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Revised Green Form

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Rangaraj Muthusamy
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82 views4 pages

Revised Green Form

Uploaded by

Rangaraj Muthusamy
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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APPLICATION FORM

(To be filled in by applicant in his/her own hand writing)

 Post applied for ___________________________________________________


 Full Name (in Capital Letters) _________________________________________
 Date of Birth/Age _________/_________
 Present Address: _______________ Permanent Address: _________________
______________________________ __________________________________
______________________________ __________________________________
______________________________ __________________________________
 Tel No. (O)____________________ (R) ______________________________
(M)____________________ Email ____________________________
 Marital Status __________________ No. of children _____________________
 Spouse’s Name _________________ Occupation ________________________
 Father’s Name __________________ Occupation ________________________
 Mother’s Name _________________ Occupation ________________________
 No. of brothers No. of sisters
 If working, which organization _____ If working, which organization ________
______________________________ _________________________________

Academic Record(High School Onwards)

Degree/Exam/Course School/College Duration Subjects Division/%


with specialization University/Institute of Marks
From To

Details of short term


courses done, if any:
________________________________________________________________________
Details of hobbies and Achievements, if any:
Extra Curricular activities:________________ _______________________________
_____________________________________ _______________________________
_____________________________________ _______________________________

State languages known:

1
Name of language Speak Read Write Diploma/Certificate received
(a)
(b)
(c)

Employment Record Total no. of experience: Years Months

(In chronological order starting from first employment and ending with the last)

S.No. 1 2 3 4 5 6 7

Name & Address of


Employer

Nature of industry

Period of service From

To

Designation on While
joining & leaving joining
While
leaving
While
Salary drawn joining
While
leaving

Reason for leaving

(Note: Please attach separate sheet, if space above is inadequate)

Present Salary Details

2
Monthly Salary Yearly Benefits & Perquisites Other Benefits & Facilities

Component Amount Component Amount Component Amount


Basic LTA/LTC PF

DA Medical Gratuity
HRA Bonus Group Insurance
Conveyance Medical Claim
Allowance
Education Superannuation
Others(specify Others(specify Others(specify)
) )

Total

I. Who referred you to us for employment? ______________________________________

II. Have you been involved in any criminal case? Yes No . If Yes give details
________________________________________________________________________

III. Have you had any major illness/ operation in last three years? Yes No . If Yes give
details __________________________________________________________________

IV. Do you have any vehicle? Yes No . If Yes, state type__________________________

V. How much time does it take to reach AGV from your home? ______________________

VI. House- Rented Own

VII. Are you connected with anyone employed in our company? Yes No
If yes, give details.

VIII. Have you any objection to our making enquiries from your present/last employer?
Yes No
IX. How can you use your strengths in the best manner, if given a chance? _______________
_________________________________________________________________________

X. Where do you see yourself 10 years down the line? ______________________________

XI. Why do you want to join AGV Group? ________________________________________

XII. Which force drives you the most? ____________________________________________

XIII. How much time you will take to join us, if selected ______________________________

3
References Name and address of two responsible persons not in blood relation with you, who are
familiar with your career and character and with whom reference can be made. (One at least from your
present organization)

Name Occupation Full Address Contact No.


(a)
(b)

I, certify that above information given by me is true to the best of my knowledge. I understand that,
if employed, false statement to this application shall be considered sufficient cause for my dismissal.

Place______________ Date _______________ Signature of applicant _______________

FOR OFFICE USE ONLY

Index: E-Excellent, G-Good, A- Personal Qualities E G A F


Average, F-Fair
Interviewed by ____________ 1. Presentation
________________________ 2. Sense of
Date ____________ identification
Remarks: 3. Communication
ability
4. Technical
knowledge

If Selected

Designation ________________ Department ______________ Remarks:

Probation Period ____________ Date of appointment _______

Salary finalized _____________ Other benefits if any _______

Managing Director

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