Affix your recent

passport size photo

SURYA ROSHNI LIMITED

(Notes : Fill in Capital Letters. Please attach your recent passport size photograph and photostat copies of certificates and testimonials.)

APPLICATION FOR THE POST OF At

1 Name (in full and in capitals)

2 Father’s Name

3 Date of Birth ( DD / MM / YYYY ) Age (years)

4 Physical Details Height (Cms.) Weight (kgs)

5 Permanent Address
Mob./Tel No.
with STD code

6 Present Address for Correspondence

Mob./Tel No.
with STD code

Email :

7 Marital Status Married / Unmarried

8 Educaitonal Qualification
S. % age
Class Subjects Year Board / University
No. Marks

a 10th

b 12th

c 1st year

d 2nd year

e 3rd year

f Final Year

9 Languages Known
 Are you or your family associated with any Social or Religious Organisations ? If so, give details including any
10
responsibilities held.

Have you taken part in any camps organised by above mentioned organisations or any other Organisation such as
11
NCC etc. If so give details :—

S.
Name of Organisation Details of Camp Year Achievements in the Camp
No.

12 Experience Details
Reasons for
S. Name & Place of Designation Gross
Job Profile Period Leaving the Remarks
No. Organisation Held Salary
Organisation

c
 c

13 What are your hobbies ?

14 Have you ever suffered from any long chronic desease ? Give details.

15 Do you wear spectacles ? If so mention the lens power. Right Eye Left Eye

16 Have you ever been convicted in a court of law ?

17 Particulars of family members

S. Monthly
Name Address Relationship Age Occupation
No. Income

18 Do you know any person presently working in Surya Group. If so give details :

a Name

b Department & Location

c Nature of Association

d Period of Association

19 How much time will you require to join us if selected :

Declaration

I hereby certify that the foregoing information is correct to the best of my knowledge and belief and nothing has been
concealed. If at any time, I am found to have given any false details or information my appointment shall be liable to be
summarily dismissed without any notice or compensation.

Signature of the applicant

Date :

Place :
nt
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