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001 - Application Form

The document is an application form for prospective employees of Chavare Engineering Pvt. Ltd., requiring personal, family, educational, and employment information. Applicants must complete the form in handwriting, provide a photograph, and ensure all fields are filled. Confidentiality of the information provided is assured by the organization.

Uploaded by

Vaibhavi Khadilkar
Copyright
© © All Rights Reserved
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22 views6 pages

001 - Application Form

The document is an application form for prospective employees of Chavare Engineering Pvt. Ltd., requiring personal, family, educational, and employment information. Applicants must complete the form in handwriting, provide a photograph, and ensure all fields are filled. Confidentiality of the information provided is assured by the organization.

Uploaded by

Vaibhavi Khadilkar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 6

Doc.No.

CEPL/HR/REC/001/01

Chavare Engineering Pvt. Ltd.

Application Form
We thank you for envisaging interest in joining our
Organization and request you to:

1. Please complete the form in your own handwriting Affix a passport size
giving specific details. latest photograph.
2. Please do not leave blank spaces
3. Please add extra sheet wherever necessary
4. Please √ in the field wherever applicable

All the information will be treated as Confidential.

Position Applied For: _________________________________


_______________________________________________________________________

A. Personal Information:

1. Name: ________________ ____ ________________ ___ __________________


Surname First Name Middle Name
2. Local Address: __________________________________________________
__________________________________________________
__________________________________________________
3. Contact details: LL: _____________Cell: ___________ Mail Id: _______________

4. Permanent Address: _____________________________________________


_____________________________________________
5. Total Family Income: Rs. __________ per annum. 6. Pan No. :_______________
7. Type of Accommodation: Ownership / Rented / Company Quarter / Others
8. Date of Birth (DD MM YY):____________ 9. Pass Port No.:________________
10. Place of Birth: ____________ State: ______________________
11. Marital Status: Single / Married / Widow / Widower / Separated / Divorcee
12. Height in Cms: ______________ 13. Weight in Kgs: _______________
14. Blood Group: ______________
15. Emergency Contact, Name & Contact Details: _____________________________
Relation with Contact Person: ______________ LL: __________Cell No: ________
16. Driving License Number: _____________________________________________

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17. Languages Known: Speak Read Write
_______________ _____ _____ _____
_______________ _____ _____ _____
_______________ _____ _____ _____
_______________ _____ _____ _____

B. Family Information:

Sr Relationship Name Age Qualifications Occupation


. in
N Yrs
o
1 Father

2 Mother

3 Spouse

4 Child 1

5 Child 2

6 Brother /
Sister
7 Brother /
Sister
8

C. Other Information:
1. Current Extra Curricular activities / Hobbies / Interest: _____________________
________________________________________________________________
2. Please provide details of major illness / Accidents if any: ________________
________________________________________________________________
________________________________________________________________
3. Please provide detail if you were involved in any Civil / Criminal Case: ________
________________________________________________________________

2/6
D. Qualification: (Please start with SSC onwards)
1. Educational:
S Name of Board / Period Qualification Year of % of
r. Institute University From To Passing Marks
N
o
1
2
3
4
5
6

2. Other Credentials:
A. Scholarships / Prizes / Awards if any: _____________________________
_____________________________________________________________

B. Publications if any: __________________________________________


__________________________________________________________
__________________________________________________________

C. Training Attended:
Sr. Details of Training Conducted by Duration
No.
1
2
3
4
5

D. Projects Handled: _____________________________________________


_____________________________________________________________
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E. Experience Details:
1. Employment Details:
(Please provide break up of existing salary)
S Name and Period Designation Major Gross Reason
r Address of From To Self Reporting Responsi Salary for
. Organization Officer bility Leaving
N
o
1

2. Organization Structure of last Employment:


Please illustrate the Organization Structure of your Present / Last Employment in terms
of immediate reporting relationship. ( Two levels above & below the position held by
you )

4/6
3. Break up of Emoluments of Present Organization. (Notional Figures +
Quantified Amount of Facility)
Please Provide Monthly Details:

Ba DA HRA Conveyance Education Entertainment Incentive


sic Allowance Allowance Allowance

M LTA Bonus PF Gratuity Group Other Gross


ed Insurance Monthly
ic Income
al

5. Expected Gross Yearly Income (CTC): Rs. ___________________

6. PF & FPF Membership: Yes / No


If Yes, A. is it an exempted Fund: Yes / No
B. Exemption No. _____________
C. Please give your PF / FPF No. ___________________

7. Covered under ESI Scheme: Yes / No


If yes, please provide LP No. __________________

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F. General Information:
1. Have you applied to this company before? Yes / No If Yes then please provide the
Following details:
Position applied for ___________________ Date of application ___________
2. Are any of your relatives employed in this organization? Yes / No
If yes, please provide following details:
Name of the Relative __________________ Department ________________
3. Who referred you for this position? Please provide following details:

Name __________________ Contact No. _____________________

4. Reference: Please provide two references

Sr. Name Profession Address Contac No


No
.
1

5. If selected when you can join? Immediately / One week / One Month /
Three Months
G. Declaration:

The undersigned hereby declare that information and particulars furnished above are factual to
the best of my knowledge and belief. I further declare that if any of the above particulars or
information found by the company to be inaccurate or false whatsoever at any stage, my
appointment either as a probationer or thereafter as a permanent employee will stand vitiated
ab initio / cancelled.

Signature of applicant ________________ Date. ___________ Place ____________

H. For Office Use Only:

Position Considered for: _________________________

Signature of Appointing Authority. _________________ Date: ____________

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