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____________________
Annexure 7.07

Employment Application Form

Plot No.52, Nagarjuna Hills, Hyderabad 500 082, India Phone: 040-2343-5368 - 74 e-mail : [email protected] Web : www.ibsindia.org

Strictly Confidential
(For Office use only)
I. CANDIDATE (All information to be filled in by candidates own handwriting in CAPITAL LETTERS only)

Name Mr/Ms Please affix

latest
color photograph
(Please write your name as appearing in your SSC Certificate Underline surname)
Permanent Address:

Pin

Current Mailing Address:

P
i
n
Telephone: Office: ____________________________________ Res: ___________________________________
(City Code) - (Area Code) Number (City Code) - (Area Code) - Number

E-mail: ________________________________________________________ Mobile: _________________________________

No. of Children
Marital Status
Date of Birth Marrie
DD MM YYYY [Please ()] Single
d

May we telephone you at your office, if necessary? [Please ()] Yes No

To be filled in by female candidates:
Are you pregnant at the time of applying for job with Icfai? Yes No

II. FAMILY BACKGROUND

(Please attach extra sheets, if required)
Parents / Spouses Name.
Qualifications.
Occupation.
Designation. Organization ...
Address .
. Pin .
Telephone: Off: ... Res: .... Mobile: ...
(City Code) (Area Code) Number (City Code) (Area Code) Number

III. LANGUAGE PROFICIENCY

(Please specify level of proficiency such as Excellent/Very good/Good/Fair/working)
Language (Other than English) Writing Reading Speaking
 All applicants are expected to have proficiency in speaking and writing good English.
IV. ANY MAJOR ILLNESS/PHYSICAL DISABILITY (if any)
(Please give details)
Major Illness

Physical Disability:

V. ACADEMIC QUALIFICATIONS
School / College / University / Year of Medium of Aggregate
Description Title
Institute Passing Instruction Marks (%)
School
Junior College
Graduation
Post Graduation
Professional
Qualification
Other Qualification (if
any)
* Please specify if you have not attended a full-time college or completed the course through correspondence or one-time sitting or in less than 3 years

Have you ever been suspended or placed on probation at any School or College or Institute or University for academic or
disciplinary reasons? [Please ()] Yes No
If Yes please give details: _______________________________________________________________________________________
__________________________________________________________________________________________________________________________.
Have you ever been convicted by any criminal court with fine and/or imprisonment? [Please ()] Yes No
If Yes please give details: _______________________________________________________________________________________
__________________________________________________________________________________________________________________________.

VI. COMPUTER LITERACY

All applicants are required to have basic skills in computing. They include word processing, spreadsheet and file management.

Please Specify Level of Proficiency

Operating Systems
Application Packages
Languages
VII. AWARDS AND RECOGNITION
(List distinctions, honors, scholarships and awards (academic, extracurricular, professional, community).

Award Date Basis of Selection

VIII. EXTRA-CURRICULAR ACTIVITIES

(Please list down the extra-curricular activities, if any, in which you participated during your school/college days).

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IX. ARTICLES AND BOOKS
Have you ever written any articles and books for your school/college magazine or general newspapers/ magazines/professional magazines/journals?
[Please ()] Yes No
If yes, please enclose photocopies of the same

X. WORK EXPERIENCE
(Please start with current employer and attach sheets if space is not sufficient)
CURRENT EMPLOYMENT
Organization

Address

Pin:

Nature of Business

Gross Turnover
No. of Employees (Approx.)
(Approx.)

Initial Position
Present Position

Date of Joining Since

dd mm yyyy dd mm yyyy

Reason for seeking a change

PREVIOUS EMPLOYMENT
Period of Service Total No.
Employers Name & Address* of Designation &
Reason for change
Turnover, no. of employees From To Years/Mont Area of work
hs

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 * May we refer to your current and previous employers? [Please ()] Yes No
(No reference will be made to the current and previous employers without your permission)

Have you ever been suspended or dismissed from service? [Please ()] Yes No
If Yes please give details: ________________________________________________________________________________________
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________

XI. EMOLUMENTS OF CURRENT EMPLOYMENT

On Joining Current / Now

Components
Per Month Per Annum Per Month Per Annum

A. SALARY

Basic Pay

Dearness Allowance

House Rent Allowance

City Compensatory Allowance

Conveyance Allowance

Incentives

Personal Allowance

Medical Allowance

Other Allowances*

Gross Salary (A)

B. BENEFITS

Provident Fund (Employers

Contribution)

ESI (Employers Contribution)

Medical Reimbursement

Leave Travel Concession

Others

Gratuity

Super Annuation

Total Benefits (B)

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 Total Salary Benefits (A + B )

* Please specify other allowances if any:

XII. STRENGTHS
(Please identify your major strengths, not exceeding 4 lines)

How do you propose to build on these strengths?

