World Vision India

Application For
Employment
NAME : Mr./Mrs/Miss/Dr./Prof./Rev.
____________________________________________________________________
(Name in Block letters as per Certificate)
Photograph to
be affixed

Address for Communication : ( in Block letters)
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
City

___________________ State ________________

Postal Code

Home Ph: ________________ Work Phone________________
__________________________

___________________

Fax

Mobile Phone _______________________
Email :
________________________________________
Post applied for
_________________________________________________________________________
Source of information of vacancy
_________________________________________________________

1.

PERSONAL DETAILS
Age

1.1

Date of Birth
years

1.2

1.4 Religion : _____________
_____________
1.5 Marital Status :
appropriate)
1.6

Place of Birth
1.3

Nationality : ____________ Place/State of Domicile :

Single / Married / Divorcee / Widowed /Separated

(Tick as

No. of Children:

1.7 Father’s / Spouse’s Name
:_____________________________________________________________
1.8 Father’s / Spouse’s Occupation :
_________________________________________________________
1

To University / College / Institution Class / Percenta ge 2. Area of Expertise etc) obtained by training/hands-on. Special skills/(Computer.1 Course of Study Specialisat ion Period of Study From .9 Spouse living in another place (If applicable).3 3. EDUCATION (List most recent first) 2. if any : 2. please give details : _______________________________________________________ 2.2Special achievements in academics or co-curricular activities .1.experience: LANGUAGE SKILLS Languages : (Tick against the box) ______________ Language Spoken Fluency Mother Tongue : Written Fluency 2 .

2 Present Employer : (or last employer. & address : _______________________________________________________________ 3 . HISTORY OF EXPERIENCE 4. please mention Supervisor’s name : _____________________________________________ Phone No. if not currently working) 4.1 Could we contact your present employer at an appropriate time ? No Yes If yes.2.1 Employment Experience : Total years of Experience:_______ (list most recent first) Year(s) (month/ Yr to month/ Yr) Organisatio n’s Name and address Positi on or Title Reportin g to Job responsibilities (Brief) Gross * Salar y Reason for leaving drawn per month * Gross salary means basic and all regular allowances paid in cash 4.______________ Fair  Good  Fair  Good ______________ Fair  Good  Fair  Good ______________ Fair  Good  Fair  Good ______________ Fair  Good  Fair  Good ______________ Fair  Good  Fair  Good      4.

5. how many persons report to you ? _____________ 4. specify : ________________________________________________________________________ 5.2. CHRISTIAN WITNESS 5.2. Break up of your current salary particulars per month in rupees : (Enclose Salary Slip) Basic Salary :_____________ HRA :_______________ Transport Allowance :_________________ All other allowances : _______________________ Gross monthly salary : Rs.2 4.4.3 Your Annual gross salary : (current)________________________________________________________ 4. specify Any other. Are you presently attending a church? Yes No Name of your Church & Denomination : ____________________________________________________ Church Address : __________________________________________________________________________ __________________________________________________________________________ __ Pastor’s Name : ________________________________ Phone No. : ________________________________ 5.2.1._______________________________________________________________ e_mail ______________________________________________________________ Your current grade of employment : ________________ (Sub staff / Staff / Supervisory / Managerial / Senior Management).___________ Benefits / perks (state the annual value of each ) Medical : ____________ LTA:________ Bonus / performance incentive / gift:____________________ PF:________________ Superannuation :_____________ :____________Insurance value of cover. Tick whichever is applicable If you hold supervisory or higher position. 4 .3 Please provide a personal statement of your relationship with Jesus Christ and how it began.2 Are you involved in your church programmes in any way? Please give details.

Are you prepared to work anywhere in India? _______________________________________________ 7. 6. give details. 6.2 Why do you want to join in World Vision India? 7.5 If selected.CHILD FOCUS 6.1 Do you employ children to carry out work for wages at your home or anywhere? YES / NO 6. How much time can you spend away from home (travel) in a month? ___________________________ 7.4 If your job requires that you must stay in a village.3 Were you involved in any child related offenses ? YES / NO If yes. how soon you will be able to join? __________________________________________________ 7.3._________/- 7.2 What is your opinion on the issue of child abuse / child labour etc. how much time you need for the same ? _____________________________________ 5 .? 6. would you be willing? If No. 7.4. Why? 7.1 OTHER ISSUES Minimum Salary expected (Gross per month) : Rs.6 If you have to relocate your family because of this employment.

7. if any: ________________________________________________________ 7.10 Name :__________________________________ Designation/office____________________________ Relationship : ______________________________________________________________________ 7.9 Details of relatives or friends in World Vision anywhere or Board/Society members.8 Were you an employee of World Vision / WV Projects? No Yes If yes.7 Have you applied to World Vision before ? Yes / No If yes. the reason for the same : __________________________________________________ 7.13 Research or Publication.N Name o From persons residing in India and holding responsible positions other than Position / Designati on Full Address Mobile no / phone nos. if any for which you are being treated? ___________________________________________________________________________________ 7. E_mail Years Known 6 .12 Hobbies and special interests : ______________________________________________________ ________________________________________________________________________________________ ____ 7. When ?_____________________________ ___________________________________ Where ? Post applied for ? _____________________________ Were you interviewed ? Yes / No If not selected. if any 7.14 References : your relatives S.11 Physical and other disabilities or chronic diseases. please give the details: Period Post held Place of Work Supervisor’ s Name Reason for leaving 7.

Place : ________________ Date : ______________ _____________________ Address: Signature: Manager . First Floor . World Vision India . I confirm that I am not involved in any offenses or exploitation. DECLARATION BY THE APPLICANT I declare that the information given herein is true to the best of my knowledge and will form the basis of the contract of employment. affecting children. I understand that the appointment in the organisation will be subject to my passing the medical examination by a medical practitioner duly authorized by the organisation. Program Monitoring Office (PMO) – Lucknow . If at a future date. it is found that any of the information furnished herein is untrue or incorrect in any material aspect. the organisation will have the right to terminate my services without notice or salary in lieu thereof. Lucknow – 226012 .(Testimonials can be produced later when asked for).HR . 8. J-325. Ashiana Colony . : (0522) 2425829/ 2425839 Email : vishwas_manmode@wvi.org 7 . Phone No.