Application Form New
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Nitesh KumarApplication Form New
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Nitesh KumarAPPLICATION FOR EMPLOYMENT
POSITION APPLIED FOR:
Name Mr. / Ms. ______________________________
Date of Birth (DD/MM/YYYY) : Please affix
Age: recent
Nationality passport size
photograph
Marital Status
Father's / Husband's Name:
Passport No.
Present Address: Driving Licence No.
Permanent Address:
Tel. No. :
E‐mail _____________________________________
Tel. No. :
Mobile No.
Details of Dependents Languages Known
Name Relationship Age (Please underline mother tongue)
Language Speak Read Write
Have you previously applied / worked with us? Yes / No.
If Yes, please give details .......................................................................................................................................
Have you any Relatives / Friends in this Company ? Yes / No.
If Yes, please mention the name & relationship:
Do you own any vehicle? Yes / No
If yes, please give details ......................................................................................................................................
Please give details of any major illness / surgery / accident in the last 5 years.
We appreciate your interest in our organization. Your application as well as other
information will be treated with strict confidentiality
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APPLICATION FOR EMPLOYMENT
ACADEMIC & PROFESSIONAL QUALIFICATION
[Please give details of your Academic & Professional Qualification beginning with SSC (Class X) ]
(Please indicate gaps in education, if any)
Course/ . . Area of
Mode* School! Board! Year of Marks/
Degree/ R/PT/C Specialization Grade/
College / Institution University Passing
Exam (if any) GPA
*mode of study R ‐ Regular PT ‐ Part Time C ‐ Correspondence
SHORT TRAININGS : TECHNICAL / COMPUTER / OTHER (More than 6 Month's duration)
Course Institute Year of Details of Course % Marks!
Passing Grade / GPA
SIGNIFICANT ACHIEVEMENTS
[Please mention any Distinctions, Honors, Awards (Academic, extra curricular) received]
1.
2.
3. Are you a member of any Professional Institution? Yes /
No.
If Yes,please give details ....................................................................................................................................
We appreciate your interest in our organization. Your application as well as other
information will be treated with strict confidentiality
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APPLICATION FOR EMPLOYMENT
EXPERIENCE / EMPLOYMENT RECORD
(Please start from present / most recent. You may use the supplementary sheet attached.)
Total Experience : ...............Years ................... Months
Name of Organization : Main Responsibility Areas
Nature of Business
Designation
Your Location :
Period of Service :
Reason for Leaving :
Name of Organization : Main Responsibility Areas :
Nature of Business
Designation
Your Location :
Period of Service :
Reason for Leaving :
Name of Organization: Main Responsibility Areas :
Nature of Business
Designation
Your Location :
Period of Service :
Reason for Leaving :
Please mention if you have any Gaps in Employment
Duration : Reason :
Duration : Reason :
We appreciate your interest in our organization. Your application as well as other
information will be treated with strict confidentiality
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What have been your significant achievements during your career?
What are your career goals?
Why do you wish to join this company?
What are your personal strengths & weaknesses?
Strengths Weaknesses
STRUCTURE OF YOUR DEPARTMENT IN YOUR PRESENT! MOST CURRENT ORGANIZATION
(Please highlight your position, and give names of the position holders if possible)
We appreciate your interest in our organization. Your application as well as other
information will be treated with strict confidentiality
-4-
APPLICATION FOR EMPLOYMENT
CURRENT / MOST RECENT SALARY DETAILS (Please exclude TA & DA)
COMPONENT AMOUNT (Per month) Proposed (For HR Official Use Only)
Basic
DA
HRA
Conveyance Allowance
Medical Allowance
Education Allowance
LTA
CCA
Special Allowance / Other Allowance
Any Other (Please Specify)
GROSS SALARY
EPF (Employer Contribution)
Bonus / Exgratia
Medi‐claim
ESIC (Employer Contribution)
Gratuity
Superannuation
Perquisites (Pl. specify)
Any other (Pl. Specify)
COST TO COMPANY
EXPECTED COMPENSATION
If offered employment, how soon can you join? ..............................................................................
PROFESSIONAL REFERENCES
(Please give details of people you have worked with in previous organizations ‐ min. 2
Contact Phone No.
S.
Name Designation Organization
No. (Landline/Mobile)
DECLARATION
I hereby declare that the above information is true & correct to the best of my knowledge. I understand that if any of
the details mentioned herein are found to be incorrect at any time after my appointment; my services are liable to be
terminated without notice or compensation in lieu of notice.
Date:
(Signature of
Place: Applicant)
We appreciate your interest in our organization. Your application as well as other information will be treated with
strict confidentiality
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