Interview Date Time No
First AFFIXYOUR
Second PASSPORT–SIZE
Deviation Letter PHOTO HERE
(If Any)
DOJ
(dd/mm/yyyy)
APPLICATIONFORM
(Fill with neat handwriting/typing) DATE:21-Sep-19
POST APPLIED FOR:
FULL NAME:
(In block letters)
APPLIED WITH REFERENCE:
(Recruiter’s Name)
MobileNo.
Email ID/ Skype ID
DateofBirth
MaritalStatus
Gender
Aadhar Card (Yes / No)
Passport (Yes / No)
General/SC/OBC/ST/If Others (Specify)
Have you been interviewed by us? (Yes / No)
If yes, please specify date of interview
Do you know any of our employees? (Yes / No)
If yes, please specify name & relationship:
Are you pursuing/ planning any further (Yes / No)
educational course? If yes, please specify
QUALIFICATION DETAILS: (Start with Latest Qualification)
Qualification Specialization School /College / Yearof %/ Mediumof Full/Distance
University Passing Grade Education Part Time /
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MENTION THE APPROPRIATE OPTION YES / NO
Open to Field work
Open for travelling for Exhibitions / Seminars in INDIA
ABROAD
Addictions Tobacco
Smoke
Alcohol
PHYSIOLOGICALINFORMATION:
BloodGroup Height Weight
Health Issues: BP DiabetesMigraineOthers(If Yes, Please specify below)
Physical disabilities (If Yes, Please specify)
ADDRESS DETAILS:
CURRENT ADDRESS/PERMANENT ADDRESS NATIVE ADDRESS
Residence Address: Native Place:
City/ District/ Village:
PinCode:
State:
Landmark:
LANGUAGESKNOWN:
Languages Speak Read Write
MotherTongue:-
FAMILY DETAILS:
FirstName MiddleName LastName DateofBirth Relationship Occupation
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COMPUTER/ SOFTWARE PROFICIENCY:
* TICK “ ” IF YOU KNOW &“X“IF YOU DO NOT KNOW IN SKILL CHECK BOX
* IF YOU KNOW THEN MENTION THE DETAILS IN GIVEN RESPECTIVE COLUMNS.
SOFTWARE SKILL * VERSION/ TYPE BASIC ADVANCE
MSWORD
MS EXCEL
MS OUTLOOK
MS POWERPOINT
INTERNET
TALLY
PHOTOSHOP
CORELDRAW
AUTO CAD
ANSYS
CREO PARAMATRIC/ PRO ENGINEER
CATIA
DRAFT SIGHT
SOLID WORKS
SOLID EDGE
TURBO CAD
OTHER (PLEASE SPECIFY)
Is there any criminal/civil/legal cases;
1). Filed by you till now
Yes (If yes, give details below) No
2). Filed against you till now
Yes (If yes, give details below) No
3). Have you been convicted,
arrested, prosecuted, fined by Yes (If yes, give details below) No
any court of law against you
I herebydeclarethatalltheinformationgivenbyme is true. In case,any of the information is found to be
incorrect then company can take action against me including termination
NAME: SIGNATURE & DATE:
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DETAILSOF PRESENT&PREVIOUS ORGANIZATIONS
(StartwithCurrentEmployer)
Employment Period Salary Reasonfor
CompanyName Designation Location Drawn Leaving
From To
(CTCPer
(MM/YY) (MM/YY) Annum)
CURRENTJOBDESCRIPTION:
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CurrentFixed- CTC p.a.: CTC p.m.: Take Home p.m.:
Variable Pay - p.a.: VariablePay p.m.: Variable PayReceived:
(In Current FY)
Expected - CTC p.a.: CTC p.m.: Take Home p.m.:
(Fixed + Variable)
Notice Period :
*(Variable Pay denotes yourIncentives, Performance Pay, Commission etc...)
CURRENTSALARYBREAK-UP
Details of Break-up Monthly
Basic
HRA
Conveyance Allowance
Medical Allowance
Education Allowance
Special Allowance
+
+
+
Gross Per Month
Other Allowance
Bonus
LTA
Leave Salary
CompanyContributiontoPF
Gratuity
Incentive
+
+
+
+
Monthly CTC
Income fromanyother source?If yes,please specify:
1.
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References:
Please listtwo personsfrom recent employer.
Sr.
Name & Designation of Person Organization Official Contact Details
No.
Landline No: -
Mobile No. :-
1
Email Id :-
(Reporting Manager)
Landline No: -
Mobile No. :-
2
Email Id :-
(HR Department)
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