PN-112.1-FRM-1.1.

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POSITION APPLIED FOR :

AREA OF APPLICATION (Please tick as applicable)

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

PERSONAL INFORMATION Name Last Middle First

Name preferred to be called by _________________________________________ Date of Birth: ______ / _______ / _______ Sex Male Female Marital Status Yes Yes Married No No Single

Are you willing to relocate anywhere in India : Are you willing to relocate outside of India : 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 Current Address _______________________________ ________________________________ _______________________________ ________________________________ _______________________________ ________________________________ _______________________________ ________________________________ City ___________________________ City ____________________________ Pin ____________ Pin ______________ Telephone No. ___________________ 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 Institution Major subjects Grade/Division/ 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 Organization Duration From - To Designation Major Responsibilities Salary

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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