Brigade Group

Brigade Hospitality Services Ltd Hulkul Brigade Center, II Floor No. 82, Lavelle Road Bangalore - 560001

hospitalitycareers@brigadegroup.com

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PERSONAL DATA FORM

Please fill in all the details in your handwriting. All information will be treated as strictly confidential.

Position applied :
A. PERSONAL DATA : 1. Name (Block Letters) 2. Present Address
:

Job Code :

Permanent Address

3. Contact Details 4. Date Of Birth 5. Marital Status 6. Family Details

Landline Email :

: :

Mobile Place Of Birth :

: Single/Married/Widowed (Tick whichever is applicable)

Age

Occupation

Age

Occupation

Father Mother Brother Sister 7. Father's / Spouse's /

Guardian's Name :

Spouse Son Daughter

8. In case of emergency the person to notify:

Name: Address: Relationship: Phone: : Weight Blood Group

9. Physical Data
Height

In case physically challenged, please furnish details : Have you had any major operations/illnesses within the past three years? yes / no. if yes, give details :

10.

Languages Known Please tick (Underline mother tongue)

Speak

Read

Write

11. Educational Qualifications : (Enclose photocopies of certificates)

Name Of School /University Period Attended From To Course Degree/ Diploma Class Rank Year Of Passing

12. Specialized Training (Enclose photocopies of certificates):

Name Of Institution Period Attended From To Details Of Training

13. Particulars of scholarship or special merit awards received : 14. Extra curricular activities : 15. Miscellaneous Data:
A) Whether in possession of passport/visa ? if so, passport/visa no. and date of validity. B) Are you staying in rented accommodation or own ?

B. Employment Particulars (Present Employment First)

(Enclose photocopies of previous experience certificates and appointment letter and salary slip of present employer) Name & Address Duration From To Designation Responsibilities Salary Drawn Reason For Leaving

a) b)

c)

d)

e)

f)

C. Present Salary Details :

Rs. Per Month Basic DA HRA Conveyance EPF (Employers Share) Medical Allowance Allowance 1 (Please Specify) Allowance 2 (Please Specify) Allowance 3 (Please Specify) Gross (A) Less : Deductions (If Any) (B) Net Salary (A B) Perk 1 (If Any, Please Specify) Perk 2 (If Any, Please Specify) Perk 3 (If Any, Please Specify) Car/Two wheeler details: Fuel /maint. Entitlements (if any specify)

D. General Information :
Have you any relations/acquaintances in the service of the brigade group, if so : Name : Name : Designation : Relationship : Designation : Relationship :

16. Reasons for desiring to join our organisation:

A) B) C)

17. Expected salary (CTC / annum) : 18. Minimum Notice Period : 19. If already a member of Provident Fund / ESI, please furnish PF No. & ESI No. 20. How did you come to know about this vacancy?
a) Name of the Newspaper / Edition : b) Brigade Website c) Name of the Magazine :

d) Others (please specify)

E. Reference :
(Please give the name of two persons who know you but are not related to you, preferably superiors from your previous organisation.) Name Designation Name of the Organisation Address : : : : Mobile years. :

Telephone No./Contact No. Landline :

How long has he/she known you ? ....................................

Name Designation Name of the Organisation Address

: : : :

Telephone No./Contact No. Landline :

Mobile years.

How long has he/she known you ? ....................................

I hereby certify that the above information is true to the best of my knowledge. i understand that incorrect, false information given in this form will render me liable for immediate termination of employment. Place : Date : (Signature Of Applicant)