PN-112.1-FRM-1.1.

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Photograph

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POSITION APPLIED FOR :

AREA OF APPLICATION (Please tick as applicable)

1. Production
2. Maintenance
3. Quality
4. Finance & Accounting
5. Information Technology Systems
6. Human Resources
7. Supply Chain
8. Logistics
9. Others ( Please Specify)

PERSONAL INFORMATION

Name
Last Middle First

Name preferred to be called by _________________________________________

Date of Birth: ______ / _______ / _______

Sex Male Female Marital Status Married Single

Are you willing to relocate anywhere in India : Yes No

Are you willing to relocate outside of India : Yes No

Are you a passport holder : Yes No If Yes, Pasport No. & Valid upto :

If position requires driving, do you have a Valid driving license Yes No

Permanent Address
_______________________________
_______________________________
_______________________________
_______________________________
City ___________________________
Pin ____________
Telephone No. ___________________
Current Address
________________________________
________________________________
________________________________
________________________________
City ____________________________
Pin ______________
Telephone No. ___________________

Father / Spouse Name _________________________________

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Father / Spouse Occupation _________________________________

LANGUAGE FLUENCY

Language Speak Read Write

EDUCATION

Please begin with your latest Qualification and detail upto High School

Degree Duration (From/To) Name of Major Grade/Division/

Institution subjects CGPA

OTHER QUALIFICATION/ACHIEVEMENT:

Please detail any Training/Skills/Academic achievements not reflected above

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PROFESSIONAL EXPERIENCE

Please give details of full time work experience beginning with your current job

Name of Duration Designation Major Responsibilities Salary

Organization From - To

SPECIAL ACHIEVEMENTS DURING YOUR PROFESSIONAL CAREER

Please detail any achievements/experiences that you think are special to you.

MEMBERSHIP OF PROFESSIONAL/SOCIAL/CULTURAL ORGANIZATIONS

Are you a member of any Professional/Social/Cultural Organization? If yes, please

detail your position in the organisation.

EXTRA CURRICULAR ACTIVITIES/INTERESTS

Please describe your extracurricular interests in brief

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PERSONAL PARTICULARS

Blood Group :

Name & Address of Person to be contacted in any emergency:

Have you been ever been tried in any civil/criminal court? If yes, please detail below.

Any known medical Problems / Handicaps : Yes No. If yes, please detail below.

DECLARATION

I, Mr./ Mrs./ Ms. ____________________________ hereby declare that the

information provided in this application for employment is factual and correct to the
best of my knowledge and I understand that any false of wrong information makes
me liable for dismissal from employment at a later stage also.

Signature:____________________ Date & Place: ________________________

Please mail this back to :

Manager HR- Ops,

Human Resources
Coca-Cola India
Enkay Towers, Udyog Vihar V
Gurgaon, Haryana 122 106

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