife:

x.Occupation of Wife :

y.Dependency on the Subj Indl :

w.Any other info:

54.Sisters Information

a.Full Name:

b.Nick Name:

c.Other Name:

d.Family Title:

e.Date of Birth/ Approx Age :

f.Place of Birth:

g.Nationality

(1)Present:

(2)By Birth:

(3)Any Other Nationality:

h.Religion:

j.Cast:

k.Alive or Dead:

l.Permanent Address:

m.Present Address:

n.Other Address :

p.Edn Qual:

q.Official/ Business Address:

r.Details of Occupation and Org

(1)Present:

(2)Previous:

s.Yearly Income:

t.Political Ideology:

u.Marital Status:

v.Husband’s Name :

w.Husband’s Occupation:

x.Dependency on the Subj Indl :

y.Any other info:

55.Details of Brothers/Sisters Living Abroad

Name of Brother/Sister / Communication Address / Contac No / Occupation / Country / Age / Any other

56.Information of Father in Law

a.Full Name:

Nick Name :

c.Any other Name :

d.Family Title:

e.Date of Birth/ Approx Age :

f.Place of Birth:

g.Nationality

Present:

By Birth:

Any Other Nationality :

h.Religion:

j.Cast:

k.Alive or Dead:

l.Permanent Address :

m.Present Address :

n.Other Address :

p.Edn Qual:

q.Official/ Business Address :

r.Details of Occupation and Org

(1)Present:

(2)Previous:

s.Yearly Income:

t.Political Ideology:

u.Dependency on the Subj Indl :

57.Information of Mother in Law

a.Full Name:

b.Nick Name:

c.Other Name:

d.Family Title:

e.Date of Birth/ Approx Age :

f.Place of Birth:

g.Nationality

(1)Present:

(2)By Birth:

(3)Any Other Nationality :

h.Region:

j.Cast:

k.Alive or Dead:

l.Permanent Address:

m.Present Address:

n.Other Address :

p.Edn Qual:

q.Official/ Business Address :

r.Details of Occupation and Org

(1)Present:

(2)Previous:

s.Yearly Income:

t.Political Ideology:

u.Dependency on the Subj Indl :

58.Information of Brother in Law

a.Full Name:

b.Nick Name:

c.Other Name:

d.Family Title:

e.Date of Birth/ Approx Age :

f.Place of Birth:

g.Nationality

(1)Present:

(2)By Birth:

(3)Any Other Nationality :

Religion:

k.Cast:

l.Alive or Dead:

m.Permanent Address:

n.Present Address:

p.Other Address :

q.Edn Qual:

r.Official/ Business Address :

s.Details of Occupation and Org

(1)Present:

(2)Previous:

t.Yearly Income:

u.Political Ideology:

v.Marital Status :

w.Name of Wife:

x.Occupation of Wife :

y.Dependency on the Subj Indl :

w.Any other info:

59.Information of Sister in Law

a.Full Name:

b.Nick Name:

c.Other Name:

d.Family Title:

e.Date of Birth/ Approx Age :

f.Place of Birth:

g.Nationality

(1)Present:

(2)By Birth:

(3)Any Other Nationality :

h.Religion:

j.Cast:

k.Alive or Dead:

l.Permanent Address:

m.Present Address:

n.Other Address :

p.Edn Qual:

q.Official/ Business Address :

r.Details of Occupation and Org

(1)Present:

(2)Previous:

s.Yearly Income:

t.Political Ideology:

u.Husband’s Name:

v.Husband’s Occupation :

w.Dependency on the Subj Indl :

x.Any other info:

Details of Previous Marriage (if any)

60.Details of Ex Wives:

61.Comments/ assessment:

Misc

62.Nominees (NOK)

Nominees Name / Relation / Percentage of Pension / Percentage of Land / Percentage of Family Sy Scheme / Contact Address / Rmk
Contract Address of person on non aval of NOK
Name / Relation / (%) Pension / (%) of Land / (%) of Family Sy Scheme / Contact Address / Rmk

63.Details of Relatives in the Armed Forces

Sr no / Pers no / Name & Rank / Present Place of Posting / Political ideology / Relation with individual / Remarks

64.Details of Relatives involved in Politics

Sr no / Name / Political Party / Posn in Party / Relation with individual / Remarks

65.Details of Relatives Living Abroad

Sr no / Name of the country / Duration of stay / Residence status / Job description / Political ideology/ involvement / Relation with individual / Remarks

66.Details of Relatives Serving in Foreign Orgs

Sr no / Name / Name of org / Appt / Length of svc / Political ideology / Relation with individual / Remarks

67.Linguistic Skill

Sr no / Name of language / Skill type / Remarks

68.Extra Gallantry Award, Medal, Commendation:

69.Any Money Transaction Abroad:

70.Money Received from Outside:

71.Involvement with any Club/orgs:

CONFIDENTIAL