WORK EXPERIENCE (Starting from first employment )

Employers name &

full address

Duration
From
(Mont
h&
Year)

To
(Month
& Year)

Designatio
n

BRIEF DESCRIPTION OF YOUR PRESENT JOB

(use additional sheets if required )

What kind of a job / position are you looking for ?

Indicate your location preference.

( Use additional sheets, if necessary )

Details of
assignments

No. of
employees
directly
supervised

Designation
of immediate
superior

Gross monthly salary

On
joining

On
leaving

Reason for
leaving

DRAW BRIEF ORGANISATION STRUCTURE OF YOUR PRESENT COMPANY

(indicate two levels above and one level below your position)

Tick mark as applicable ( )

SALARY DETAILS *
Particulars

Monthly
emoluments
( Rs.)

Remarks

MONTHLY
Basic
DA
House Rent Allowance
Educational Allowance
Special Allowance
Conveyance Reimbursement
( Fixed Monthly Payments )
Lunch Allowance / Subsidy
Others
1.
2.
Sub Total A
ANNUAL (Converted to monthly )
Leave Travel Assistance / Allowance
Bonus / Exgratia
Commission / Incentive
Medical Reimbursement
Executive Bonus
Other :
1.
2.
Sub Total B
DEFERRED ( Converted to monthly )
Provident Fund
Superannuation
Gratuity
Other :
1.
2.
Sub Total C
GRAND TOTAL
Expected gross emoluments from
Thermax Joining time if selected
* Please submit copies of current salary slip, revision letter, appointment terms
etc. as proof.

Your present accommodation :

Company

Own

Type of Vehicle

4 Wheeler

2 Wheeler

Owned by

Self

Company

Own Residential Telephone

Yes

No

Rented

Joint family

Significant academic and career achievements ( use additional sheets if required )

References : Names, designation and address of three persons NOT related to you
( two of them should have known you professionally )
1.

2.

3.
I certify that the foregoing information is correct to the best of my knowledge. I am aware
that any false, distorted or incorrect information given by me may result in termination of
my service with the Company at any time, without any notice or compensation.
Date

Place

Signature