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EMPLOYMENT APPLICATION FORM

Please fill in this application form accurately. Incomplete forms may lead to disqualification from our selection process.

Name:
Position Applied for: You have come to us through (Please tick the relevant category) Employee Referral/ Consultant / Advertisement / Direct/ Job Sites ________________________________________(Please specify).

Gender

M/F

Age ____Years

Date of Birth __ __/__ __/ __ __ Married: Yes / No

Place of Birth_____________ Blood Group _____________

Citizenship _________

Religion_________________

Mailing Address:
Present Address:

Email

Permanent Address (if different than above please specify)

Please use this space to give us your complete tele-connect details:

Mobile Number _____________________ Present Residence Telephone No. ___________________ Permanent Residence Telephone No. (With City Code)____________________________________________

Emergency Contact Number whom can we call in case of an emergency.

Name __________________________ Relationship_____________________ Contact ___________________ Name __________________________ Relationship_____________________ Contact ___________________

Section I A. Educational Qualification: Please use the space below to highlight your educational background.
Year of Completion / mention if pursuing Name of the Institute and (State / Country) Please specify if Open School/ Part Time / Correspondence / Regular

Educational Degree

Subjects / Stream

Grade/ %

B. Family details:
Relation Spouse Father Mother Children 1 2 Name Profession Office Name & Address Office Contact

C. Bank Account Numbers:

S.No Name Numbers

Section II
A.

Work Experience:

Have you worked earlier? Yes / No (If no, then move on to the next section)
Employers Name & Location Gross Salary Start Leaving Designation Start Leaving Period Worked Fro To Function Reason for Leaving

Organization Structure of your Current Role (Including reporting relationships

Present Job Responsibility:

B. Compensation Details.
Break Up Basic HRA Others Leave Travel Assistance (LTA) Medical Reimbursement (Medical) Cos Contribution to Provident Fund Diwali Bonus Fixed Performance Bonus (Variable) Any other (Please specify) Total Gross Salary Current Compensation ( Per Annum) Expected Compensation ( Per Annum)

Section III A. Do you have any ailments and have you been hospitalized in the last one-year?
_____________________________________________________________________________

Have you applied to any one of our operations across the country before? Y/N, If Yes, Please specify when

_____________________________________________________________________________ B. Languages Known: (Mother Tongue First)

Language Write Read Speak Understand Only

References (Not related to you)

S.no Name Occupation Contact Address Contact Number

*Copies of Educational Qualification, Experience certificate, Relieving order, Salary last drawn proof to be enclosed before joining date.

I hereby declare that the information furnished above by me is true and I will furnish proof on any of the above when asked to.
__________________________ Signature of the candidate For office use only _______________________ Date

Status Date of Joining Function Designation Reporting Manager Approved by

: : : : : :

Hire

Shortlist

Not suitable

_______________________ ______________________ ______________________ ______________________ _______________________