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Indman Application Form

This document appears to be a personal application form for an overseas employment position. It requests basic personal details such as name, date of birth, passport information, education history, employment records, languages spoken, and licenses or certifications held. The applicant agrees that the information provided is true and accurate and authorizes the agency to process the necessary documents and visa application, and will reimburse expenses if withdrawing documents after processing. The applicant also agrees the information is being provided without obligation from the agency.

Uploaded by

Arivoli Jayaraman
Copyright
© © All Rights Reserved
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
64 views

Indman Application Form

This document appears to be a personal application form for an overseas employment position. It requests basic personal details such as name, date of birth, passport information, education history, employment records, languages spoken, and licenses or certifications held. The applicant agrees that the information provided is true and accurate and authorizes the agency to process the necessary documents and visa application, and will reimburse expenses if withdrawing documents after processing. The applicant also agrees the information is being provided without obligation from the agency.

Uploaded by

Arivoli Jayaraman
Copyright
© © All Rights Reserved
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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FOR O

REQUIREMENT REF
CLIENT / AREA / PROJECT
POSITION SELECTED

REMARKS

PERSONAL APPLICATION

PLEASE FILL IN THE COMPLETE DETAILS IN PRINT AND ATTACH PHO


AND REFERENCES

BAR CODE

POSITION APPLIED
SECOND CHOICE

NAME AS PER PASSPORT


AGE

DATE OF BIRTH

PLACE OF BIRTH

FATHERS NAME

RELIGION

MOTHERS NAME

SPOUSE NAME

NO. OF CHILDREN

PASSPORT DETAILS
PASSPORT NUMBER

ISSUE DATE

EDUCATIONAL / TECHNICAL QUALIFICATIONS &


UNIVERSITY / INSTITUTE

DEGREE / DIPLOMA / OTHERS*

COMPUTER KNOWLEDGE
SOFTWARES USED

EMPLOYMENT RECORDS
EMPLOYERS

TITLE

GIVE DESCRIPTION OF DUTIES, RESPONSIBILITIES AND EQUIPMENTS USED -

NOTICE PERIOD REQUIRED TO JOIN ?

LICENCE # 3173 / MUM / PER / 1000+ / 3 / 5

Plot # 8, Shah Industrial Estate, Off Veera Desai Road. Andheri


Tel : + 91 22 26747160 / 65 / 70 fax + 91 22 26731878 email

ADDITIONAL EXPERIENCE DETAI


EMPLOYERS

GIVE DESCRIPTION OF DUTIES, RESPONSIBILITIES AND EQUIPMENTS USED

TITLE

INDICATE GOOD OR FAIR


KNOWLEDGE OF LANGUAGES

READ

WRITE

SPEAK

TYPE OF LICENCE/S
L.M.V.
H.M.V.

EQUIPMENT OPERATORS PLEASE SPECIFY EQUIPME


MAKE OF EQUIPMENT USED

MODEL NO.

EQUIP. CAPACITY

PLEASE READ CAREFULLY

APPLICANT'S CERTIFICATION AND AGR


MAY WE CONTACT YOUR PRESENT EMPLOYER NOW WITHOUT JEOPARDIZING YOUR POSITION ?

HAVE YOU EVER BEEN ARRESTED OR CONVICTED OF A FELONY? IF YES, PLEASE GIVE FULL DETAILS-

I) I HEREBY CERTIFY THAT THE ANSWERS GIVEN AND STATEMENTS MADE ARE TRUE AND CORRECT. IHEREBY AUT
INFORMATION CONCERNING MY PERSONAL CHARACTER, HABITS AN

2) I AM SUBMITTING HEREWITH MY ORIGINAL PASSPORT WITH INDMAN CONSULTANTS BY AUTHORIZING THEM TO


DOCUMNTS AS PER AGREED TERMS. I AGREE TO REIMBURSE THE EXPENSES INCURRED BY INDMAN CONSULTANTS TOW
AFTER PROCESSING MY VISA.

3) I UNDERSTAND THAT ANY MISREPRESENTATION OR MATERIAL OMISSION MADE ON THIS FORM OR ANY OTHER RELEV
HEREBY WAIVE ALL MY RIGHT RECOURSE

4) I UNDERSTAND THAT INFORMATION AND ANY DOCUMENTS PROVIDED IS WITHOUT OBLIGATION TO INDM

NAME AND CONTACT NO. IN CASE OF EMERGENCY

PRESENT ADDRESS

MOBILE No.

APPLICANTS SIGNATURE

EMAIL

FOR OFFICE USE ONLY


SALARY EXPECTED

CALLED ON

SALARY OFFERED

INTV. ON
ENTRY DATE
TEST
YES

NO

PERSONAL APPLICATION

TE DETAILS IN PRINT AND ATTACH PHOTOCOPIES OF CREDENTIALS


AND REFERENCES

PASTE PHOTO HERE


RELIGION

CASTE

MOTHERS NAME
NO. OF CHILDREN

PASSPORT DETAILS
EXPIRY
DATE

ISSUED AT

ECNR

CHNICAL QUALIFICATIONS & CERTIFICATIONS

REE / DIPLOMA / OTHERS*

YEAR

GRADE

FROM

TO

DETAILS

COMPUTER KNOWLEDGE

EMPLOYMENT RECORDS
TITLE

SALARY

ECR

D-

SALARY EXPECTED

# 3173 / MUM / PER / 1000+ / 3 / 5268 / 99

Estate, Off Veera Desai Road. Andheri (W), Mumbai - 400 053.
65 / 70 fax + 91 22 26731878 email : [email protected]

DITIONAL EXPERIENCE DETAILS

TITLE

FROM

TO

SALARY

DRIVERS & OPERATORS


TYPE OF LICENCE/S

COUNTRY OF LISC.

ISSUE DT.

EXP. DT.

ORIGINAL / COPY

L.M.V.
H.M.V.

RS PLEASE SPECIFY EQUIPMENT USED / OPERATED


CAPACITY LIFTED

DETAILS

PLEASE READ CAREFULLY

T'S CERTIFICATION AND AGREEMENT

RDIZING YOUR POSITION ?

IF YES, PLEASE GIVE FULL DETAILS-

RE TRUE AND CORRECT. IHEREBY AUTHORIZE ALL MY PREVIOUS EMPLOYERS AND REFERENCE TO FURNISH ANY
MY PERSONAL CHARACTER, HABITS AND EMPLOYMENT RECORDS.

NSULTANTS BY AUTHORIZING THEM TO PROCESS MY OVERSEAS EMPLOYMENT VISA AND OTHER RELATED TRAVEL
RRED BY INDMAN CONSULTANTS TOWARDS PROCESSING OF MY TRAVEL DOCUMENTS IF I WITHDRAW MY DOCUMENTS
AFTER PROCESSING MY VISA.

E ON THIS FORM OR ANY OTHER RELEVANT DOCUMENTS, TENDERS ME LIABLE TO DISMISSAL WITHOUT NOTICE AND I
REBY WAIVE ALL MY RIGHT RECOURSE.

DED IS WITHOUT OBLIGATION TO INDMAN CONSULTANTS OR TO THEIR PRINCIPAL ARE NOT RETURNABLE.

TEL. NO.

PERMANENT ADDRESS

TEL. NO.

DATE

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