APPLICATION FOR EMPLOYMENT

___________________________________________________________________________________________
Position Applied for:
____________________________________________________________________________________________
INSTRUCTIONS:
This application form has to b filled in the candidates own handwriting. In order that your application may be
properly evaluated it is essential that all question be answered carefully and completely as possible.
If you need more space for your answers, attach separate sheets of paper and feel free to furnish any additional
information, which will help us in placing you where you are best suited.
_____________________________________________________________________________________________
Name : (in BLOCKS)
Mr. / Miss / Mrs._______________________________________________________________________________
(First)
(Middle)
(Surname)
You are Domicile of which State

Company records should contain my name as

(in BLOCKS)
____________________________________________

_________________________________
Address:
Present :

Phone No. Office :

Residence :
Email ID :
Mobile / Pager No:
Accommodation:
Rented
Flat

Permanent :

Ownership
Flat
Place of Birth :

Marital Status

Staying with Parents/

friends/relations
Co. Flat

Number of Children:

Date of Birth :

Ages :

FAMILY BACKGROUND (Father, Mother, Spouse, Brothers and Sisters)

Relationship

Name

Age

Qualification

Occupation Designation

Are you willing to work

At Mumbai
At Site
Anywhere in India?
_____________________________________________________________________________________________
Specify major illness / operations If any, in last five years N.A.
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EDUCATION
Year of
passing

Qualification
Obtained

School / College

Location

Board
/ Univ.

Special
Subjects

%Marks /
Class

Explain any breaks:

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Short term or part-time specialised courses or training programmes attended:
Subject

Place

Year

Description of
Course

Period

Certificate awarded

Citations, Scholarships, Awards, Prizes, Other Honours:

Name of Award

Awarded by
(Institution/ Assoc.)

Nature of Award
(Cash, medal, etc.)

Year
Granted

Extra-Curricular Activities including Sports, NCC during School / College:

EMPLOYMENT / EXPERIENCE
(Give present or most recent employer first)
Period
(From To)
Month/Yr.

Name & Address of

Employers

Position

Starting Salary

Leaving
Salary

Reasons for
leaving

Details of responsibilities / duties in important current and previous assignments:

____________________________________________________________________________________________

Explain any breaks:

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Considering your qualification & experience, briefly describe the position, responsibilities authorities you expect

_____________________________________________________________________________________________
GENERAL INFORMATION
1. Are you related to anyone in our employment?

Yes / No

If Yes, Name & relationship:

Do you know anyone in our Employment?
If yes, Name & Designation
2. Have you ever applied to
this company before?

Yes / No

3. When can you join duty?

4. Do you know to drive two wheeler?
1.

Yes / No

Yes / No

Languages known:
LANGUAGE
Fluent

EMOLUMENTS (P.M.)
Basic
D.A.
HRA / Accommodation
Conveyance
P.F. %
Leave Travel
Medical
Bonus

SPEAK
Fair
Slight

Present

Fluent

READ
Fair Slight

Fluent

Expected

WRITE
Fair Slight

Gratuity
Other (Specify)
Gross Salary
REFERENCES (other than relatives)
Name

Designation /
Occupation

Full Address

Period for which

he/she knows you

Capacity in which
he/she knows you

Person to be contacted in case of emergency: Name ________________________________________________

Full Adrress_______________________________________________________________________________
___________________________________________________________ Telephone No___________________
Are you a member of PF :

Yes / No _________________________________

If Yes :

Statutory / Voluntary PF Trust .

Please give PF/FPF No.:

Whether PF / FPF should be transferred:

Yes / No

Certified that all the information given in this application is true to the best of my knowledge.
i)
Should any information stated by me in this application be in-correct, my employment with you is liable to
immediate termination without payment of any compensation thereof
ii)
I declare that I have not been convicted previously by any court of law.
iii)
Should there be any changes in the particulars given by me in this application, I shall immediately inform
the organisation about the same.

Place:

Date:

Signature:

For Office use only (Please mention full details and conditions of employment)

Appearance ______________________

Job Knowledge_______________________

General Knowledge_________________
communicate_________________

Ability to

Attitude___________________________

Over rating___________________________

Comments and recommendation

_____________________________________________________________________________________________
____

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Place of Posting______________________ Unit (AMB/GAJ/HIM/BCT/MCW) Interviewers Signature/Date

Decision of Higher Authority _____________________________________________________________________

_____________________________________________________________________

Approved / Not Approved

Signature