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CANDIDATE DECLARATION FORM

Please fill in the details with utmost attention, as these shall be verified by VFS Global
and/ or by its authorized representatives.

All details are compulsory.

PERSONAL DETAILS
Name of First Name Middle Name Surname
Candidate: (Circle Mohammad Arush Arifbhai Munshi
the usual name
used)
Family name at Mohammad Arush All other names Arush
Birth used (Aliases)

Name changes if any: no

—
Changed Name: Previous name:

— Institution name changed —

through:
Place of name
(provide documentary
change:
evidences of name
change)

Place of Birth: Dakor City: kheda

Date of Birth (dd/mm/yy): 05/02/2005 Province/ State/ Region: Country: India

Gujrat

Marital Status: Married □ Common-law

□
Separated □ Widowed □ Divorced □
Sex: Male [√] Female [ ] Single [√]
Citizenship 1: INDIAN Citizenship 2:
Candidate’s Father’s Name: Arifbhai Munshi Passport No. (1): Passport No (2):
C3838136

Spouse Details (if applicable): If more than 01; please provide details as per below requirements
on a separate sheet

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No of Current Spouses:
Name of Spouse: First Name Middle Name Surname
(Circle the usual
name used)

Family name at Birth All other

names used
(Aliases)
Home Phone: Office Phone:
Mobile:

Date of Marriage/ Duration of Marriage:

Common Law (in years, months &
partnership: days)
Date of Birth: Place of Birth: City:

Citizenship: Province/ State/ Country:

Region:

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RESIDENTIAL ADDRESSES: The last five (5) years of residency history starting
from most recent with no gaps in time

ADDRESS 1: 5727,odd bazar Nagina

masjid pase, Umreth:-388220
Dist:-ANAND

State: Gujrat
Phone No.: 9824688285
Duration of Stay: From (mm/yy) Nature of location: Rented √Own Other (Specify)
02/05:- from born

To (mm/yy)
12/24 :- till now

ADDRESS 2:

City: State:

Pin: Phone No.:

Duration of Stay: From (mm/yy) Nature of location: Rented Own Other (Specify)

To (mm/yy)

ADDRESS 3:

City: State:

Pin: Phone No.:

Duration of Stay: From (mm/yy) Nature of location: Rented Own Other (Specify)

To (mm/yy)

ADDRESS 4:

City: State:

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Pin: Phone No.:

Duration of Stay: From (mm/yy)
Nature of location:
Own Other (Specify)
To (mm/yy) Rented

EDUCATION DETAILS
DATES
NAME & ADDRESS OF ATTENDED ROLL
NAME & BOARD / UNIVERSITY COURSE MARKS
YEAR NUMBER/
ADDRESS OF TO WHICH THE ATTENDED (%) OF YEAR REGISTRATIO
QUALIFICATION SCHOOL / SCHOOL (MORNING/ CGPA ENRO
COLLEGE/ & PASSE N NUMBER/
/ COLLEGE / EVENING/ LMEN D
INSTITUTE INSTITUTE CORRESPONDENCE) CLASS T
EXAM SEAT
IS AFFILIATED TO (MM/YY (MM/YY) NUMBER
)
Bhavan’s
English Bhavan’s English Corresponden
SSC Medium Medium ce
B2 06/19 06/20 B8000831
(X GRADE) Highschool:- Highschool:-
Dakor ,Khed Dakor ,Kheda
a
Pragati
Pragati
HSC international Corresponden 9218243013
international school B1 12/23 12/24
(XII GRADE) school :- ce 46
:- Umreth
Umreth
GRADUATION

DEGREE:

DISCIPLINE:

POST
GRADUATION

DEGREE:

DISCIPLINE:

Corresponden
FRANKFIN C .g road ce
ANY OTHER
N Ahmedabad
1st class
08/23
09/2 FIAT/GGT/23
4 -24/73
INSTITUTE

REASONS FOR BREAKS IN EDUCATION:

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_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

___________________________________________________
__________

EMPLOYMENT RECORD: Starting with your present or most recent employer, please list all the employments in last 5
years in reverse chronological order. When listing consulting or temporary assignments, under “Employer”, state
the name of the consulting or temporary agency that placed you at the client site. Complete and accurate
dates (date/month/year) must be provided with no Gaps in time.

