JAI BALAJI INDUSTRIES LIMITED.
EMPLOYMENT FORM
NAME OF EMPLOYEE: AFFIX
PASSPORT SIZE
POSITION FOR: PHOTO
FATHER’S NAME:
PRESENT ADDRESS PERMANENT ADDRESS
PHONE NO. RESI. MOBILE E-mail:
MARITAL STATUS: BACHELOR/ MARRIED/ WIDOWER/ DIVORCEE:
DATE OF BIRTH: PLACE OF BIRTH:
HEIGHT CM WEIGHT KG ABNORMALITIES, (IF ANY INCLUDING) EYE SIGHT
ACADEMIC AND PROFESSIONAL RECORD [START FROM HIGHEST QUALIFICATION AND GO BACK]
EXAM/ DEGREE/ INSTITUTE / UNIVERSITY MONTH & YEAR SUBJECT RESULT SPECIFY
DIPLOMA COLLEGE BOARD FROM TO DIV/ GRADE &
DISTINC-TION,
RANK ETC.
PROFESSIONAL
ACADEMIC
FAMILY DETAILS (ONLY DEPENDENTS)
S. No. Name Relation Age S. No. Name Relation Age
EXPERIENCE (INCLUDING YOUR PRESENT EMPLOYMENT) IN CHRONOLOGICAL ORDER:
NAME, ADDRESS & LAST POSITION HELD AREA OF WORK PERIOD SALARY PER ANNUM REASON
TELEPHONE NOS. INCLUDING ALLOWANCES FOR
OF EMPLOYERS FROM TO STARTING / LEAVING LEAVIN
G
REFERENCES (OTHER THAN RELATIVES):
SL. NAME AND ADDRESS OCCUPATION TELE. NO.
NO.
DECLARATION:
THE INFORMATION FURNISHED ABOVE ARE TRUE & CORRECT AND NOTHING HAS BEEN CONCEALED.
_______________________
DATE: (SIGNATURE OF APPLICANT)