PERSONAL DATA FORM

HRD F19
AFFIX
PASSPORT
SIZE
PHOTOGRAPH
POST APPLIED FOR
NAME (IN BLOCK LETTERS) :
DATE OF BIRTH :
PRESENT ADDRESS: PERMANENT ADDRESS:
TEL: (Land) TEL: (Land)
(Mobile) (Mobile)
E-mail: E-mail:
MARITAL STATUS: SINGLE / MARRIED NO.OF DEPENDENTS:
FAMILY DETAILS :
NAME RELATION AGE OCCUATION
QUALIFICATION (ACADEMIC / RO!ESSIONAL / TEC"NICAL) (#$%& ON'ARDS)
DEGREE / DILOMA (EAR O!
ASSING
COLLEGE /
INSTITUTE
)AGE
O!
MARKS
MA*OR SUB*ECTS
PROFESSIONAL TRAINING:
p.s. please use additional sheet wherever required.
(Re+, No, $&/$&,$-,&$$-)
1
A. TOTAL EXPERIENCE: ---------------------- YEARS ------------- MONTHS
B. DETAILS OF EXPERIENCE:
EMPLOYERS
NAME &
LOCATION
EMPLOYERS
BUSINESS &
ANNUAL
TURNOVER
DESIGNA-
TION
HELD
PERIOD
OF
EMPLOY-
MENT
GROSS
SALARY
DRAWN
P.A.!
BRIEF
DESCRIPTION
OF FUNCTIONS
AND DUTIES
REASON FOR
LEAVING
RESENT
RE.IOUS
&nd LAST
/0d LAST
ORGANI"ATION CHART: LEASE GI.E (OUR OSITION IN T"E COMAN( STRUCTURE O! T"E
CURRENT / LAST EMLO(MENT,
CURRENT:
PREVIOUS:
2
ARE YOU PREPARED TO WOR# ANYWHERE IN INDIA ((ES/NO)
OUTLINE $ MENTION YOUR PERSONAL STRENGTHS
OUTLINE $ MENTION YOUR PROFESSIONAL STRENGTHS
DO YOU #NOW OR ARE YOU RELATED TO SOMEONE IN
D.P.%INDAL GROUP (I! (ES1 LS GI.E DETAILS)
PRESENT REMUNERATION DETAILS (MONT"L()
BASIC " R A CON.E(ANCE LTA MEDICAL BONUS
OT"ERS
(S2e3i45)
TOTAL
R6,
RETIREMENT BENEFITS (LEASE CALCULATE ON MONT"L( BASIS)
RO.IDENT !UND GRATUIT( SUERANNUATION
AN( OT"ER
ERKS (S2e3i45)
TOTAL
R6,
TOTAL SALARY (COST TO T"E COMAN()
(INCLUSI.E O! ALL ER7UISITES 8 BENE!ITS ER MONT") R6,
EXPECTED SALARY (COST TO T"E COMAN() R6,
NOTICE PERIOD TO BE GI.EN TO RESENT EMLO(ER DA(S
CAN 'E MAKE RE!ERENCE TO (OUR AST EMLO(ERS
E9CET (OUR RESENT ONE
(ES NO
REFERENCES: lea6e :i+e name61 add0e661 ;ele2<one n=mbe06 8 E-mail ID o4 ;>o 0e4e0en3e6,
TEL: TEL:
E-mail: E-mail:
PLACE: DATED: SIGNATURE:
FOR USE BY HUMAN RESOURCES ONLY
POSITION OFFERED $
LOCATION $ COMPANY
SALARY OFFERED
TENTATIVE %OINING DATE:
REMAR#S:
DATE: SIGNATURE:
3