If any gap in Education Y/N I Reason: ____________________________________________
Examination
Faculty School / College Name, place Status : Regular/ Parttime/ Distance Edu. Month & year of passing Institute/Coll ege Place University Medium of Instruction % Main Subject s 10 th Std
12 th Std
Graduation / Diploma
Post Graduation / Diploma
Others
Name : _______________________________ Gender : Male / Female Date of Birth : ____/____/____ Blood Group : Age : ____years____months Marital Status : ___________________ Date of marriage: ___________________ Languages Known: Spoken: ______________________________ Written: ______________________________ Foreign Languages known: Spoken: ______________________________ Written: ______________________________
Department called for interview: ___________ Local Address : _______________________ ______________________________ ______________________________ Telephone: (O) _____________(R)________ Permanent Address : ___________________ ______________________________ ______________________________
House : Own/Rented Telephone : __________________________ Mobile : __________________________ Email id: __________________________ Valid passport : Y / N / Applied For If yes, valid up to : ________________ Passport No ____________ ECNR /ECR Valid Visa (s) : Y / N If yes for which Countries: ____________ Overseas Visits / Exp: ________________ PAN card no.: ________________ PHOTO Page 1 of 6 F-HR-010-00- PDF created with pdfFactory trial version www.pdffactory.com
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3. Computer Awareness / other ProfessionalQualification
Course Year (From To) Full Time / Part Time Duration Months / Years / hrs Frequency Specify # of days & # of hrs per session Institute Name & Location Grade Obtained
4. Family Details
Relation Name Age Qualification Occupation, Designation & name of the company Father Mother Spouse Brother /Sister (s)
Children
Do you have any relative (s) working with Megafine Pharma (P) Ltd. / its Group companies (Y/N) if yes, please specify name, & department _______________________________________________
5. Work Experience (mention all previous Experience;please start with your current employer.
Company & Location ( City/ Town ) Designation Period pf Employment Month & Year Duration Reason for leaving Annual Salary From To
Total Experience: ______Yrs ______ months RelevantExperience : ______Yrs _____ months
Strengths related to the Job applied for _________________________________________________ Expected Salary: ______________________ Total Notice Period Required: ___________________
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6. References
Give two references (other than relatives) of people who have known you personally as well as professionally, particularly superiors from previous employment. No references shall be made to your present employer without your consent.
Name & Address Company Designation Period for which he/she knows you Contact No. E-mail ID
Willingness to work in shifts ( Y/ N ) _______________
I hereby declare that I am not under any service agreement other than the notice period. If appointed, I would join duty only after properly relived by my current employer. I also declare that, I have no criminal / legal proceedings pending against me. I certify that the information furnished above is true to the best of my knowledge and any mis-representation made by me in this form will render me liable to be terminated from service, if appointed.
Date : _________________ Place : _________________ Signature : ________________
(Career plans, Objectives, Plans for higher education, extra curricular activities, personal strength & weaknesses in about 100 words)
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(ForOffice UseOnly)
HRD :
1. Performance in tests : 2. Fresher /Experience : 3. Recommendation : 4. FDA Status : Debarred Not Debarred
Position recommended : ________________________ Reporting to : __________
As per policy
Stipend / Salary recommended:__________________ Service Agreement : __________
9. Evaluation:
HRD Dept. :
Name :
Sign & Date
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HOD :- Functional Head :
Name :
Sign & Date
Director / Sr. V.P. :
Sign & Date
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Documents required as below:
1. School leaving certificate 2. SSC (Mark sheet and passing certificate) 3. HSC (Mark sheet and passing certificate) 4. Graduation (Mark sheet and passing certificate) 5. Post graduation (Mark sheet and passing certificate) 6. Any other certificate related to extra-curriculum activities. 7. Appointment letter of current employment 8. Current CTC along with the latest pay slip copy
Note: All the above documents duly attested should be accompanied with the original documents for verification. Page 6 of 6 F-HR-010-00- PDF created with pdfFactory trial version www.pdffactory.com