Application For Employment POST APPLIED FOR: - Personal Particulars

APPLICATION FOR EMPLOYMENT
POST APPLIED FOR: __________________________________
PERSONAL PARTICULARS
Full Name (Block Letters):
Father’s: , Occupation:N.A
Date of Birth: , Age: , Place of Birth:
Religion:Hindu, State of Origin:Bihar, Nationality: Indian
Height:”, Weight:, Vision: Corrected: , Blood Group:
Marital Status: , Dt. Of Marriage: , No. of Children
Their Ages: , Category:General
Name of Spouse:, D.O.B. , Occupation:
Permanent Address Address for Communication
Mobile no. Mobile no
e-mail ID: e-mail ID:
Details of any serious illness, Operation, Physical disability: nil
Passport Details (No. of Passport): ____________________, Valid up to: ________________
Countries visited:
Hobbies/Extra Curricular Activities:

LANGUAGES KNOWN
Languages Speak Read Write
Mother Tongue: Hindi
EDUCATIONAL BACKGROUND – ACADEMIC / TECHNICAL /PROFESSIONAL

Degree/ Diploma Name of university/ Subjects Year of Study Division Distinctions,
Courses Board/ Institution From To Secure if any
d
Details of Scholarship and Prize won:_____________________________________________
MEMBERSHIP OF PROFESSIONAL BODIES /ASSOCIATION

Name of the Body / Association Position held
TECHNICAL TRAINING, IF ANY
Period Country Institution Qualifications
From To Visited obtained
EMPLOYMENT HISTORY (in chronological order – Last Job First)

Period Employe Position Jobs Reportin Salary Reasons
From To r held Handled g Drawn for
Authority leaving
(Add separate sheet, if space is not sufficient)

PRESENT EMPLOYER
Core Business Annual No. of Relevant information
Turnover Employees
Date of Appointed as Present Position Present Responsibilities
Joining
Any Significant Contributions during employment?
Have you applied to us for any other Post earlier? If so give details
Any of your relative is employed in our group Co.? (Yes / No): _________________________
If yes Name: _______________________________________________________________
Designation: __________________________________________________________
Unit Name: ___________________________________________________________
1. Are you prepared to serve anywhere in India or abroad? (Yes / No): ___________________
2. Any of your friends is employed in our group companies (Yes/No), If yes his name and
plant
_________________________________________________________________________
3. How soon can you join, if selected?: ____________________________________________
4. Are you interviewed by us in the past: (Yes/ No), If yes, our Co’s name: _______________
____________________Position & Dt. Of interview________________________________
5. Reference of two persons (Preferably connected to your profession but not related/
friend):
S.No. Name and Address Company & Email & Mobile no.
Designation
Can we write to the references straightway? ________________________________________
Can we refer to your present employer? No reference will be made without your consent_____
Any Additional Information

I, declare that the particulars given above are correct and true to the best of my knowledge
and belief and no attempt has been made by me to Conceal or withhold pertinent information,
which you are at liberty to verify at any time. I also understand that any misrepresentation of
facts in the application is sufficient cause for termination of my services, if appointed.
Place: _________________, Date: _____________, Applicant’s Signature: _______________
NOTE: The above details furnished by the applicant shall be taken as correct and
authentic. Discrepancy, if any, may result in the withdrawal of the offer of
appointment.
INTERVIEWER’S COMMENTS
SUITABLE / NOT SUITABLE
UNIT HEAD (HOD) HRD DIRECTOR I/C
SALARY DETAILS:
Name: _____________________________________________________________________
Educational & Professional Qualification: ___________________________________________
Total Relevant Experience & Last Designation:_______________________________________

Designation Offered:_____________________________________, Grade: _______________
Details Present Salary Offered Remarks

BASIC
V.D.A.
H.R.A.
CONV. ALLOWANCE
EDU. ALLOWANCE
SFR ALLOWANCE
DRESS ALLOWANCE
SPL. ALLOWANCE
PPR ALLOWANCE
OTHERS
TOTAL
MEDICAL
LTA
BONUS
TOTAL
PF /FPF
GROSS TOTAL*
* Furnish proof

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APPLICATION FOR EMPLOYMENT

POST APPLIED FOR: __________________________________

Full Name (Block Letters):

Date of Birth: , Age: , Place of Birth:

Religion:Hindu, State of Origin:Bihar, Nationality: Indian

Height:”, Weight:, Vision: Corrected: , Blood Group:

Marital Status: , Dt. Of Marriage: , No. of Children

Their Ages: , Category:General

Name of Spouse:, D.O.B. , Occupation:

Permanent Address Address for Communication

Mobile no. Mobile no

e-mail ID: e-mail ID:

Details of any serious illness, Operation, Physical disability: nil

Passport Details (No. of Passport): ____________________, Valid up to: ________________

Hobbies/Extra Curricular Activities:

Mother Tongue: Hindi

EDUCATIONAL BACKGROUND – ACADEMIC / TECHNICAL /PROFESSIONAL

Details of Scholarship and Prize won:_____________________________________________

MEMBERSHIP OF PROFESSIONAL BODIES /ASSOCIATION

EMPLOYMENT HISTORY (in chronological order – Last Job First)

(Add separate sheet, if space is not sufficient)

Any Significant Contributions during employment?

If yes Name: _______________________________________________________________

Unit Name: ___________________________________________________________

3. How soon can you join, if selected?: ____________________________________________

____________________Position & Dt. Of interview________________________________

Can we write to the references straightway? ________________________________________

Any Additional Information

Place: _________________, Date: _____________, Applicant’s Signature: _______________

SUITABLE / NOT SUITABLE

UNIT HEAD (HOD) HRD DIRECTOR I/C

Educational & Professional Qualification: ___________________________________________

Total Relevant Experience & Last Designation:_______________________________________

Details Present Salary Offered Remarks

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Passport Details (No. of Passport): ____, Valid up to:

Position & Dt. Of interview____________

Place: ___________, Date: _, Applicant’s Signature: _________