Employment Application Form

1.

Attach extra sheets, if space provided is not adequate for supplementary

information and not as a substitute for this form. Do not attach original
documents.
Affix your recent

2.

The object is to obtain as much relevant information as possible about you

photo furnished
here
before a personal interview. All details
will be treated as
confidential. Furnishing incorrect details and/ or concealing data will affect
your candidature.

passport size

Position applied for:

Source of information on the opening: (Please tick () or fill ( )
Advertisement

TCE Website

TCE Employee

Direct Application

Job Website

Placement Consultant

Other (please specify)

PART A
Personal Data
Name:
(First name)

(Middle Name )

(Surname Name )

Address for Correspondence :

Pin Code :
Phone (Res :

Email:
Mobile :

Permanent Address:
Date of Birth:
Age :

Gender :
Male

Height :

Weight:

cm

Phone (Res.):
State of Domicile:
Female
kg

Marital Status:

Passport valid till :

Caste
SC
ST
OBC
(Please tick or fill ( ) whatever is applicable)

Others

Do not wish to declare

Ex-Serviceman
Yes
(Please tick or fill ( ) whatever is applicable)

No

Do not wish to declare

Physically Challenged
Yes
(Please tick or fill ( ) whatever is applicable)
(If Yes selected please provide brief details

No

Do not wish to declare

Religion

Hindu

Muslim

Christian

(Please tick or fill ( ) whatever is applicable)

(If Others selected please provide details

)
Others

Do not wish to declare

)

Medical history: (Please give brief details and dates of serious illness you suffered from and/ or operations
performed on you during the last 10 years)

FILE NAME: FHR004R2.DOC

TCE FORM NO.HR-004 R2

Languages known & fluency: (Good/ Fair/ Slight)

Language
Understand
Speak

Read

Write

Computer literacy/proficiency: Indicate proficiency with languages, use of application software, programming
and such other relevant details.
Extra curricular activities/ hobbies:
Membership of Professional Bodies/ Social Organizations/ Clubs & Societies (Please list only the
memberships which are current and valid):
Name of the Organization
Type of membership (Ordinary/ Life)

Educational Data
Degree/ Diploma/
Certificate
(Start with Higher Degree/
Diploma Upto SSC/ SSLC)

Class/
Percentage

From
(Month/ Year)

To
(Month/Year)

Institute &
University

Major
Subjects/
Specialisation

Details of distinctions, scholarships, prizes won, positions held:

Particulars of Thesis/ Project Work/ Publications:

Completed Short Term Courses/ Programmes:

Description of Course/ Programme

Name of the Institute

Page 2 of 5

Year

Duration

Employment History
Period of employment
Name & Address of Employer
From

To

Position/
Designation

Reason for
separation

Total years of experience (till date):

Organisation Chart
1. Write down the functional relationship, reporting relationship and special contribution by you in
your current/ last employment:

Page 3 of 5

2. Write details of overseas experience, if any:

3. What specific assignment/ responsibility are you handling at present in your organisation?

4. Mention what specific kind of assignment /responsibility you are looking forward to handle in
future? What contribution you can make, if selected: please elaborate.

General Information
1.

Have you previously applied to TCE? If yes, give details (include date & result).

2.

Have you ever worked with TCE? If yes, Give details (include date).

Page 4 of 5

3.

Have you signed any bond? If yes, Give details.

4.

Have you ever been prosecuted under any criminal proceedings? If yes, please give details:

References
[Give two references to whom you have reported in your current / previous employment. We will
contact them after your selection in TCE]
Name

Designation /
Profession

Company Name &

Address

Telephone/ Mobile /
E-mail address

Family data
Sr.
No

Name

Relationship

Date:

Age

Signature:

Page 5 of 5

Dependent
( Yes/ No )

Profession