Candidate Application Form

Download as pdf or txt
Download as pdf or txt
You are on page 1of 5

Candidate Application Form

Candidate Application Form

Name

Date of Birth Blood Group

Permanent
Address Pin Code

Present
Address Pin Code

Mobile Number Nationality

Marital
Email Id
Status
Emergency Contact
Name
Number

Family Details:
Sr. Dependent
Name of Member Relationship Occupation
No. (Y/N)

Academic Qualifications:
Period of Study
Degree/Diploma Name of the Percentage/
Obtained From To Institution/University CGPA
[MM/YY] [MM/YY]

Candidate Application Form Page 1 of 5


Total Work Experience Years Months

Name of Organisation Period of Work


[In descending order, start from From To Designation Brief Description of Job Role
the latest [MM/YY] [MM/YY]

Reason for leaving current job?

Notice Period

Last Drawn Salary Expected Salary


Negotiable Y/N
(In INR) (In INR)

Hometown/Willingness
to relocate
Willingness to travel
related to work
Passport Status Date of Expiry

Strengths 1. 2. 3.

Limitations 1. 2. 3.

Computer Skills:

Candidate Application Form Page 2 of 5


Total Internship Experience Years Months

Details of Internship/Projects:
Period of Work
Name of Organisation From To Brief Description of Internship
[MM/YY] [MM/YY]

Details of Workshops/Conferences

Details of Volunteer Work

Candidate Application Form Page 3 of 5


Details of Trainings Attended

Details of Publications / Paper Presentations

Have you been ever interviewed by CUTS


before? (Y/N)

If yes, please specify year and position

Have you ever been arrested, indicted or


summoned into court in a criminal
proceeding or convicted or imprisoned?
(Y/N)
If yes, please specify

Do you know anyone in CUTS? (Y/N)

If yes, please specify name and designation

Is any relative of you working/has worked


in CUTS? (Y/N)

If yes, please specify name and designation

Do you suffer with any serious


illness/epileptic fits/nervous disorder/any
other? (Y/N)

If yes, please specify

Candidate Application Form Page 4 of 5


Details of Professional References
Sr. Organisation and
Name Phone No. E-mail
No. Designation

1.

2.

3.

Declaration:
I hereby declare that all statements made in the application are true, complete and correct to the best of my
knowledge and belief. I understand that in the event of any information being found untrue/false/incorrect
or any material omission on this application forms renders me liable for termination/dismissal/
cancellation for candidature.

____________________________________
Signature of Candidate Place:

Name: Date:

Candidate Application Form Page 5 of 5

You might also like