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 1 2 3 4 Name (in full and in capitals) Father’s Name Date of Birth ( DD / MM / YYYY ) Physical Details Height (Cms.)

At

Age (years) Weight (kgs)

5

Permanent Address
Mob./Tel No.
with STD code

6

Present Address for Correspondence Email :

Mob./Tel No.
with STD code

7 8

Marital Status Educaitonal Qualification S. No. Class Subjects

Married / Unmarried

Year

Board / University

% age Marks

a 10th

b 12th

c 1st year

d 2nd year

e 3rd year

f

Final Year

9 Languages Known

10

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

11

Have you taken part in any camps organised by above mentioned organisations or any other Organisation such as NCC etc. If so give details :— S. No. a b c Name of Organisation Details of Camp Year Achievements in the Camp

12

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

a

b

c

c

13

What are your hobbies ?

14

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

15 16

Do you wear spectacles ? If so mention the lens power. Have you ever been convicted in a court of law ?

Right Eye

Left Eye

17

Particulars of family members S. No. a Name Address Relationship Age Occupation Monthly Income

b

c

d

18

Do you know any person presently working in Surya Group. If so give details : a b c d Name Department & Location Nature of Association 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 oto

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