Application for (Position ID)

Instruction for filling up the form

1. The Application is a fillable form and is protected. Please do not try to make changes to the
form.
2. Please enable macros for using the form
3. All relevant information should be filled in.
4. Incomplete forms may be rejected.
5. If you want to provide additional information, documentation or CV, please provide the same
at the end of this sheet or as Annexure.
6. Do not send a separate file or any other attachment with you mail.
7. Save the file using the following schema yourname-positionid.doc. e.g. If your name is
A.K. Sharma and you are applying for the position of National Underwriting Operations
Manager UTG02004, please save the files as aksharma-utg02004.doc
8. Do not send multiple applications. If you want to be considered for more than one position,
mention the same in the Additional Information.
9. Please mention the position applied for in the Subject line of your mail

I hereby wish to apply for the following position in SBI General Insurance Co. Ltd.

Title

First Name

Middle Name

Date of Birth

dd

mm

yyyy

Marital Status

No. of dependents
Educational Qualifications
Course

University/Institution

Course

University/Institution

Contact Phone No.

Gender

Professional Qualifications (if any)

Last Name

Year

Year

Grade

Major Subjects

Grade

Specialisation

Mobile No.
Alternate

Primary

eMail ID
Alternate

Line 1

Line 2

Mailing Address
Line 3

City

PIN
State
Details of Current Assignment
Organisation

Designation

In this assignment since

(d-mmm-yyyy)
(Landline with STD Code)

Primary

Role

(Please restrict to 250 characters)

Key Responsibilities

(Please restrict to 250 characters)

Reporting to
Annual Remuneration

Fixed component - Rs.

(CTC basis)

(please enter number without any prefix, suffix or commas)

Variable component Rs.

Details of Previous assignments

(Maximum five assignments beginning from the assignment immediately preceding the current one. Please provide
designation, role, key responsibilities and reporting line for each such assignment)

Organisation
Designation
Duration
Role

Previous Assignment 1

From:
To:

(Please restrict to 250 characters)

Key Responsibilities

(Please restrict to 250 characters)

Reporting to

Organisation
Designation
Duration
Role

Previous Assignment 2

From:
To:

(Please restrict to 250 characters)

Key Responsibilities

(Please restrict to 250 characters)

Reporting to

Previous Assignment 3

Organisation
Designation
Duration
Role
(Please restrict to 250 characters)

From:

To:

Key Responsibilities

(Please restrict to 250 characters)

Reporting to

Organisation
Designation
Duration
Role

Previous Assignment 4

From:
To:

(Please restrict to 250 characters)

Key Responsibilities

(Please restrict to 250 characters)

Reporting to

Previous Assignment 5

Organisation
Designation
Duration
Role

From:

To:

(Please restrict to 250 characters)

Key Responsibilities

(Please restrict to 250 characters)

Reporting to

A brief write-up on major professional achievement in the past 5 years (Please restrict to 250 characters)

Brief reason as to why you want to join SBI General Insurance Company (Please restrict to 250 characters)

Please relate your experience and position applied for (Please restrict to 500 characters)

(In case you wish to provide any additional information not covered in any of the above columns, you may do so in the next
page. Please restrict such details to a maximum of one page.)

Additional Information: (please also mention any other positions you wish to be considered for
here. Mention the specific Positions and Position IDs)