This form is intended to enable us to record important information about you. Please complete the form in full and use additional sheets and back of this sheet if required. Please affix a Passport size Photograph here CONTACT INFORMATION 1. Present Address (Govt. Allotted/Rented/Owned) 2. Permanent Address (Govt. Allotted/Owned) Residence Tel No. Mobile No. Email REFERENCE CHECK – Give any 2 reference (Not in relations) whom we can refer for verification Sl.No. Name & Designation Organisation Address Tel/Mobile Email ID Vehicle (Company/Model Name) Year of Purchase Kmpl____ Driving License No. Issuing Authority & Validity _________ Driving License Type __________Passport No. __________________ Valid From to_________ Identification Mark: …………………………………………………………………………………………… Name of HR Official: …………………….….... Date of Interview: ……/……. /…….. Name of Reference: ………………………..... Tell us something about your future plans, aim for life & career goal: EMPLOYMENT APPLICATION FORM Residence Tel No. Mobile No. Email PERSONAL INFORMATION Name (As per 10th Mark sheet) …………………………………………………………………………. Position Applied ……………………………………… Nationality …………… Mother Tongue…………… Date of Birth - (As per 10 th Mark sheet): ……/……/….…, (Actual): ……/……/….… Age: ….…(Years) Gender(Male/Female/TG) …………….. Blood Group: ….… Any allergy or critical illness (detail ofany accident or other treatment taken in last one year in details): ……………………………………………….. Marital Status (Single/Married/Divorced/Widow): ………………… Date of Marriage: ………………….....
Transcript
This form is intended to enable us to record important informationabout you. Please complete the form in full and use additional sheetsand back of this sheet if required.
Tell us something about your future plans, aim for life & career goal:
EMPLOYMENT APPLICATION FORM
Residence Tel No.Mobile No.Email
PERSONAL INFORMATION
Name (As per 10th Mark sheet) ………………………………………………………………………….
Position Applied ……………………………………… Nationality …………… Mother Tongue……………
Date of Birth - (As per 10th Mark sheet): ……/……/….…, (Actual): ……/……/….… Age: ….…(Years)
Gender(Male/Female/TG) …………….. Blood Group: ….… Any allergy or critical illness (detail ofany
accident or other treatment taken in last one year in details): ………………………………………………..
Marital Status (Single/Married/Divorced/Widow): ………………… Date of Marriage: ………………….....
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DurationQualification
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Main Subjects%
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DurationQualification Name of School/College
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Regular/DL/Part-Time
Main Subjects%
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You should mention all the important programming languages and software packages that you haveexpertise in.
MS OfficeMS ExcelMS PowerPointTallyCorel DrawPhotoshopERPOthers
Typing Speed in Hindi: ___________________Typing Speed in English: ________________.
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Relation Name DOB/Age Qualification Occupation Contact No.
Father
Mother
In orderof
Seniority(Brother,Sister &
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Name DOB/Age Qualification Occupation Contact No.
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2.
3.
4.
5.
Spouse
Sl. No. Language Read Speak Write
Duration Name & Address ofEmployer Designation Duties/Job
Responsibility
CTC/Gross/
NetSalary
Reason forLeaving
From To
Availabilityof thesedoc. (SalarySlips,Relieving,
ExperienceCertificate,
Bank Statement)
SERVICE / SECRECY AGREEMENT & DECLARATION
(1) What is the notice period in your current organisation ……………………………………….(2) What is your expected annual CTC/ Gross Salary/ Net Salary………………………………..(3) In case of break in service, please specify the reason with duration
(4) In case of break in studies, please specify the reason with duration………………………………………………………………………………………………….……………………………………………………………………………………………………………………………………………………………………………………………………
(5) Have you been criminally prosecuted (Yes/No) (Please specify the reason)………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
(6) Are you facing any legal case at present, if yes, please specify the detail of case.………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
(7) I hereby declare that I have signed/ not signed any service / secrecy agreement with mycurrent employer. (In case, yes) please specify the same.
I hereby declare that the forgoing statements are true to best of my knowledge and latest. Nothinghas been distorted/ concealed and I (undersigned) understand that I will form the basis of contractof employment if I am employed by the company. If in future date, it is found that any of theinformation herein is false or incorrect in any material respect, the company will have the right toterminate my service without any notice or salary in lieu thereof.
Date: Signature of Candidate
Thank you for your co-operation in filling up the form.For office use only:-
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