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Employment Application Form - Ver 1.1

This document is an employment application form that collects personal, educational, and professional information from the applicant. It includes sections for family particulars, work experience, skills training, academic qualifications, references, and additional questions regarding employment history and expectations. The applicant is required to affirm the accuracy of the information provided and consent to background checks.

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chaithanya2332
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19 views4 pages

Employment Application Form - Ver 1.1

This document is an employment application form that collects personal, educational, and professional information from the applicant. It includes sections for family particulars, work experience, skills training, academic qualifications, references, and additional questions regarding employment history and expectations. The applicant is required to affirm the accuracy of the information provided and consent to background checks.

Uploaded by

chaithanya2332
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 4

EMPLOYMENT APPLICATION FORM

Please attach recent


Full Name (As per the 10th class mark sheet)
passport size
photograph

Former Name (s) / Maiden Name (if Applicable):

Father’s / Husband’s Name:K.Sreenivasulu

Marital Status: Religion:Hindu Gender:  Male  Female


Married / Single-Single

Date of birth (MM/DD/YY as per the 10th class mark sheet):05/23/1999

Permanent Address: Provident Kenworth Apartments, Near Aramghar, Hyderabad

Correspondence Address: Hyderabad

Personal E-mail ID: [email protected]

Mobile Contact Number: 7013894096 Home Contact Number:

Nationality: Indian Passport No-W5304279 Place of Issue: Vishakapatnam

Date of Issue :11/11/2022 Date of Expiry:10/11/2032


Has your visa ever been rejected-NO
(If Yes please tell us)
When: For which country: Reason:

Do you have any valid visa?


(If yes, please tell us)

Visa Type: For which country: Valid till:


City and Country of Birth: Kadapa; Andhra Pradesh

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FAMILY PARTICULARS (Parents, Spouse, Children, Siblings)

Name Date of Birth Relationship to the Occupation, Name of Employer /


Applicant School
Sub-inspector of Police
Kuppala.Sreenivasulu 09/05/1970 Father

Please fill in the following details regarding your work experience. Start with your current job and end with your
first job. Please mention reasons for breaks in career if any.

Employee ID,
Name, Address & Immediate
Period (MM/DD/YY) Designation and CTC (per Reason for
Contact No of Supervisor &
From To Nature of annum) leaving
Employer Department
Responsibilities

Please provide details regarding your skills training/ certification


Skills Training Received Duration Certification Available (Y/N)


Please provide details regarding your academic qualifications:

Degree(s) Institution (School/ Period Certificate/ Area of % Marks/ Enrollment Regular /


College/ University) mm/dd/yy Degree/ Specialization/ CGPA No & Roll Distance
and Address From – To Diploma Major Subjects No Learning

Post Graduate
Degree(s)

Bachelor Degree
(s)

HSC/ Pre-
university
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SSC/ 10th
equivalent

Other(s)

Please state reasons for break, if any

Please provide references:


Reference 1 Reference 2
Reference 3
(From your current (Someone you have worked with in the
(Personal)
Employer ONLY) past, preferably your reporting officer)

Name

Designation

Organization

Relationship

Address, Telephone
& email

Please answer the following in the space provided below

Are you currently under service agreement with your existing employer? (Y / N)

What is the notice period with your current employer? Days/ Months

What is your expectation in terms of compensation per annum? Rs. per annum

Are you willing to travel/ relocate as may be required by the organization? (Y / N)

Have you suffered from any major health problem(s) in the past 5 years? Please give details.

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Major social, leisure and sporting activities and achievements, including positions of responsibility held, if any:

Do you have all credentials in place of your past employer as stated in the resume and you can furnish the same, if
asked for? Eg.: Experience letters, Education Certificates, Salary slips etc.

Have you been a member / office bearer of any union / association anytime?

Have you ever been convicted in the past or undergoing any court trial? if yes, share details.

Were you asked to resign / terminated from the services anytime in your total work experience?

Any additional information that you would like to provide that could be relevant to your application.

Do you know any current employees at AgreeYa Solutions? If yes, please provide their names below with their
respective function and designation and your relationship with them:

Do you have any relatives working for AgreeYa Solutions? If yes, please mention the following:

Name of employee: Relationship:

Department Designation:

Have you previously applied to AgreeYa Solutions? (Yes / No)

If yes, position applied for and date/month of interview:

If employed by AgreeYa Solutions, I agree to provide copies of mark sheets and relevant certificates. I understand
that employment with AgreeYa Solutions is contingent upon several factors, including satisfactory information from
a reference check
All representations made by me in this data sheet are true and correct to the best of my knowledge and belief, and I
have not knowingly omitted any related information of an adverse nature. Inaccurate information may make me
ineligible for employment.

____________________________
Applicant’s Signature & Date

-4-

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