CURRENT EMPLOYER: fresher Employee Id: From (dd/mm/yy): To (dd/mm/yy):

Street Address: Employer’s Fax No.:

Phone No.:
City: State: Country: Postal Code:

Job Title: Reason for Leaving:

Cost to Company (Per Annum):

Employment Status: (Please check the Supervisor’ Detail

relevant box) s s:
Name:
Full Time
Contract /Through Outsourcing Title:
Agency Phone No.:
E-mail id:
Outsourcing Agency Details: (Preferably
Name: official)
Address: HR Manager’s Details:
Tel No.: Name:
Description of Duties: Phone No.:
E-mail id:
(Preferably
official)

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EMPLOYER 1: fresher Employee Id: From (dd/mm/yy): To (dd/mm/yy):

Street Address: Employer’s Fax No.:

Phone No.:
City: State: Country: Postal Code:

Job Title: Reason for Leaving:

Cost to Company (Per Annum):

Employment Status: (Please check the Supervisor’ Detail

relevant box) s s:
Name:
Full Time
Contract /Through Outsourcing Title:
Agency Phone No.:
E-mail id:
Outsourcing Agency Details: (Preferably
Name: official)
Address: HR Manager’s Details:
Tel No.: Name:
Description of Duties: Phone No.:
E-mail id:
(Preferably
official)

EMPLOYER 2: fresher Employee Id: From (dd/mm/yy): To (dd/mm/yy):

Street Address: Employer’s Fax No.:

Phone No.:
City: State: Country: Postal Code:

Job Title: Reason for Leaving:

Cost to Company (Per Annum):

Employment Status: (Please check the Supervisor’ Detail

relevant box) s s:
Name:
Full Time
Contract /Through Outsourcing Title:
Agency Phone No.:
E-mail id:
Outsourcing Agency Details: (Preferably
Name: official)
Address: HR Manager’s Details:
Tel No.: Name:
Description of Duties: Phone No.:

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E-mail id:
(Preferably
official)

REASONS FOR BREAKS IN EMPLOYMENTS:

_____________________________________________________________
FRESHER
_____________________________________________________________

_____________________________________________________________

___________________________________________________
__________

PROFESSIONAL REFERENCES: (Three (3) employment reference checks from

the last five
(5) years)
Particulars Reference 1 Reference 2 Reference 3
Shalini Patel Ms. Amy Christian
Name

FRANKFINN FRANKFINN institute

Organization institute
Designation/ Faculty ttrainer
Pos
ition

Landline No.

+91 99714 +91 99042 04920

Mobile No. 00337

Christian.anthony@frankfin
Email Address n.co

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N If YES
O

N (Please State the nature of the

Have you ever been involved in any crime O crime)
or unlawful activity?
No (Please Indicate the nature of Civil
Complaint or ca
Have you ever been a party to a Civil
Litigation in any Court of law?
For What? _______________________
Where filed: ______________________
When filed: _______________________

No
As a Complaint / Plaintiff?
(When Concluded?)
As Defendant / Accused? No (dd/mm/yy)

Are you presently a party to Any collection No

case as a Complainant?
No
Where filed: _____________________
As defendant / Accused? When filed : _____________________
Case Status : ____________________

I hereby attest that all the information I have listed herein are true and correct to the
best of my knowledge.

_____________________________

Applicant :- MUNSHI MOHAMMAD ARUSH

_____________________________

DATE :-05/12/2024

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INFORMATION RELEASE AUTHORIZATION

I certify that the statements made in this application are valid and complete to the best of my knowledge. I
understand that false or misleading information may disqualify me from employment and /or result in
termination of employment.

I understand that VFS Global may request a verification of information provided by me and /or background
check from an agency hired by VFS Global for this purpose.

I further understand that the results of verification and checks and any records made out of that information
will be used for employment purposes only and will not be given to unauthorized persons.

I authorize VFS Global and/or its authorized verification partners to conduct a verification and background
check including but not limited to the verification and check of information and references stated by me in
this application for the consideration of VFS Global to be used only for my employment purposes.

I also authorize all the concerned persons, authorities, organizations, their employees, agents or authorized
representatives, whether named in the application or not, to release the information in their knowledge /
possession / records relevant to my employment.

I authorize VFS Global and /or its authorized verification partner to conduct a financial statements and
credit worthiness of the statements or documents provided by me to VFS Global.

In the event that VFS Global and /or its agents are unable to verify any information and references stated in
this application, it is my responsibility to furnish the necessary documentation in support of that information.

I fully understand that this application or subsequent employment does not create a contract of employment
nor guarantee employment for any definite period of time and my employment decision will always be at the
sole discretion of VFS Global.

I authorize VFS Global and or its verification partners to conduct a check on my Credit History and
or obtain a Credit Report. Yes No

I authorize VFS Global to contact my present employer. Yes No

I have read, understood, and by my signature consent to these statements.

SIGNATURE:
DATE: 05/12/2024
NAME (IN BLOCK LETTERS): MUNSHI MOHAMMAD
ARUSH

DOCUMENTS REQUIRED (COMPULSORY)

Completed & Signed Application Form. Please ensure the form is provided with all details
requested.

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Copies of Education Certificates/Mark Sheets for the highest Qualification Obtained. Roll
No/Registration No must be available
Copies of all past Employments - Relieving or Experience Letters & last 3 months Salary Slips.
The employee code must be available on any one document
Documents supporting 1) Name Change, if any 2) Marital Status, if Married 3) Citizenship of
candidate- passport copy of all applicable citizenships 4) Citizenship of spouse, if applicable
• Recent passport sized photograph
• Residence proof of all relevant addresses in the past 5 years
• Copies of 02 Government issued ID Proofs, at least 01 having a photograph

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