APPLICATION FOR EMPLOYMENT

We would like to thank you for your interest in suitable career opportunity with Jindal Stainless Ltd. This form is intended to enable you to
record important points about yourself, your experience, achievements and aspirations. Please complete the form in detail.

PERSONAL INFORMATION

Full Name :
(Capital / Block Letters)

Kindly affix your recent

Gender: Male Female Others Passport size
Photograph
Person with disability (PwD): Yes* No
Here
*If Yes, Type of disability:

Position Applied For:

Who referred you for this position: Hiring Agency Job Portal Direct Application Social Media

(Please provide the source of direct application. Eg.: Self / Friend / Relative / JSL Employee):

Date of Birth E-Mail ID:

d d m m y y y y Alternate E-Mail ID (if any):

Current Address:

City: State: PIN

Mobile No(s)
(Self)

Permanent Address:

City: State: PIN Phone (with STD code)

Mobile No. (Alternate)

Location Preference (if any) :

Blood Group :

Hobbies / Interests :

Language(s) Known : Language Read Write Speak

FAMILY DETAILS

S.No. Name Relationship with the person Age Occupation

1.

2.

3.

4.

5.

6.

7.

EDUCATION (Begin with the most recent qualification and end with Std. X)

Specialization Regular (Full Time/

Name of Institute From To Aggregate Marks
Course/Degree (Please mention your Part-time) /
/University with Location (mm/yy) (mm/yy) (% or CGPA)
core subjects) Correspondence

INTERNSHIP / CERTIFICATION (Please mention the internship/certification courses that you had undergone in past)

Duration
Internship / Certification Month Year Year Of Completion Institute / Organization Location
(mm) (yy)

EMPLOYMENT DETAILS (Begin with your current employment and proceed in chronological order)

Nature of Employment Duration

Last Designation Reason for
Name of the organization Location (Permanent/ Contract/ From To
held Leaving
Probation) (mm/yy) (mm/yy)
Present Job Responsibilities :

Last three year Performance Ratings :

Depict your position with the help of an Organization Chart specifying the Reporting Relationship with your Superiors and Subordinates :

Do you have any commitment (bond) to another employer or organization that might affect your employment with us? Yes No

If yes, please furnish the details:

If selected, when can you join us? (please mention the timeline in months):

Notice Period:

Fixed

Current CTC (in INR) Variable

Total

Expected CTC (in INR)

REFERENCES (Three professional references other than friends / relatives under whom you have either worked or who know you for at least 6 months)

Duration & Nature Designation & Phone (with STD code)

Name E-mail
of association Organization Home Office

Official:

Personal:

Official:

Personal:

Official:

Personal:
ADDITIONAL DETAILS

Have you attended any selection process at Jindal Stainless before? If Yes then please furnish the following details:
Division: Location:
Yes No Month/Year: Status:

If Yes then please furnish the following details:

Do you have any relative currently working/ had worked in past with Name:
Jindal Stainless? Relationship:
Designation:
Department/ Division:
Yes No
Last date of working (If the person has left):

If Yes then please furnish the following details:

Do you have any acquaintance (Ex – Colleague/ College Senior/ Friend Name:
etc.) currently working/ had worked in past with Jindal Stainless? Relationship:
Designation:
Department/ Division:
Yes No Last date of working (If the person has left):

If Yes, furnish details including type of offense and conviction:

Have you ever been arrested, prosecuted or convicted for any criminal
offense?
Yes No
In the last ten years, have you been convicted of or plead guilty to any
offence?
Yes No
In the last ten years have you been released from prison on a
conviction?
Yes No

Are you/ your relatives engaged in any personal business having a bearing/ with possible bearing with Jindal Stainless: Yes No
If yes, please provide the nature of Business:

Any other information you would like us to know which may have significant bearing on our hiring decision:

DECLARATION

I certify that the information furnished on this application and on my resume is factually correct and subject to verification by Jindal
Stainless (including reference check and background verification). I accept that an appointment given to me on the basis of above
details can be revoked and / or terminated without any notice at any time in future if any information is found to be false, misleading or
deliberately omitted / suppressed.

Date: Signature:

Place: