MICROTEK

TECHNOLOGY WE LIVE

Recent
Passport Size

APPLICATION FORM

Photo

Application For The Post of ________________________ at _____________
1.

Name (in full)

:

________________________________________

2.

Father’s Name

:

________________________________________

3.

Age / Date of Birth

:

__________________ / ____________________

4.

Physical Data Weight (Kgs.) & Height

:

________________________________________

5.

Permanent Address with Ph. No. if any

:

________________________________________
________________________________________

6.

Present Address for Communication

:

________________________________________
________________________________________

With Ph. No. If any

________________________________________

7.

Marital Status / No. of Children

:

__________________ / ____________________

8.

Nationality / Religion

:

__________________ / ____________________

9.

Computer Knowledge

:

________________________________________

10. Educational Qualification

:

(Give details from High School)

SL.
No.
A.
B.
C.
D.
E.
F.

Particulars

Year

Course of Study

Place / University

% age of
Marks / Division

E. Have you over suffered from any long : ________________________________________ : ________________________________________ chronic Disease? If so. Name of The Organization Status Held From To Reason for Discontinuation A. F. D. C.11. C. No. please details 16. Languages Known : ________________________________________ 12. No. Name Relationship Age (Years) Occupations Monthly Income . Had you ever been convicted in the court of law? If yes. Particulars of Family members SL. 3. B. please give details 15. 4. 14. B. 9. 2. D. Experience Data SL. 7. 1. 13. 6. Socio-Cultural Activities and Other Trainings. 5. No. Name & Place of Organization Status Held Details of The Job Joining Date Date of Leaving Last Salary Reason for Leaving Drawn+Perks A. 8. if any : SL.

___________________________________________________________________________ ___________________________________________________________________________ DECLARATION I hereby certify that the foregoing information is correct to the best of my knowledge and belief and nothing has concealed. Do you know anybody working in our group of companies 1. Name : ________________________________________ 2. I am found to have given any false details or information. Any additional information if you want to give in support of your candidature _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ 21. my appointment shall be liable to summary dismissal without any notice or compensation. (must be filled) : ________________________________________ 19. Date : Signature of the applicant & Place : (Name of the Applicant) .17. Name of Association : ________________________________________ 3. Please give two reference exception your relatives : (Name. If at any time. Address and social status) 1. if any. Expected salary consolidated and other benefits. Period of Association : ________________________________________ 18. ___________________________________________________________________________ ___________________________________________________________________________ 2. Please mention how much time you require to join us : ________________________________________ 20.