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APPLICATION FOR EMPLOYMENT
Application for Employment as*
Date of Interview*
(dd/mm/yyyy)
Minimum expected Salary(Gross - PM)*
Joining Time Required*
Full Name *
Date of Birth*
(dd/mm/yyyy)
Age*
Place of Birth*
Sex
Male
Female
Height*
Weight*
Nationality*
Religion*
Mother Tongue*
Marital Status*
No.of Children
Father’s/Husband Name*
Occupation*
Income*
Family:
Joint
Nuclear
FAMILY PARTICULARS:
S.No.
Family Member Name
Sex (M/F)
Age
Relationship
Occupation
Whether dependent on you?
Whether living with you?
1.*
yes
no
yes
no
2.
yes
no
yes
no
3.
yes
no
yes
no
4.
yes
no
yes
no
5.
yes
no
yes
no
6.
yes
no
yes
no
7.
yes
no
yes
no
8.
yes
no
yes
no
ADDRESS FOR COMMUNICATION:
a. Present / Local address*
b. Permanent address*
Pin
Pin
Tel.(O)
Tel. (R)
(R)
Mobile
COMMUNICATION SKILLS
S. No.
Languages Known
Read
Write
Speak
1.*
Average
Proficient
Nil
Average
Proficient
Nil
Average
Proficient
Nil
2.
Average
Proficient
Nil
Average
Proficient
Nil
Average
Proficient
Nil
3.
Average
Proficient
Nil
Average
Proficient
Nil
Average
Proficient
Nil
4.
Average
Proficient
Nil
Average
Proficient
Nil
Average
Proficient
Nil
QUALIFICATION DETAILS:
EDUCATIONAL & TECHNICAL (State highest qualification first)
S.No.
Examination Passed
Year
Name of School / College / Institute
Board / University
Div. & % Marks
Subjects Studied
1.*
2.
3.
4.
EXPERIENCE:
Starting with LAST appoinment & working backwards. Any break in services should be clearly mentioned with reasons.
S.No.
Period
Total Exp. in Months
Name of Organisation, Add.&Tel.No.
Designation
Gross Monthly Salary
Reason(s) for Leaving
From
To
Starting
Leaving
Starting
Leaving
1.
2.
3.
4.
5.
6.
7
8.
PRESENT REMUNERATION: As on
Basic
DA
HRA
Conveyance
Incentive
OTHERS
Total(Rs)
On Joining
At Present
BENEFITS (in Rs.)
LTA
Medical
Bonus
PF
ESI
Gratuity
Others
Total(Rs)
On Joining
At Present
How did you come to know about this position?
Are you related or known to any person / director of RG group? Yes/No. (if yes.give details(Name.Designation,Deptt.& Relationship etc.)
REFERENCES
(Two persons,not relatives or your former Employers,who have known you over 2 yrs)
S.No
Name
Address & Telephone #
Occupation
Known Since?
1.
2.
Have you ever applied to our company?if yes, give details:
Have you ever been subjected to any disciplinary action in any of your previous/present organization or convicted by a court for any offense? Yes/No If yes,give details:
Do you Smoke?
yes
no
Do you consume drugs?
yes
no
Any Physical or mental disability:
yes
no
Do you consume Alcohol ?
yes
no
List your Extra curricular activities/hobbies:
What are your two strong points.
What are your two weaknesses .
Niminee(s) to whom dues to be paid in case of death/mental infirmity etc.
Name
Relationship
Age
years
Address
Pin
APPLICANTS AGREEMENT
(Important:read carefully)
I certify that the information given above is true,correct & complete to the best of my knowledge and belief. I agree that the company shall have no liability in any respect if my application is rejected or my employment terminated because of the false information or ommisions made by me in this application form.I agree to submit to physical examination.I also authorize the company to secure any information regarding myself,and I hereby release any person,firm or institution from liability of damages whatsoever for issuing such information.
I further declare that I am in good health and I am not suffering from any disease which may render me unfit to handle food stuff,drinks or affect the efficiency of my work.
I also declare that the above has been explained to me in my language.
I Agree this Agreement*
