Application Form
Application Form
Plot No. 161, Sector -4, IMT Manesar, Gurgaon - 122050, Phone: +91 (124) 4149100 E-Mail : [email protected] (To be handwritten)
APPLICATION FORM
FOR POSITION NAME (In Block Letters) Postal Address for Correspondence Permanent Address
Phone Blood Group Religion &Caste Date of Birth Age in Yrs Married/ Ummarried/ No of Child Wedding date Spouse Name
Weight (In kgs) LANGUAGE KNOWN (Tick Mother Tongue) Language Read Write Height (In cms.) 1 2 3
Speak
4 EDUCATIONAL QUALIFICATION:(Commencing from Hsc/Hssc) Exam Name of the Institution Board/ Area of Specialisation/ Passed & Place University Subject/Branch of study
Division
TECHNICAL / PROFESSIONAL QUALIFICATION: Exam Name of the Institution Board/ Area of Specialisation/ Passed & Place University Subject/Branch of study
Division
COMPUTER LITERACY:
Area of Training
Stipend , if any
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FM:HR:07:01 WORK RECORD (Start from last employment to current employment) Duration Organisation and Place Designation CTC Avg. / Month From To
Basic Medical
DA LTA
CONV
Other Allow.
CTC/P.M.
Identification Mark
Have you attended any interview with us before? If Yes, Please write Position for and approximate date of interview.
Yes/No
Relatives, if any, in STIS/STI Group (if yes Please indicate, name, designation and relationship) Name: Designation / Dept: Relationship REFERENCES (Other than Relatives . Please give official address Also) 1 2
Yes / No
I hereby declare that the information given above are true and correct to the best of my knowledge.
Date
Signature