BGR ENERGY SYSTEMS LIMITED

APPLICATION FOR EMPLOYMENT

Type of work desired
If selected, joining time
required
Reference
Name in full (in capitals)
Fathers ! "us#ands Name
$resent %ddress $ermanent %ddress &ontact Num#ers
Res
'o#ile
()ce
*+mail
"a,e you e,ery sought employment with this &ompany- If so, when- .i,e details
PERSONAL DETAILS
%ge /ate of 0irth $lace of 0irth
$aste "ere
Recent
$assport 1i2e
$hotograph
/ay 'onth 3ear
&iti2enship 1e4 "eight (cms)
5eight
(6g)
'al
e
Fema
le
'other Tongue $assport No7 0lood .roup
%re you su8ering from any disa#ility or contagious illness-
If yes, gi,e details7
'arital 1tatus (state 1ingle or 'arried)
If 'arried, state
/ate of 'arriage
Is your wife ! hus#and employed
"er ! his monthly salary (Rs)
/etails of dependent children
1ons Nos7 %ge (3ears)
/aughters Nos7 %ge (3ears)
/etails of parents and family mem#ers 9
Name Relationship %ge $rofession
Family 0ackground
0rothers Nos7 %ge (3ears)
1isters Nos7 %ge (3ears)
0.R *N*R.3 : %pplication Form $age ;
EDUCATIONAL / PROFESSIONAL QUALIFICATION
Qualifying Exam
Ya!
"f
Pa##i
ng
Nam "f $%
S&%""l / C"llg
"! In#$i$u$i"n
M'ium
"f
In#$!u&$i"
n
Cla##/Di(i#i"
n / ) "f
Ma!*#
"+$ain'
Su+,&$ "f
S$u'y
<anguages known (specify 3es ! No)
<anguage 1peak Read 5rite
'em#ership of $rofessional (rganisation ! %ssociation, if any
1!N Name of (rganisation 'em#ership No7
*4tra curricular acti,ities
0.R *N*R.3 : %pplication Form $age =
-OR. E/PERIENCE 0START -IT1 PRESENT EMPLOYMENT2
$eriod of 1er,ice
/esignation, Name
and %ddress of the
(rganisation
0rief /escription of
jo#, functions and
responsi#ilities
(please attach separate
sheet if necessary)
Total 1alary
Reason for <ea,ing
From To
No
of
3rs
1tart
<ast
/rawn
Record #elow industries, equipment or operation which you are familiar and ! or specialised
(please attach separate sheet, if necessary)
1pecify area in which you consider yourself most pro>cient-
(please attach separate sheet, if necessary)
Rf!n&9 (.i,e names of employer and others who you know well)
1!N Name %ddress ? $hone Num#er (ccupation
"ow long you
are known to
him
1
2
"a,e you e,er #een a mem#er of any trade union ! political party ! organisation-
If so, please furnish details7
0.R *N*R.3 : %pplication Form $age @
"a,e you e,er #een con,icted #y a &ourt of <aw for an o8ence- If so, please furnish details7
1pecify acquaintances connected with the company and its group companies
1!N Name Relationship, if any
1
2
3
SALARY DETAILS
Item
$resent
Remuneration A
Recommended
Remarks
(for o)cial use)
Remarks (For ()cial Bse)
0A2 MONT1LY BENEFITS
$ersonnel /epartment
0asic
/%
Ref7 #y9
"R%
&on,eyance
/esignation
.ross salary per month9
'onthly 1alary
%NNB%< 0*N*FIT1
0B2 ANNUAL BENEFITS (&alculated per month)
.7'7 ! C7$7
.ross 1alary per
month (&ost to the
&ompany) (%D0)
$resident ! /irector
*4pected .ross
1alary per month
A $lease enclose latest salary slip $7F7 %ccount No7
I declare that the information ! particulars hereina#o,e furnished #y me are true and
correct, to the #est of my knowledge and #elief and it conceals no material fact7 I further
declare that any errors or suppression of facts in respect of matters stated a#o,e shall
make me lia#le for dismissal from ser,ice7
/ate $lace
1ignatur
e
0.R *N*R.3 : %pplication Form $age E