Campus Application Form
RELIANCE BP MOBILITY LIMITED
GET HIRING
Name
Date of Interview
Location of Interview
Qualification Discipline
Name of Institute
Personal Information
First Name
Middle Name
PHOTOGRAPH
TO BE AFFIXED
Last Name
Date of Birth Age: Sex: Male Female
Marital Status
Birth Place Blood Group
Nationality Identification Mark
Mobile No. Emergency No. & relation with the
person Email ID Residence No.
Facebook ID Twitter ID
(Aadhaar Card number is mandatory. In case you don't
Aadhaar Card no have, kindly obtain the same before your joining)
Present Address
Permanent Address
Family Details
Name Contact No. Qualification Profession Location
Father
Mother
Sibling (1)
Sibling (2)
Sibling (3)
Qualification and Other Details
Qualification From To Institute / Board Grade / % Specialization
(DD/MM/YY) (DD/MM/YY) / University
Graduation (BE /B.Tech)
Higher Secondary (12th)
/ Diploma
Matriculation (10th)
Other Courses /
Certification
Project Undertaken / Internship details (Starting from latest one)
Name of Organization Duration Project / Internship Title
(From MM/YY To MM/YY)
Have you earlier attended test / interviews held by Reliance Industries Ltd.? Yes No
If Yes, When (Date), Position
Are any of your relative(s) currently employed with Reliance Group? Yes No
If yes, Name , Position , Location
3
Help us know you better
1. Where do you see your professional career in the next 2-3 years?
2. What do you like to do in your free time?
3. What are your Strengths & Areas of Improvement? (Mention two)
Strengths Areas of Improvement
4. How will you describe your personality?
5. Who is your role model? Briefly explain why?
6. Your achievements (Academic & Extra Curricular)
Date Signature of the candidate
Disclaimer - I hereby declare that the foregoing statements are true to the best of my knowledge. If at a future date, it is found that any of the information 4
herein is false or incorrect, the company will have the right to terminate my service without any notice or salary in lieu thereof
1. Medical History:
Reliance BP Mobility Limited
Medical Examination
Have you ever suffered from any of the following (Answer Yes or No. if yes, give details)?
Y N Y N
Heart Disease Hypertension
Diabetes
Chronic
Kidney disease abdominal
Asthma Chronic /digestive
Tuberculosis disorder
Dermatitis or any skin disease
Epilepsy, Fits, fainting or Hepatitis-B
dizziness
Lung disease (e.g. bronchitis, pleurisy, pneumonia etc.)
Any allergy
Malaria / Typhoid fever in last 6 months
Any major operation or injury Venereal or Sexually Transmitted Disease
Nervous / Mental disease of any kind
Any chronic ear or hearing problem (e.g. sinusitis, rhinitis, otitis
etc.)
Any other illnesses
Do you have any physical handicap Details of any of above if "Yes"
2I declare that the above statements are true and complete to the best of my knowledge and belief and I agree that the
results of this medical examination in general terms may be revealed to the company if required. I also fully understand
that in case I am declared medically unfit due to any reason, I shall not be entitled for the employment in the company.
However, the decision taken by the company's doctor/s about my medical fitness will be final and binding to me.
Date (dd/mm/yyyy)
Signature of Prospective Employee