XIII. WEAKNESSES
(Please identify your major weaknesses not exceeding 4 lines)

How do you propose to overcome these weaknesses?

XIV. CAREER GOALS & ASPIRATIONS

(Please identify your career goals in the near-term (next 5 years) and long-term (next 10 years)

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XV. WHY DO YOU WISH TO WORK FOR ICFAI? FOCUS ON YOUR POTENTIAL TO MAKE SIGNIFICANT CONTRIBUTIONS.
(Please think carefully and write)

XVI. Are you a current or past student of any Program of Icfai or Icfai University? [Please ()] Yes No
If Yes please give details:

Enrolment No. Program Result

XVII. Have you applied in the past and / or been interviewed by ICFAI Group? [Please ()] Yes No
If Yes please state
Applied for the post of: ________________________________________________ Place: _____________________________

Outcome of the Selected & Not

Selected & Joined
Date of Interview application/Interview Joined
D D M M Y Y [Please () at appropriate box] Not Selected Not called for Interview

Organization _______________________________________________________________________________________________

XVIII. Have you ever worked with ICFAI Group in the past? [Please ()] Yes No
If Yes please give details:

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 Organization: Location: Period of working: From: _______________
To : _______________

Department :

Designation : Reason for leaving:

XIX. Whether any of your relative(s) is/are currently working in ICFAI Group? [Please ()] Yes No If Yes Specify

1. Name: _______________________________ Designation: __________________________ Organization: ______________________

Dept: ________________________________ Location: _____________________________ Relationship: ______________________

2. Name: _______________________________ Designation: __________________________ Organization: ______________________

Dept: ________________________________ Location: _____________________________ Relationship: ______________________

XX. References
Please give two references (not being your relatives), who are familiar with your work and their mailing address and residential phones.

Name :__________________________________________ Name :___________________________________________

_ _
Address: ___________________________________________ Address: ____________________________________________
___________________________________________________ ____________________________________________________
__ _
___________________________________________________ ____________________________________________________
__ _
______________________________Pin ______________________________Pin ___________________
____________________
Phone: Off: __________________________________________
Phone: Off: (City code - Area Code - Number)
___________________________________________
Res: ________________________________________________
(City code - Area Code - Number)
(City code - Area Code - Number)
Res:_______________________________________________
_ E-mail:
_______________________________________________
(City code - Area Code - Number)

E-mail: Mobile:
_______________________________________________ _______________________________________________

Mobile:
______________________________________________

XXI. Special Points

Any special points you wish to bring to the notice of Icfai in support of your candidature?
(Tell us why we should select you).

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XXII. Expected Emoluments
(Please indicate your expectations in terms of gross monthly emoluments.)

DECLARATION

I certify that the information presented in this Employment Application Form and other application material is accurate, complete
and honestly presented. I understand and agree that any inaccurate information, misleading information or omission will be cause
for the recision of any offer of employment or for disciplinary action or dismissal if discovered at a later date. I agree to abide by
Icfai Code of Ethics in letter and spirit.

I agree to abide by the Rules and Regulations covering the employment with ICFAI. I clearly understand that the jurisdiction for all
disputes is Hyderabad, India.

_______________________
Signature of the Applicant
Place :
Date : Name : _______________________________________

FOR OFFICE USE ONLY

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Selected Waitlisted Rejected

____________________ ________________ __________________

SIGNATURE OF THE SELECTION COMMITTEE MEMBERS

____________________ ________________ __________________

NAMES OF THE SELECTION COMMITTEE MEMBERS

IBS Business school, Plot No.52, Nagarjuna Hills, Hyderabad 500 082, India
e-mail : [email protected]