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APPLICATION
FOR EMPLOYMENT
10/D/1, HO-CHI-MINH SARANI KOLKATA 700071 TEL:2282-1326, 3776
Please read the following instructions before filling up the Application Form
Image Name must not contain any blank space
Image size must not exceed 300kb
This form is designed to enable you to record the background information related to your personal, academic and professional history. This form is important for our selection process. If you are invited for discussions, the contents of this form will be used as a basis.
Position Applied for:
Applied for the Head Quarters:
Personal
DR./MR./MS.:
First Name As per Aadhar:
Surname As per Aadhar:
AGE:
DATE OF BIRTH:
MARTIAL STATUS:
Select Status
Married
Unmarried
NO. & AGES OF CHILDREN:
SPOUSE OCCUPATION:
FATHER'S OCCUPATION:
DATE OF MARRIAGE:
COMPANY:
DESIGNATION:
COMPANY:
DESIGNATION:
Do you have any physical, mental, or other health condition which is limiting your day to day activity required for the job?
Please Select
Yes
No
If yes - kindly mention:
DETAILS OF FAMILY MEMBERS ( Parents/Wife/First 2 Children)
SL.NO
NAME
RELATIONSHIP
OCCUPATION
DATE OF BIRTH
MAILING ADDRESS
PERMANENT ADDRESS (if different)
PIN:
PIN:
E-Mail Id:
E-Mail Id:
Cell No.:
Cell No.:
PAN No.:
Blood Group:
UAN No.:
ESIC No.:
P F Number:
AADHAR NO.:
Bank Name:
Savings A/C No.:
LANGUAGE PROFICIENCY ( UNDERLINE MOTHER TONGUE)
SL.NO
LANGUAGE
SPEAK
READ
WRITE
EDUCATION
(Starting with 10th Board Exam, highlight your educational background.)
Sl No.
Period
School/ College /University/or Institution
Examination passed and main subjects
Div./ Class
% of marks
Remarks
Please specify if you have failed in any year or had to discontinue your education at any time:
Details of additional qualification / computer knowledge:
Additional Achievements:
Please indicate details of positions held in sports % cultural / social forums at school,college or elsewhere.
What are your hobbies / interests? How actively do you pursue these hobbies / interests?
PROFESSIONAL EXPERIENCE
Begin with your present job and list previous jobs in reverse chronological order. Include self employment and periods of unemployment in excess of one month as a separate period.
Sl No.
Year
From - To
Name and Address of Previous Company
Designation, key responsibilities & reasons for leaving
Gross Salary Drawn
Supervisors name & designation
Mention periods of unemployment in excess of one month
DETAILS OF SALARY & BENEFITS
Salary Details
Benefits
Basic Salary:
Provident fund:
Dearness Allowance:
Pension /Superannuation:
HRA:
Gratuity:
Conveyance:
Leave:
Special Allowance /CCA:
PL / CL / SL:
Educational Allowances:
Field Allowances:
Others (details):
HQ / EX-HQ:
Monthly Total (Rs. pm):
Out Station:
Bonus / Ex - gratia:
Medical benefits:
LTA:
Vehicle Scheme:
Incentives:
Loan (if any):
Others (details):
Hard furnishing /Appliances:
Annual Total:
Any other-benefits (Details):
Annual Total:
CAREER PLANS
What is your medium term(5 Yrs) & long term (15 yrs) Career plans.
Medium term
Long term
Please indicate any other information which you may like to highlight
Are you willing to work any where in India? If not indicate reason.
Geographical preferances:
PLEASE LIST THREE BUSINESS REFERENCES WHO ARE AWARE OF YOUR WORK ABILITIES
(Exclude relatives, personal contacts, etc.)
1
2
3
Name:
Name:
Name:
Position:
Position:
Position:
Organnization Address:
Organnization Address:
Organnization Address:
E-mail Id:
E-mail Id:
E-mail Id:
Phone Number:
Phone Number:
Phone Number:
HEALTH: Are you suffering from any illness, ailments or have you, during the past 3 years, stayed away from work for more than 10 days due to any illness, surgery, accident or any other health related reasons?
Source of Application
Advertisement:
Consultant:
Employee Referral:
Direct:
I certify that the information provided by me are true and correct without consequential omissions.
I understand that my employment can be terminated if it is proved that I have provided false statements.
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