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areers

PERSONAL DATA

*Full Name (Surname First)

*Degrees, Diplomas, etc

Permanent home address

* Telephone No

*Present address where
communications should be sent

*E-mail ID

* (a) Date of Birth

(a)Place of Birth

(a) Married/Single

(a) Number of Children

Father's or Guardian's Name His occupation

Have you any relative in the services of this Company ?
If so, give details and state relationship.

Are you related in any way to any Director/President of this Company?
If so, state relationship.

Have you been previously employed in the Company?
If so, state below.

Place (s) where posted

(b) Dates		(c) Reason for leaving	(c) Emoluments at the time of leaving
From	To	(c) Reason for leaving	(c) Emoluments at the time of leaving

Have you ever been Interviewed for any post in this Company ?
If so, for which post, when and with what results ?

Why do you want to join/rejoin this Organisation?

Have you any major illness, operation or accident ?
Give details.

How do you spend your free time, such as vacations, holidays
and leave ?

Have you any out-door activities and interest ?

Languages you can ?

(a) Speak		(a) Read	(a) Write

(Underline Mother Tongue)

(a) Minimum CTC (Basic + HRA + Conveyance + Annual
benefits + Retirals) acceptable Rs.

Time required to join

EDUCATION
Board/School University	School/Colleges/institute	Dates		Degree/Diploma	Class & Rank
		From	To

Particulars of extra-Curricular Activities in Schools and Colleges

Do you have any knowledge of Computers ?
Yes No

Languages / Software

Membership of Professional Associations Etc.

PRACTICAL TRAINING/APPRENTICESHIP
Name (s) of Institute (s) Firm (s) etc.	Dates		Nature of Training
	From	To

DETAILS OF EMPLOYMENT (In chronological order)
Name and Address of Employing Organisation	Dated		Designation & Work Performed	Basic Salary Rs	Total Emoluments Rs.	Reasons for leaving
	From	To

CURRENT REMUNERATION DETAILS
1.
BASIC + DA
HOUSE RENT
TRANSPORT ALLOWANCE
OTHER (Please specify)
2. BENEFITS & PERQUISITES
LEAVE TRAVEL
MEDICAL FACILITIES
CLUB MEMBERSHIP
ANNUAL BONUS
OTHERS (Please specify)

3. RETIREMENT BENEFITS
PROVIDENT FUND
GRATUITY
PENSION

4. TOTAL MONTHLY SALARY
5. ANNUAL GROSS

DESCRIPTION OF CAREER
Please use this space for any information you have not been able to provide in answer to our previous specific questions.

Name & Designation

Address & Telephone

Name & Designation

Address & Telephone

*I certify that the particulars given above are correct and true to the best my knowledge and belief.
I also understand that any misrepresentation of facts in this applications is sufficient cause for termination of my services.

Signature of Applicant