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    Employee Details Form

    Uploaded by

    sanidhya
    This document is an employment application form that collects personal and professional details from applicants. It requests information such as name, date of birth, gender, marital status, contact details, family details, educational qualifications, past employment history, and a declaration that the applicant has not been convicted of any laws and is not seeking political support. The applicant is informed that any false or incomplete information could void their application or result in termination. The applicant must sign and date the completed form.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd

    Employee Details Form

    Uploaded by

    sanidhya
    68 views3 pages
    This document is an employment application form that collects personal and professional details from applicants. It requests information such as name, date of birth, gender, marital status, contact details, family details, educational qualifications, past employment history, and a declaration that the applicant has not been convicted of any laws and is not seeking political support. The applicant is informed that any false or incomplete information could void their application or result in termination. The applicant must sign and date the completed form.

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    © © All Rights Reserved

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    This document is an employment application form that collects personal and professional details from applicants. It requests information such as name, date of birth, gender, marital status, contact details, family details, educational qualifications, past employment history, and a declaration that the applicant has not been convicted of any laws and is not seeking political support. The applicant is informed that any false or incomplete information could void their application or result in termination. The applicant must sign and date the completed form.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    68 views3 pages

    Employee Details Form

    Uploaded by

    sanidhya
    This document is an employment application form that collects personal and professional details from applicants. It requests information such as name, date of birth, gender, marital status, contact details, family details, educational qualifications, past employment history, and a declaration that the applicant has not been convicted of any laws and is not seeking political support. The applicant is informed that any false or incomplete information could void their application or result in termination. The applicant must sign and date the completed form.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    You are on page 1of 3

    §

    Let’s Know You Better Paste your colored


    passport size
    photograph here
    Employment Form

    Individual Particulars

    Name (As per Aadhar Card)


    (First) (Middle) (Surname)

    Date ofBirth:
    (DD/MM/YY)
    Place of Birth:

    Gender ☐ ☐ BloodGroup:

    Marital Status:☐Unmarried☐Married Date ofMarriage:


    (DD/MM/YY)

    PAN Details: AadhaarNumber:


    (16 Digit)

    Current Place ofresidence:

    City State Pincode

    Permanent Place ofresidence:

    City State Pin code

    Contact
    Details Mobile: Residence: Emergency:
    Email Address/sEmail(1): Email (2):

    Family Particulars
    Date of City of Contact
    Name Relationship Occupation Birth Residence Number
    (DD/MM/YY)

    This document is part of Recruitment Process 1


    Educational Particulars (Last two highest qualifications)

    Qualification 1 Month & Year of passing


    Name of Institute
    Board/ University
    Percentage/ Marks/ Grade/ CGPA Secured
    Specialization
    Qualification 2 Month & Year of passing
    Name of Institute
    Board/ University
    Percentage/ Marks/ Grade/ CGPA Secured
    Specialization

    Employment Details (All past Employment details to be provided) Last


    From
    Sr Employer To Date Drawn Reason for
    Date Position Held
    No. Name Salary Leaving
    (DD-MM-YY) (DD-MM-YY) (CTC PA)

    9
    Please tick and fill whichever is applicable
    a) I am not convicted under any laws applicable inIndia.

    b) I am not seeking any political party or external agency’s support in seeking thisemployment.

    Iherebydeclaretheinformationprovidedinhereistrueandcorrecttothebestofmyknowledgeand give
    Levite Healthcare Pvt. Ltd; the right to investigate all information given and to secure additional
    information, ifnecessary.
    I further understand that any misleading or materially incorrect statements or the incomplete filling
    out of this application my render this application void and any false information may result in a
    decision to not hire me or termination of my employment if hired.

    Date: EmployeeSignature:

    Place:

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