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    5 views6 pages

    Application Blank

    Uploaded by

    Muthu Karthick
    ehfgfgnbngfjfgnfjfgfgnvcbhncfnf

    Copyright:

    © All Rights Reserved
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    — pavawa argue ffits HLL Lifecare Limited (aa Bear wT ver) (A Government of India Enterprise) SRE A, GOTT, HLL Bhavan, Poojappur, freer 695 012,30, AI ‘Thivananthapuram-695 012, Keral, Inia, ‘BRAT: 0471 - 2954949 (7 aIEH) Phone: 0471 -2354949 (7 Lines) sme : ada, dome: 0471-2354002 ‘Grams: ROLATEX, Fax: 0471-2354002 ‘tet @& feng aires; APPLICATION FOR EMPLOYMENT 4. ea are wa ate rere a aR PLEASE FILL UP THE FOLLOWING BLANKS IN BLOCK LETTERS 2, oh ater amy alt, pat ge she “a Eh oa EL PLEASE MARK N.A. AGAINST COLUMNS WHICH ARE NOT APPLICABLE TO YOU reer are Te an Wiel fore 41, aaa Fe / Post Applied for $$ $$________ ‘tx econ passport . Siz photograph 2, Rhee eee dette eon (af ary wt at) Employment Exchange Registration No. (i applicable) 3, ATER Bi FART / Date of Interview: ‘aftnas Paw / PERSONAL DATA 1. aR Name 2 a. Rrenyafe wr ara afte der Father's / Husband's Name and Occupation b. AIaT @T APT / Mother's Name 3. ara & ferq gar / Address for Communication ——— - fats / Pincode ea em (af # a) / Telephone No.(it any) 4, arg Tay Permanent Address ——— frrrats ; Pincode ‘gears stem (af & a) / Telephone No.(if any) aida + (ae ® a) 7 Mobile No.itany) ‘Hai (ae & a) / E-mail (if any) 5, ang Ten a stat) (sant 4) ‘Age & Date of Birth (in figures) (in words) 6, aaftrars TIDY State of Domicile —_____. reftrety Nationality enfyanfat Religion / Caste —_____________ fer: eave) Sex : Male/Female ‘anf FRURH / Marital Status 7. Tear Fre / Identification Marks 1. 2 7 8. afta Rava Details of Family ae am ary, ar ar Rawr wa sara & Particulars Name ‘Age | Details of Occupation an ah Whether Dependent ornot frat/Father ray Mother ashy afer Wife/Husband ‘FRAFH/Children amg) Brothers Wey Sisters 9. ARFHTAT/ Mother Tongue 10.01 aTefl *TaT% / Languages Known : ‘ara Languages Weal Read ‘alert Speak ferry Write 1 2 3 4 5. 44.) aa omg agate onftvareptre oer SHRRyarer Pro ony agg Pre ato ae €? (Gee af ene a afte wa aye BY) are 2) Do youbelong to SCISTIOBCIEx-Serviceman Category (Please specify category and attach proof) YesiNo @) wa ae Rea 8? (gran ah eae a atte aa OFT BY) ard b) Are you physically Handicapped? (Please specify category and attach proof) YesiNo 7) war ae fet ad dhaftat a fea 8? cafe et at poe Reewor Ay tine ©) Do you suffer from any major ailments? Ifyes, please give details YesiNo 42 tea a fer a Row Fey erererer aver wear aT wht reveryehht fire flog Ty 8? ate ef at peer rawr S rg Have you ever been arrested/convicted by any Court ‘of Law in India or abroad? If yes, please give details YesiNo 13, wm ay & arm wy alg ctor yoo 8? cafe ef at, goer Rawr Is there any vigilance case in your name? Ityes, please give details. YesiNo ques] oped, / 8198/9NS / Mbite/ehe) Lee leh penjsooy pusGNS / eRe Buk (e1oymasia pue sa6a1109 ' 'S9}QQ0H pue SanIANDY JEInoWND BAS / YR aye hlleple avRoIn suonetnossy JeuoIssojolg UI dIYSIEqWOWY / JbpedDI Wb Rikeid AblIRD ‘oun veai@auene [Bujssea0,e0, | esinog exnjo uoneing oun yngyiaojeh | pp ibd) min | Rjble yp sewedin SHEN JO % BUOISWIGISseIQ | sIesMED/eWOIdiGjeeBeq IRR) Lb ble AYE feblnke Pink /ibaRy/ene Jooyos/eBayoo/AysseAlun Jo SWEN ibs 12 ibs /osg date} Noon / ui PL BouRMOI Taiaisuodsoy sovedng ajepewunjo | 6ureey.04 phijegjo | /oj0x pawoyod uoneubisog pue owen | suoseoy | uoyet | vopouor | dnyeaigpayeieg | »womjoaimen | oneuBiseq | ssouppye owen sofoKusa fons hnlbbh Aye inate | RY BME Indbk) NBD PORIPABA/ialle lois. up man tsaie |g peye [tye bole | paw Indie Ales | um ke aye bp | feuepa Lue nye Fle ge] bee fh bleu tapes | ba (say ol yse| Nd) ANOLSIH LNSWAO INS (amy) Bah Yeble YRylie) Inaba) Ye “Sh 16, ora aA esypirtar Br ge afta OFA ard at eaRtwat ar aM, For a on a ag Rear Reference of two persons, not elated to you, who are well acquainted with your back ground/service career and character a eT a wa war Wa SLNo, Name ‘Address and Telephone No. Occupation 1 2, 17.7 RH sa HA wife Vt GARat ee wt / Please specify your major strengths & weaknesses ama ste Ter aftref / Major Strength GET wav / Major Weakness SINo 18.20 ay I BAY Redare Gaeige! aTgHaAR Paes F wr we 8? are aft ef at, goer Reem 2 Do you have any relative working with HLL Lifecare Limited? Yes/No Ifyes, Please give details a ort wa er Rear Name Location Designation Relationship 19.R ang 3 gud ved Vayeye oremder fetits a theft & fry andes ston er? Goa frat F1 Have you applied before for employment in HLL Lifecare Limited? Please give details. 20. arent afer Prater t-te area (A, Bar separa) B? Do you have any liability (viz. Service Agreement/Bond) with your present employer. 21.90 amg aor a Ra at arare MET aes a FRry aTaweR w If selected, time required for joining 2a ae A ae aA Page flog ard oT Te #? Do you agree to be posted anywhere in India? 23. aire wat fear A ee? ore eT at, Ue Ver Br A, AAT BI VeeI Te Bar BM sal B1 Geta SE! Have you been abroad? Ifyes, please mention country visited, purpose and duration ete. 24a ary ose aoy FL ator wor mereT BP aA aT at, green Prearera wr Rereor

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