Pavit Ceramics Pvt. Ltd.

(Pioneers in Vitrified Pavement & Cladding)

Works: Survey No. 130, Dahej Road, Corporate Office: 311, Sarthik-2, Opp. Rajpath Club,
Village Jolwa, Tal. Vagra, Bharuch – 392130 Gujarat. S. G. Highway, Ahmedabad - 380 015. Gujarat.

APPLICATION FOR EMPLOYMENT

Post Applied for______________________________________________________________________

Name (Block Letters) _____________________ ___________________ __________________

(First) (Middle) (Surname)
Present Address ____________________________________ (Give max. numbers for fast contact)

__________________________________________________ Res.: Off.:

Mobile: P.P.:
___________________________________________________
e – mail:
Permanent Address __________________________________________________

__________________________________________________________________

Date of Birth __________________ Age _____________________

Height (Cms) ____________ Weight (Kgs) ___________ Sex: M / F __________

Vehicle ________________ Model _________________________ Latest

Photograph
Family Background
Relationship Name Age Occupation Monthly Income
Father
Mother
Brother/s

Sister/s

Wife / Husband
Child (1)
Child (2)

Academic / Professional Details (Start with SSC / 10th STD.)

Degree College / Major Subjects Year of % of marks /
Institution / University Passing Division

Please Give Reasons for Gaps / Failures / Dropouts (if any)

Employer’s Name & Duration Designation Gross Salary p.m. Reasons

 Address (Starting From To On Joining At leaving On At for Leaving
from present) (mm/yy) (mm/yy) Joining leaving ( in brief )

Current Areas of Responsibility:

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

Present Organsiation Structure (Including whom you report to and those who report to you with their
Names and Designations).

Mention Reason for Seeking the Change from the Current Assignment.

Details of Major Achievement in Present and Immediate Past Assignments :

Present Assignment Immediate Past Assignment

Strengths Areas of Improvement Life Values

 Languages Known Speak Read Write Understand

References (Immediate 2 past employment & 1 who know you well personally & professionally)

Name Company Designation Contact No. Relationship

Expected Gross Emoluments (Rs. In lacs p.a.) ______________________

Notice period with Current Organsiation ___________________________

If selected how soon you can you join _____________________________

**********************************************************************************************************************
(FOR OFFICE USE ONLY)

INTERVIEWER’S REMARK:

SALARY DATA SHEET

Please fill-in your current salary details in the mentioned heads as applicable in your present company
and attached the supporting document.
MONTHLY PARTICULARS AMOUNT (RS. / MONTH)
1 Basic Salary (Including D.A.)
2 House Rent Allowance
3 Medical Allowance / Reimbursement
4 Transportation / Conveyance Allowance
5 Special Allowance
6 Books & Periodicals Allowance
7 Education Allowance
8 Telephone Allowance
9 Attire Allowance
10 Other Allowances (If any)
11
12
13 MONTHLY INCOME (@ SUM 1 – 12)

COMPANY LIABILITIES AMOUNT (RS. / MONTH)

14 Bonus ( % )
15 Leave Travel Allowance
16 Leave Encashment
17 TOTAL (@ SUM 13 –16)

COMPANY CONTRIBUTIONS AMOUNT (RS. / MONTH)

18 Provident Fund ( @ 12 % of Basic Salary incl. D.A.)
19 Superannuation / Pension ( @ 15 % of Basic Salary)
20 E.S.I. C. ( @ 4.75 % of Basic Salary + Allowances)
21 Gratuity ( @ 4.81 % of Basic Salary incl. D.A.)
22 MONTHLY GROSS INCOME (@ 17 – 21)
23 ANNUAL GROSS INCOME (MONTHLY GROSS X 12)

FACILITIES / FRINGE / BENEFITS

Facilities / Benefits Details Value (Rs. / Annum)
24 Housing
25 Car
26 Driver
27 Loan
28 Appliances
29 Hard Furnishing
30 Club Membership
31 Group Insurance
32 Mediclaim Insurance
33
COST TO COMPANY (@ SUM 23 – 33) TOTAL:

I hereby declare and affirm that all the information given above is true and no information has been
willfully suppressed.
Place :

Date : Signature