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E- 101, M. I . A., PHA SE- I I, BAS NI, JO D HPU R - 342 005 ( I NDI A)
APPLICATIONFORM
PositionAppliedfor:
Ref:
Location:
Date:
A.PERSONALDETAILS:
FullNameinBlockLetters
Cell#
FIRSTNAMEMIDDLESURNAME
emailid:
EducationalQualifications:
FathersName:
PermanentAddress:
Phone#
PresentAddress:
Phone#
Dateofbirth
Age
Bloodgroup
Sex
Maritalstatus M/UM
Height
Religion
Weight
Caste
Eyesight
Birthplace
No.ofkids
M/F
B.FAMILYBACKGROUND:(Parents,brothers,sisters,childrenetc.)
SN
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NAMES
F/HR/6.2.2/05
D.O.B.
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Relation
Education/
Qualification
ISSUE No.: 01
Occupation
REV. No: 01
Whether
dependent
onyou
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Spoken:
Read:
Write:
Anydisability
MembershipofProfessionalOrganization/SocialInstitution:
Hobbies,Interest&Achievements:
C.EDUCATION&TRAINING:
(i)Education:
Examination NameofSchool/College,and
passed
Board/University
Yearof %of
Mainsubject
passing Marks
8th/Xth
XIIth
ITI/DIPLOMA
UG
PGDEGREE
Professionalor
Technicalcourse
(ii)Projectsundertaken,ifany:
TopicofProject
TypeofProject/Agency
PlaceofProject
Projecttenure
PlaceofTraining
PeriodofTraining
(iii)Trainingundertaken,ifany:
TopicofTraining
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TypeofTraining
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ISSUE No.: 01
REV. No: 01
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(iv)ComputerExposure:
Particulars
Language
Operatingsystem
Software
D.SPECIFICINFORMATION:
MentionScholarship,Awardswonetc.
Participationinshortdurationcourses
Haveyoueverbeenchangedfromajob?
E.WORKEXPERIENCE:
Duration
From
Name&AddressofEmployer
To
Designation&
Natureofduties
Gross
salaryper
annum
Reasons
for
leaving
F.PRESENTEMPLOYMENT:
NameandAddressofEmployer:
Phone
#
NatureofBusinessAnnualTurnover
DateofJoiningPositiononjoining
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ISSUE No.: 01
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Presentpositionw.e.f.
ReportingtoPersonsreportingtoyou
KeyJobResponsibilities:
Isthereanythinginyourexperiencethatyouthinkwouldbeofparticularinteresttous:
___________________________________________________________________________________
___________________________________________________________________________________
PresentSalary(CTC)givedetail:
ExpectedSalary(CTC):
MinimumperiodrequiredforJoining:
Additionalinformation,ifany:
G.REFERENCE:Names,addresses&occupationsorpositionsoftwopersons,otherthan
relatives,whoholdsresponsiblepositionsandareacquaintedwithyoutowhomthe
managementcouldmakeareference
1.
2.
Cell#
Cell#
I do hereby solemnly affirm and declare that the aforesaid information is
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ISSUE No.: 01
REV. No: 01
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correctandnothinghasbeenconcealedtherefrom.Ifanyoftheaboveinformationisfound
tobefalseorincorrectduringthecourseofmyemployment,themanagementwillbefully
competent to dismiss me and the same will be deemed to be part of contract of
employment.
Date:
Signature
FOROFFICEUSEONLY:
RemarksofInterviewer:
Appointed/Rejected
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F/HR/6.2.2/05
PAGE No.
ISSUE No.: 01
REV. No: 01
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